AN ACT relating to a Medicaid supplemental payment program for public ground ambulance providers.
Impact
If enacted, HB 152 would allow public ground ambulance providers to receive supplemental payments based on a cost-report methodology, as determined by the average cost per transport. This development is significant because it ensures that public ambulance providers, typically operated by local governments, will have access to additional funding streams necessary to maintain and improve their emergency medical services. Moreover, requirements for participation will necessitate adherence to specific administrative regulations and the provision of transportation services to Medicaid beneficiaries.
Summary
House Bill 152 aims to establish a Medicaid supplemental payment program specifically targeted at public ground ambulance providers. The bill outlines the framework through which the Kentucky Department for Medicaid Services is to seek authorization from the Centers for Medicare and Medicaid Services (CMS) to implement this program, which has a planned effective date of January 1, 2026. The intention is to provide state-directed Medicaid managed care payments to eligible providers, thereby enhancing the financial sustainability of public ambulance services across the state, which are often underfunded.
Sentiment
The reaction to HB 152 has been generally positive among public health advocates and local government officials, who view the bill as a necessary step toward stabilizing and improving ambulance services in Kentucky. However, there may be concerns regarding how funding will be raised for the state match required under the program, particularly ensuring that it does not adversely affect other critical local services. The sentiment toward the bill appears optimistic, given the context of rising operational costs for emergency medical services.
Contention
While the bill is supported by many within the healthcare community, points of contention may arise concerning the source of the state matching funds required for the program. Since these funds must come from intergovernmental transfers or similar government funds and cannot originate from the state general fund, there could be challenges in securing consistent funding. Additionally, some lawmakers may raise concerns about the administrative burden imposed on ambulance providers and the potential implications of these requirements on service delivery.
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.