Texas House Bill HB2409

Texas 2019 - 86th Regular

Caption

Relating to establishing supplemental payment programs for the reimbursement of certain ambulance providers under Medicaid.

Impact

The implementation of HB2409 is expected to have significant implications for ambulance providers, especially those that are state or local governmental entities. By allowing these providers to receive supplemental payments, the bill aims to strengthen the economic viability of service availability to Medicaid beneficiaries. This could lead to improved response times and the overall quality of emergency medical services offered to vulnerable populations. The legislation also outlines eligibility criteria for ambulance providers and mandates that providers maintain documentation to ensure transparency in the reimbursement process.

Summary

House Bill 2409 aims to establish supplemental payment programs for the reimbursement of certain ambulance providers under Medicaid in Texas. The bill introduces a framework that allows for the creation of two distinct supplemental payment programs: one under the Medicaid fee-for-service delivery model and another under the Medicaid managed care delivery model. The Texas Health and Human Services Commission is tasked with developing and implementing these programs while also pursuing necessary federal authorizations to fund them adequately. This initiative seeks to enhance the financial support for ambulance services that cater to Medicaid recipients.

Contention

Despite its potential benefits, the bill may face scrutiny regarding the fiscal implications, especially with respect to the need for intergovernmental transfers to fund the non-federal share of the supplemental payments. As the legislation prohibits the use of general revenue to administer or reimburse under the supplemental payment programs, concerns may arise regarding the sustainability of the funding programs. Stakeholders may debate the efficacy and fairness of the reimbursement models proposed, particularly whether they adequately cover the actual costs incurred by ambulance providers while complying with federal regulations.