Oklahoma 2023 Regular Session

Oklahoma Senate Bill SB744 Compare Versions

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3		-	SB744 HFLR Page 1
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	3	+	ENGR. S. B. NO. 744 Page 1 1
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28		-
29		-	HOUSE OF REPRESENTATIVES - FLOOR VERSION
30		-
31		-	STATE OF OKLAHOMA
32		-
33		-	1st Session of the 59th Legislature (2023)
34	27
35	28		ENGROSSED SENATE
36	29		BILL NO. 744 By: Thompson (Roger) of the
37	30		Senate
38	31
39	32		and
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41	34		Wallace of the House
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45	38		An Act relating to the Ambulance Service Provider
46	39		Access Payment Program ; amending 63 O.S. 2021,
47	40		Section 3242, which relates to supplemental Medicaid
48	41		reimbursement for ground emergency transportation ;
49	42		deleting certain requirement for reimbursement;
50	43		providing calculation and payment method ology for
51	44		certain services; allowing intergovernmental
52	45		agreements to substitute for certain requirements;
53	46		and declaring an emergency.
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57	50		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
58	51		SECTION 1. AMENDATORY 63 O.S. 2021, Section 3242, is
59	52		amended to read as follows:
60	53		Section 3242. A. An eligible provider, as described in
61	54		subsection B of this section, in addition to the rate of payment
62	55		that the provider would otherwise receive for Medica id ground
63	56		emergency medical transportation services, shall receive
64	57		supplemental Medicaid reimbursement to the ex tent provided by law.
	58	+	B. A provider shall be eligible for supplemental reimbursement
	59	+	only if the provider meets the following conditions during the state
	60	+	fiscal year:
	61	+	1. Provides ground emergency medical transportat ion services to
	62	+	Medicaid beneficiaries;
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66		-	SB744 HFLR Page 2
67		-	BOLD FACE denotes Committee Amendments. 1
	64	+	ENGR. S. B. NO. 744 Page 2 1
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92		-	B. A provider shall be eligible for supplemental reimbursement
93		-	only if the provider meets the following conditions during the state
94		-	fiscal year:
95		-	1. Provides ground emergency medi cal transportation services to
96		-	Medicaid beneficiaries;
97	89		2. Is a provider that is enrolle d as a Medicaid provider for
98	90		the period being claimed; and
99	91		3. Is owned or operated by the state, a political subdivision
100	92		or local government, that employs or contracts with persons w ho are
101	93		licensed to provide emergency me dical services in the State of
102	94		Oklahoma, and includes private entities to the extent permissible
103	95		under federal law.
104	96		C. An eligible provider ’s supplemental reimbursement pursuant
105	97		to this section shall be calculated an d paid as follows:
106	98		1. The supplemental reimbursement to an eligible prov ider, as
107	99		described in subsection B of this section, shall be e qual to
108	100		a. for services reimburse d through fee-for-service
109	101		contracts, the amount of federal financial
110	102		participation received because of the claims submitted
111	103		pursuant to paragraph 3 of subsection F of this
112	104		section, and
113	105		b. for services reimbursed through cap itated contracts,
114	106		an amount to be determined in accordance with the
115	107		approved directed payment pre -print, based on claims
	108	+	submitted pursuant to paragraph 3 of subsection F of
	109	+	this section;
	110	+	2. In no instance shall the amount certified pursuant to
	111	+	paragraph 1 of subsection E of this section, when combined with the
	112	+	amount received from all other sources of reimbursement from th e
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117		-	SB744 HFLR Page 3
118		-	BOLD FACE denotes Committee Amendments. 1
	114	+	ENGR. S. B. NO. 744 Page 3 1
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143		-	submitted pursuant to paragraph 3 of subsection F of
144		-	this section;
145		-	2. In no instance shall the amount certified pursuant to
146		-	paragraph 1 of subsection E of this section, when combined with the
147		-	amount received from all other sources of reimbursement from the
148	139		Medicaid program, exceed one hundred percent (100%) of actual costs,
149	140		as determined pursuant to the Medicaid state plan, for ground
150	141		emergency medical transportation services; and
151	142		3. The supplemental Medicaid reimbursement provide d by this
152	143		section shall be distributed exclusively to eligible p roviders under
153	144		a payment methodology based on ground emergency medical
154	145		transportation services p rovided to Medicaid beneficiaries by
155	146		eligible providers on a per-transport basis or other federa lly
156	147		permissible basis. T he Oklahoma Health Care Authority shall obtain
157	148		approval from the Centers for Medicare and Medicaid Services for the
158	149		payment methodology to be utilized, and shall not make any payment
159	150		pursuant to this section prior to obtaining that approval.
160	151		D. 1. It is the Legislature’s intent in enacting th is section
161	152		to provide the suppleme ntal reimbursement described in this section
162	153		without any expenditure from the state General Revenue Fund. An
163	154		eligible provider, as a condition of receiving s upplemental
164	155		reimbursement pursuant to this section, shall enter into, and
165	156		maintain, an agreement w ith the Authority for the purposes of
	157	+	implementing this sectio n and reimbursing the state for the costs of
	158	+	administering this section.
