Authorizes the assessment of a provider fee on Medicaid managed care organizations
Impact
By authorizing the assessment of fees specifically on Medicaid managed care organizations, HB 1070 could play a crucial role in stabilizing and potentially increasing resources available for Medicaid beneficiaries. This could positively affect the provision of healthcare services across the state, particularly in areas that rely heavily on these managed care organizations for delivering essential health services to needy populations. The implementation of these fees is contingent upon adherence to federal standards, thereby ensuring compliance while maximizing state revenue.
Summary
House Bill 1070, introduced by Representative Jones, aims to enable the Department of Health and Hospitals (DHH) to impose a provider fee on Medicaid managed care organizations. This initiative is set against the backdrop of existing laws that already permit such fees for certain healthcare providers. The legislation explicitly seeks to enhance the funding mechanisms for Medicaid services by allowing the DHH to collect fees that align with federal regulations governing Medicaid fees.
Sentiment
The general sentiment around HB 1070 appears to reflect a supportive stance towards improving the Medicaid funding framework. Proponents of the bill may argue that introducing a provider fee is a smart and necessary move to avoid financial shortfalls within the Medicaid system, which can adversely impact service delivery. However, varying opinions could exist depending on stakeholders’ interests, particularly among healthcare providers who may express concerns about increased fees and the financial implications for managed care organizations.
Contention
Notable points of contention surrounding this bill could revolve around the potential financial burden on Medicaid managed care organizations. Opponents may argue that increasing operational costs through new provider fees could lead to higher premiums or reduced services for beneficiaries. Additionally, there may be discussions on whether this legislative move effectively addresses the root issues of underfunding in the Medicaid program, or whether it serves merely to increase fees without offering substantial improvements to service delivery.
Extends right of Medicaid recovery in cases of third party liability for injury, illness, or death to Medicaid managed care organizations that provide covered services to Medicaid enrollees
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.