Requiring The Division Of Medicaid And Medical Assistance To Present The General Assembly With A Report And Plan To Provide Insurance Coverage For Community Health Worker Services.
Impact
The resolution aims to facilitate the development of a structured insurance plan for CHW services under Medicaid. If implemented, this change could significantly enhance access to public health services for vulnerable communities. CHWs are recognized for their cultural competence and ability to address social determinants of health, which positions them as crucial players in promoting health equity in Delaware. The proposed plan is expected to include potential state plan amendments or waivers necessary for the effective integration of these services into Medicaid coverage.
Summary
SJR2 is a Senate Joint Resolution that mandates the Delaware Division of Medicaid and Medical Assistance to develop and present a report to the General Assembly by January 1, 2026. This report will outline a plan regarding the provision of insurance coverage for Community Health Worker (CHW) services. The resolution acknowledges the essential role of CHWs in enhancing public health by guiding individuals and families through healthcare and social services systems, thereby promoting overall community well-being.
Sentiment
Overall sentiment surrounding SJR2 is supportive, with many members of the General Assembly and public health advocates recognizing the value of CHWs in healthcare delivery. Supporters believe that such insurance coverage will enable greater access to healthcare services, particularly among marginalized populations. The resolution reflects a growing acknowledgment of the importance of community-based approaches in addressing health disparities and fostering better health outcomes across the state.
Contention
While the support for SJR2 is evident, there could be discussions regarding the implementation and funding aspects of insuring CHW services within Medicaid. Critics may raise concerns about the fiscal implications or the integration of these services into existing healthcare frameworks. Furthermore, the success of the initiative will depend on effective collaboration among various stakeholder groups, including CHW organizations, healthcare providers, and government agencies to ensure that the proposed plans effectively meet the needs of the communities they serve.
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.