Establishing a dental benefit under the state Medicaid program.
Impact
The act specifically amends RSA 126-A:5 to include a new provision regarding Medicaid dental benefits, aiming to improve health outcomes and expand the provider network. The funding structure reveals an estimated state expenditure of about $6.9 million annually, alongside federal contributions. The program is designed to be cost-effective, with provisions to cap annual individual benefits at $1,500 (excluding preventive services) and to apply cost-sharing for higher-income Medicaid recipients. This shift in Medicaid benefits is expected to significantly impact the state’s health regulations and could influence healthcare affordability for low-income populations.
Summary
HB103 is a legislative proposal aimed at establishing a dental benefit within the state's Medicaid program. This act mandates the New Hampshire Department of Health and Human Services (DHHS) to solicit information and contract with dental managed care organizations to provide dental care services to individuals aged 21 and over. The bill emphasizes the significance of oral health in improving overall health outcomes and acknowledges that regular dental care can prevent more severe health complications requiring costly medical interventions. Thus, the intent of HB103 is to enhance Medicaid populations’ access to dental services, benefiting broader health and employment opportunities.
Sentiment
The general sentiment around HB103 appears to be positive among legislators who advocate for expanded access to healthcare services. Proponents argue that the bill is a crucial step towards addressing the health disparities faced by low-income residents and enhancing their quality of life through better oral health care. However, concerns likely persist regarding the bill's fiscal implications and its sustainability given the state's budgetary constraints. The enthusiasm for improving health outcomes contrasts with the cautious approach taken towards effective implementation and potential unintended consequences of such Medicaid expansions.
Contention
While many support the bill's goals, there is contention regarding the implementation strategy, especially concerning the appropriations from the Centene Corporation settlement. Critics may argue about prioritization of dental benefits amidst a broader range of essential health services and express concerns over potential gaps in coverage or accessibility. The interplay between health outcomes, budget limitations, and administrative efficiency is likely to be a focal point of ongoing debates as the state moves towards realizing the provisions of this act.
Relating to improving the provision of Medicaid benefits to certain children, including children receiving benefits under the STAR Kids managed care program.
Making an appropriation to the department of health and human services to support recreational activities for individuals with developmental disabilities and relative to the uncompensated care and Medicaid fund.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.