House Bill 71

AN ACT RELATING TO THE ADMINISTRATION OF THE MISSISSIPPI MEDICAID LAW; TO AMEND SECTION 43-13-107, MISSISSIPPI CODE OF 1972, WHICH CREATES THE DIVISION OF MEDICAID AND PRESCRIBES ITS DUTIES AND RESPONSIBILITIES, TO EXTEND THE DATE OF THE REPEALER ON THIS SECTION TO JULY 1, 2012; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO CLARIFY THE LIMITATION ON INPATIENT HOSPITAL CARE REIMBURSEMENT FOR RECIPIENTS REQUIRING TRANSPLANTS; TO DELETE THE AUTHORITY FOR UNLIMITED INPATIENT HOSPITAL CARE REIMBURSEMENT FOR ELIGIBLE INFANTS IN DISPROPORTIONATE SHARE HOSPITALS; TO PROVIDE MEDICAID REIMBURSEMENT FOR OUTPATIENT SERVICES IN A CLINIC OR OTHER FACILITY THAT IS NOT LOCATED INSIDE A HOSPITAL, BUT THAT HAS BEEN DESIGNATED AS AN OUTPATIENT FACILITY BY THE HOSPITAL, AND THAT WAS IN OPERATION OR UNDER CONSTRUCTION ON JULY 1, 2009; TO PROVIDE THAT THE DIVISION OF MEDICAID, IN OBTAINING MEDICAL AND MENTAL HEALTH ASSESSMENTS FOR CHILDREN WHO ARE IN, OR AT RISK FOR BEING PUT IN, THE CUSTODY OF THE DEPARTMENT OF HUMAN SERVICES MAY ENTER A COOPERATIVE AGREEMENT WITH THE DEPARTMENT FOR THE PROVISION OF THOSE SERVICES; TO PROVIDE FOR AN INCREASE IN FEES FOR PHYSICIANS' SERVICES ON JANUARY 1, 2010; TO PROVIDE THAT THE ASSESSMENT ON HOSPITALS UNDER THE AUTHORITY OF THE MEDICARE UPPER PAYMENT LIMITS PROGRAM SHALL BE USED FOR THE SOLE PURPOSE OF FINANCING THE STATE PORTION OF THAT PROGRAM; TO PROVIDE THAT STATE-OWNED AND STATE-OPERATED FACILITIES THAT PROVIDE INPATIENT PSYCHIATRIC SERVICES TO PERSONS UNDER AGE 21 WHO ARE ELIGIBLE FOR MEDICAID REIMBURSEMENT SHALL BE REIMBURSED FOR THOSE SERVICES ON A FULL REASONABLE COST BASIS; TO PROHIBIT THE DIVISION FROM IMPLEMENTATION OF LOWER OF LOGIC REIMBURSEMENT FOR INPATIENT HOSPITAL SERVICES AND CROSSOVER CLAIMS COVERED UNDER MEDICARE PART B FOR DUALLY ELIGIBLE BENEFICIARIES WITHOUT LEGISLATIVE APPROVAL; TO PROHIBIT THE DIVISION FROM CHANGING THE PAYMENT METHODOLOGY TO CERTAIN MEDICAID PROVIDERS WITHOUT LEGISLATIVE APPROVAL; TO PROVIDE THAT CUTS UNDER THE MEDICAID PROGRAM DUE TO SHORTFALLS SHALL BE VERIFIED BY THE PEER COMMITTEE AND SHALL ONLY BE EFFECTIVE ON FEBRUARY 1 IN FY2010; TO PROHIBIT THE DIVISION FROM IMPLEMENTING ANY MANAGED CARE PROGRAM BEYOND THE LEVEL, SCOPE OR LOCATION OF THE PROGRAM AS IT EXISTED ON OCTOBER 1, 2008, UNTIL JANUARY 1, 2010; TO PROVIDE THAT ANY MANAGED CARE PROGRAM SHALL BE LIMITED TO A CERTAIN PERCENTAGE OF MEDICAID BENEFICIARIES; TO PROVIDE THAT ANY MEDICAID BENEFICIARY ENROLLED IN A MANAGED CARE PROGRAM SHALL HAVE AN ANNUAL WINDOW DURING WHICH THE BENEFICIARY MAY