Certified community health workers; state plan amendment to provide reimbursement for services.
Impact
This bill is expected to have significant implications for state laws governing healthcare reimbursement practices. By formalizing the role of community health workers and establishing reimbursement structures, SB980 could enhance access to healthcare, particularly in underserved communities. Furthermore, it promotes involvement from Medicaid managed care organizations in expanding the utilization of these workers, potentially leading to improved health outcomes and cost-effective care solutions.
Summary
Senate Bill 980 directs the Department of Medical Assistance Services in Virginia to establish a work group tasked with designing a state plan amendment for the reimbursement of services provided by certified community health workers. The bill emphasizes the importance of these workers in delivering health services and aims to integrate their roles into the Medicaid system. The work group will be responsible for outlining service definitions, eligibility criteria, and training standards, which are crucial for formalizing the community health worker's contribution to healthcare delivery.
Contention
Although the bill has the potential to improve healthcare access, there may be contention surrounding the specifics of the reimbursement model and the training standards for community health workers. Discussions around eligibility criteria and the administrative structure may also elicit concerns from stakeholders regarding the equitable distribution of health resources. Ensuring the support of various stakeholders, including healthcare providers, policymakers, and advocacy groups, will be crucial in facilitating the bill’s implementation.