Hawaii Senate Bill SB1593

Hawaii 2024 Regular Session

• Introduced: 1/25/23
• Refer: 1/30/23

Caption

Relating To Medical Care.

Impact

This bill is expected to impact the processes within the Department of Human Services as it will directly relate to how funds are appropriated for medical care. The Department will be tasked with taking into account the most current Hawaii Medicaid fee schedule when preparing its biennial budget request. There is also an appropriation outlined in the bill to fund potential costs associated with these changes for the fiscal year 2023-2024. Simplifying the reimbursement process could improve the financial sustainability of healthcare providers serving Medicaid beneficiaries.

Summary

Senate Bill 1593 aims to amend Section 346-59 of the Hawaii Revised Statutes concerning payments to providers of medical care and long-term supports and services. The bill seeks to establish a more structured and calculated method for the payment rates owed to various medical professionals and institutions, such as critical access hospitals. The payments will be determined based on the Hawaii Medicaid fee schedule while remaining compliant with federal regulations regarding allowable fees. The adjustments aim to ensure that payments made align with cost standards and reasonable practices related to Medicare principles.

Contention

Notably, the bill does not seem to outline significant contention points within the provided documentation. However, potential discussions could arise regarding the appropriateness of the proposed changes to the Medicaid fee system, the implications for small providers, and how the changes align with federal funding requirements. Stakeholders may have differing opinions on the sufficiency of the payment rates established under the new guidelines and whether they will adequately reimburse providers for their services.