Mississippi 2025 Regular Session

Mississippi House Bill HB469

Introduced
1/10/25  
Refer
1/10/25  

Caption

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

Impact

If enacted, House Bill 469 is expected to have a significant impact on state Medicaid laws, particularly regarding hospital reimbursement rates. It will enhance financial support for hospitals operating in economically challenged areas, aiming to mitigate the effects of physician and nurse shortages. By ensuring increased state support for these facilities, the bill seeks to improve healthcare delivery in communities that might otherwise face service gaps. Furthermore, the increased reimbursement could incentivize healthcare providers to operate or remain in these underserved regions, thereby improving overall healthcare access.

Summary

House Bill 469 aims to amend Section 43-13-117 of the Mississippi Code to increase Medicaid reimbursement rates for inpatient and outpatient hospital services. This proposed legislation targets hospitals located in counties with an average monthly unemployment rate of 8% or higher, alongside a critical shortage of physicians and nurses. The bill emphasizes providing necessary healthcare services in economically distressed areas, ensuring hospitals receive at least 80% of the Medicare reimbursement rate for the same services. It reflects a commitment to improving healthcare access in regions that may struggle to provide adequate medical services due to economic challenges.

Contention

Despite its intended benefits, there may be points of contention surrounding House Bill 469. Some industry stakeholders could argue that the bill's funding mechanisms or administrative requirements might impose additional burdens on the existing Medicaid structure. Additionally, questions may arise about how the definition of 'critical shortage' for healthcare professionals will be determined, and whether the increased financial support can be sustained over time amid the state's broader budgetary constraints. Overall, the discussions surrounding this bill highlight the ongoing challenges in aligning healthcare resources with community needs.

Companion Bills

No companion bills found.

Previously Filed As

MS HB102

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

MS HB961

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

MS HB159

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

MS SB2626

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

MS HB477

Medicaid; revise calculation of reimbursement for durable medical equipment (DME).

MS HB119

Medicaid; revise calculation of reimbursement for durable medical equipment (DME).

MS HB1688

Community health workers; provide for certification of by Health Department and for Medicaid reimbursement for services of.

MS HB1189

Medicaid; allow reimbursement for services provided to developmentally disabled child by qualified nurse who is guardian of the child.

MS SB2209

Medicaid program; revise reimbursement for telehealth services for community health centers.

MS SB2823

Medicaid; revise various technical provisions related thereto, including reimbursement levels and facility eligibility.

Similar Bills

MS HB1527

HIV medications; prohibit health plans and Medicaid from subjecting to protocols that restrict dispensing of.

MS SB2397

Mental health facilities; provide for licensure of certain, and provide for Medicaid coverage for services provided.

MS SB2824

Mental health facilities; provide for licensure of certain, and provide for Medicaid coverage for services provided.

MS HB1044

Mental health facilities; provide for licensure of certain, and provide for Medicaid coverage for services provided by the facilities.

MS HB187

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

MS HB423

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

MS HB425

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

MS HB102

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.