	159	+	2. The nonfederal shar e of the supplemental rei mbursement
	160	+	submitted to the federal Cen ters for Medicare and Medicaid Ser vices
	161	+	for purposes of claiming federal financial participation shall be
	162	+	paid only with funds from the governme ntal entities described in
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167		-	SB744 HFLR Page 4
168		-	BOLD FACE denotes Committee Amendments. 1
	164	+	ENGR. S. B. NO. 744 Page 4 1
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193		-	implementing this sectio n and reimbursing the state for the costs of
194		-	administering this section.
195		-	2. The nonfederal shar e of the supplemental reimbursement
196		-	submitted to the federal Cen ters for Medicare and Medicaid Ser vices
197		-	for purposes of claiming federal financial participation shall be
198		-	paid only with funds from the governme ntal entities described in
199	189		paragraph 3 of subsec tion B of this section an d certified to the
200	190		state as provided in subsection E of this section.
201	191		E. Participation in the reimbursement program provided by this
202	192		section by an eligible provider as set forth in s ubsection B of this
203	193		section is voluntary. If an applicable governmental entity elects
204	194		to seek supplemental reim bursement pursuant to this section on
205	195		behalf of an eligible provider, the governmental entity sh all do the
206	196		following:
207	197		1. Certify
208	198		a. certify, in conformity with the requirements of 42
209	199		C.F.R. § 433.51, that the claimed expenditures for the
210	200		ground emergency medical transportation services ar e
211	201		eligible for federal financial participation ;,
212	202		2. Provide
213	203		b. provide evidence supporting the certification as
214	204		specified by the Oklahoma Health Care Authority ;,
215	205		3. Submit
	206	+	c. submit data as specified by the Authority to determine
	207	+	the appropriate amounts to claim as expenditures
	208	+	qualifying for federal financial par ticipation;, and
	209	+	4. Keep
	210	+	d. keep, maintain, and have readily retrievable any
	211	+	records specified by the Authority to fully d isclose
	212	+	reimbursement amounts to which the eligible provider
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217		-	SB744 HFLR Page 5
218		-	BOLD FACE denotes Committee Amendments. 1
	214	+	ENGR. S. B. NO. 744 Page 5 1
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243		-	c. submit data as specified by the Authority to determine
244		-	the appropriate amounts to claim as expenditures
245		-	qualifying for federal financial par ticipation;, and
246		-	4. Keep
247		-	d. keep, maintain, and have readily retrievable any
248		-	records specified by the Auth ority to fully disclose
249		-	reimbursement amounts to which the eligible provider
250	239		is entitled, and any other records required by the
251	240		Centers for Medicare and Medicaid Services ; or
252	241		2. Enter into and maintain an intergovernmental agree ment with
253	242		the Authority, as specified by the Authority.
254	243		F. 1. The Authority sha ll promptly seek any necessary fed eral
255	244		approvals for the implementation of this section. Th e Authority may
256	245		limit the program to those costs t hat are allowable expenditures
257	246		under Title XIX of the Social Security Act, 4 2 U.S.C. § 1396 et seq.
258	247		If federal approval is not obtained for impleme ntation of this
259	248		section, this section shall not be impleme nted.
260	249		2. The Authority shall submit claims for fe deral financial
261	250		participation for the expenditures for the services delineat ed in
262	251		subsection E of this section tha t are allowable expenditures under
263	252		federal law.
264	253		3. The Authority shall submit any necessary materials to the
265	254		federal government to provide as surances that claims for federal
	255	+	financial participation will include only t hose expenditures that
	256	+	are allowable under federal law.
	257	+	SECTION 2. It being immediately necessary for the preservation
	258	+	of the public peace, health or safety, an emergency is hereby
	259	+	declared to exist, by reason whereof this act shall take e ffect and
	260	+	be in full force from and af ter its passage and approval.
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267		-	SB744 HFLR Page 6
268		-	BOLD FACE denotes Committee Amendments. 1
	262	+	ENGR. S. B. NO. 744 Page 6 1
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293		-	financial participation wil l include only those expenditures that
294		-	are allowable under federal law.
295		-	SECTION 2. It being immediately necessary for the preservation
296		-	of the public peace, health or safety, an emergency is hereby
297		-	declared to exist, by reason whereof this act shall take effect and
298		-	be in full force from and af ter its passage and approval.
	287	+	Passed the Senate the 6th day of March, 2023.
299	288
300		-	COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS AND BUDGET, dated
301		-	04/05/2023 - DO PASS.
	289	+
	290	+
	291	+	Presiding Officer of the Senate
	292	+
	293	+
	294	+	Passed the House of Representatives the ____ day of __________,
	295	+	2023.
	296	+
	297	+
	298	+
	299	+	Presiding Officer of the House
	300	+	of Representatives
	301	+