North Dakota 2023-2024 Regular Session

North Dakota House Bill HB1044

Introduced
1/3/23  
Refer
1/3/23  
Report Pass
1/16/23  
Engrossed
1/19/23  
Refer
2/13/23  
Report Pass
3/3/23  
Enrolled
4/7/23  

Caption

The medical assistance primary care provider program; and to provide an effective date.

Impact

The enactment of HB 1044 is expected to have a significant impact on the medical assistance framework in North Dakota. By recognizing more diverse healthcare providers as primary care providers, the bill aims to improve service delivery and better meet the needs of patients who rely on medical assistance. It may lead to increased collaboration among healthcare professionals and potentially alleviate some of the burdens placed on primary care physicians, allowing them to focus on more complex cases.

Summary

House Bill 1044 aims to amend existing legislation regarding the medical assistance primary care provider program in North Dakota. The bill specifically recognizes physician assistants and advanced practice registered nurses as primary care providers under the medical assistance program, assigning them the same rights and responsibilities as primary care physicians. This change acknowledges the evolving roles of these healthcare professionals and seeks to enhance the accessibility of primary care services within the state. Additionally, the bill mandates the elimination of the primary care provider case management program, streamlining the approach to primary care services.

Sentiment

The sentiment surrounding HB 1044 appears to be largely positive, with strong support from healthcare advocates who believe that expanding provider eligibility will enhance patient care and access. Proponents emphasize the importance of utilizing the skills of physician assistants and advanced practice registered nurses in the healthcare system, particularly in underserved areas. However, some concerns have been raised regarding the potential consequences of eliminating the primary care provider case management program, which may impact the continuity of care for certain patient populations.

Contention

A notable point of contention discussed in the legislative assembly was the balance between expanded access to care and the quality of services provided by newly recognized primary care providers. Some legislators voiced concerns regarding the potential oversight of care provided by physician assistants and advanced practice registered nurses, questioning whether adequate training and support mechanisms are in place. As the bill moves forward, these discussions will be crucial to ensure that it achieves its intended goals without compromising the quality of care delivered to patients.

Companion Bills

No companion bills found.

Previously Filed As

ND HB1433

Kids' Access to Primary Care Act of 2025This bill modifies payments for Medicaid primary care services. Specifically, the bill applies a Medicare payment rate floor to Medicaid primary care services that are provided after the date of enactment of the bill and extends the payment rate to additional types of practitioners (e.g., obstetricians).The Centers for Medicare & Medicaid Services must conduct a study on the number of children enrolled in Medicaid, the number of providers receiving payment for primary care services, and associated payment rates before and after the bill's implementation.

ND SB760

Kids' Access to Primary Care Act of 2025This bill modifies payments for Medicaid primary care services. Specifically, the bill applies a Medicare payment rate floor to Medicaid primary care services that are provided after the date of enactment of the bill and extends the payment rate to additional types of practitioners (e.g., obstetricians).The Centers for Medicare & Medicaid Services must conduct a study on the number of children enrolled in Medicaid, the number of providers receiving payment for primary care services, and associated payment rates before and after the bill's implementation.

ND HB1067

Medical assistance benefits and Medicaid waivers; and to provide an effective date.

ND HB3722

Relating to medical assistance for children; prescribing an effective date.

ND HB1720

Relating to certain facilities and care providers, including providers under the state Medicaid program and to improving health care provider accountability and efficiency under the child health plan and Medicaid programs; providing penalties.

ND H6373

Requires the executive office of health and human services to increase Medicaid payment rates for primary care services furnished by primary care providers to be commensurate with Medicare rates.

ND HB763

Medicaid; provide for a separate managed care program for dental services and dental services providers.

ND SB100

To Authorize The Arkansas Medicaid Program To Recognize A Physician Assistant As A Primary Care Provider.

ND SB492

Relating to health services provided in the medical assistance program.

ND HB2322

State Medicaid program; Ensuring Access to Medicaid Act; broadening certain definition; reimbursements; providers; pharmacists; effective date; emergency; contingent effectiveness.

Similar Bills

No similar bills found.