DISENROLL; TO PROVIDE THAT THE DIVISION SHALL NOT BE AUTHORIZED TO IMPLEMENT A MANAGED CARE PROGRAM IF IT DOES NOT RECEIVE FEDERAL WAIVERS NECESSARY FOR THE PROGRAM TO INCLUDE ALL OF THE REQUIREMENTS OF THIS ACT; TO PROVIDE THAT THE PEER COMMITTEE SHALL CONDUCT A COMPREHENSIVE PERFORMANCE EVALUATION OF THE MANAGED CARE PROGRAM, AND PROVIDE THE PERFORMANCE EVALUATION TO THE LEGISLATURE NOT LATER THAN DECEMBER 15, 2011; TO AUTHORIZE THE DIVISION TO PUBLISH APR-DRG REIMBURSEMENT RATES BUT NOT IMPLEMENT THEM UNTIL AFTER JULY 1, 2010; TO PROVIDE THAT THE PEER COMMITTEE SHALL STUDY THE BENEFITS AND LIABILITIES OF USING APR-DRG REIMBURSEMENT RATES, AND REPORT ITS FINDINGS TO THE LEGISLATURE ON OR BEFORE DECEMBER 15, 2009; TO PROVIDE THAT THERE SHALL BE NO CUTS IN INPATIENT AND OUTPATIENT HOSPITAL PAYMENTS AS LONG AS THE HOSPITAL ASSESSMENT PROVIDED IN SECTION 43-13-145, MISSISSIPPI CODE OF 1972, IS IN EFFECT; TO AMEND SECTION 43-13-145, MISSISSIPPI CODE OF 1972, TO PROVIDE FOR AN ANNUAL ASSESSMENT IMPOSED ON EACH HOSPITAL LICENSED IN THE STATE BASED UPON NON-MEDICARE HOSPITAL INPATIENT DAYS WITH CERTAIN CONDITIONS; TO PROVIDE THAT THE PRESENT PER BED ASSESSMENT LEVIED ON HOSPITALS SHALL BE DELETED UNLESS THE HOSPITAL ASSESSMENT DOES NOT TAKE EFFECT; TO CLARIFY THE ANNUAL ASSESSMENT IMPOSED ON NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED; TO PROVIDE THAT TAX LIENS FOR ASSESSMENTS SHALL BE FILED WITH THE CHANCERY CLERK; TO AMEND SECTION 43-13-407, MISSISSIPPI CODE OF 1972, TO CONFORM; AND FOR RELATED PURPOSES.

In the House of Representatives

• Dirk D. Dedeaux

  Sponsor

• House of Representatives committee amendmentPending

• House of Representatives floor amendmentPending

• House of Representatives floor amendmentPending

l9n doesn't hold this bill's text yet.

In the House of Representatives Jun 30

1. Jun 30Referred to the House committee on Medicaid
2. Reported from committee in the House: title sufficient, do pass as amended
3. Amendment failed in the House
4. Passed the House

In the Senate Jun 30

1. Jun 30Motion in the House to reconsider entered
2. Motion in the House to reconsider tabled
3. Sent to the Senate
4. Referred to the Senate committee on Public Health and Welfare
5. Reported from committee in the Senate: title sufficient, do pass
6. Passed the Senate

To the Governor Jun 30

1. Jun 30Motion in the Senate to reconsider entered
2. Motion in the Senate to reconsider tabled
3. Returned to the House for enrolling
4. Enrolled bill signed in the House
5. Enrolled bill signed in the Senate
6. Approved by the Governor