Vermont 2023-2024 Regular Session

Vermont House Bill H0357

Introduced
2/23/23  

Caption

An act relating to Medicaid reimbursement rates for home- and community-based service providers

Impact

The implementation of H.357 is anticipated to have a positive impact on the financial health of agencies providing home- and community-based services. By ensuring that reimbursement rates keep pace with inflation, the bill is expected to alleviate some of the budgetary pressures faced by providers, which have been exacerbated by rising operational costs. Moreover, the bill directs the relevant state departments to conduct a comprehensive study on the adequacy of current Medicaid reimbursement rates, potentially leading to more sustainable funding mechanisms and methodologies that align with broader healthcare fiscal policies.

Summary

House Bill 357 is introduced to address the reimbursement rates for home- and community-based service providers under the Medicaid system. The bill is designed to establish an annual inflation factor that will be applied to the Medicaid reimbursement rates, ensuring that these rates reflect the economic conditions and the rising costs associated with providing such services. By mandating periodic adjustments based on inflation, the bill aims to enhance the financial viability of service providers, facilitating their ability to offer consistent and quality care to residents in home and community settings.

Contention

While the bill has gained support from advocates of healthcare accessibility and providers of community services, it has also faced scrutiny from certain stakeholders. Critics argue that the bill could lead to increased costs for the state if not appropriately managed, particularly if the inflation adjustment procedures result in unanticipated budgetary impacts. Additionally, there are concerns over the alignment of these rates with other payers, as discrepancies may create inconsistencies that complicate the funding structure and the accessibility of services. The discourse around H.357 suggests a need for careful consideration of both the immediate benefits of inflation adjustments and the long-term implications for state healthcare budgets.

Companion Bills

No companion bills found.

Previously Filed As

VT H0013

An act relating to Medicaid payment rates for community-based service providers

VT SB2314

Medicaid reimbursement; extend for community-based home-visitation and pregnancy support services.

VT S0053

An act relating to certification of community-based perinatal doulas and Medicaid coverage for doula services

VT HB390

Relative to reimbursement rates paid to providers of disability services (EN NO IMPACT See Note)

VT H1047

Home and Community-based Services Medicaid Waiver Program

VT HB1942

To Require Certain Reimbursement Rates For Home- And Community-based Services Within Risk-based Provider Organizations.

VT SB543

To Require Certain Reimbursement Rates For Home- And Community-based Services Within Risk-based Provider Organizations.

VT SB002

Medicaid Reimbursement For Community Health Services

VT H5774

Establishes Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the DOH and continue the EEOHH.

VT S0255

Establishes Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the DOH and continue the EEOHH.

Similar Bills

UT SB0257

Medicaid Accounts Amendments

UT HB0247

Child Health Care Coverage Amendments

AR SB518

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;.

AR SB515

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act.

UT HB0463

Medicaid Funding Amendments

NJ A3334

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S2416

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S3495

Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.