House Bill 421

AN ACT TO AMEND SECTIONS 43-13-107 AND 43-13-117, MISSISSIPPI CODE OF 1972, TO EXTEND THE AUTOMATIC REPEALER ON THE STATUTES WHICH ESTABLISH THE DIVISION OF MEDICAID AND PROVIDE HEALTH CARE SERVICES COVERED UNDER THE MEDICAID PROGRAM; TO AUTHORIZE THE DIVISION TO REIMBURSE INPATIENT HOSPITAL SERVICES USING APR-DRG PAYMENT METHODOLOGY AND OUTPATIENT HOSPITAL SERVICES USING AN APC PAYMENT METHODOLOGY; TO AUTHORIZE THE DIVISION TO IMPLEMENT CERTAIN MANAGED CARE PROGRAMS AND TO INCREASE THE 15% BENEFICIARY LIMITATION ON SUCH MANAGED CARE PROGRAMS; TO AUTHORIZE THE DIVISION TO PROVIDE FOR A HIGHER REIMBURSEMENT RATE FOR SERVICES PROVIDED BY PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AFTER THEIR NORMAL WORKING HOURS, AS DETERMINED IN ACCORDANCE WITH REGULATIONS OF THE DIVISION; TO FREEZE NURSING FACILITY REIMBURSEMENT RATES; TO PROVIDE THAT THE TWO-DRUG LIMIT ON REIMBURSEMENT FOR SINGLE SOURCE OR INNOVATOR MULTIPLE SOURCE PRESCRIPTION DRUGS DOES NOT APPLY IF THE DRUG IS LESS EXPENSIVE THAN THE GENERIC EQUIVALENT; TO EXTEND THE DATE OF THE REPEALERS ON CERTAIN DENTAL CARE SERVICES BEING COVERED UNDER MEDICAID AND ON THE ENTIRE LIST OF COVERED MEDICAID SERVICES; TO PROVIDE FOR DIRECT APPROPRIATION OF MEDICAID FUNDS FOR MENTAL HEALTH SERVICES TO THE DIVISION; TO AUTHORIZE MEDICAID REIMBURSEMENT FOR THE OPERATION OF PPEC CENTERS; TO PROVIDE THAT CERTAIN LIMITATIONS IN THE MEDICAID PROVIDER REIMBURSEMENT RATE SECTION AND THE MEDICAID PROVIDER ASSESSMENT SECTION SHALL NOT PREVENT THE DIVISION FROM REIMBURSING PROVIDERS BASED ON A DRG OR APR-DRG OR MANAGED CARE MODEL; TO AMEND SECTION 43-13-121, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE DIVISION TO COLLECT OVERPAYMENTS TO PROVIDERS PRIOR TO CONCLUSION OF APPEAL AND TO AUTHORIZE CERTAIN SERVICE CONTRACTS BY THE DIVISION; TO AMEND SECTION 43-13-145, MISSISSIPPI CODE OF 1972, TO EXTEND THE DATE OF THE REPEALERS ON THE ANNUAL ASSESSMENT ON LICENSED HOSPITALS IN MISSISSIPPI TO PROVIDE FUNDING FOR THE MEDICAID PROGRAM, ON ADMINISTRATIVE PROVISIONS RELATING TO THE HOSPITAL ASSESSMENT, AND ON THE PAYMENT OF ADDITIONAL ANNUAL MEDICARE UPPER PAYMENT LIMITS AND DISPROPORTIONATE SHARE HOSPITAL PAYMENTS TO MISSISSIPPI HOSPITALS THAT PARTICIPATE IN THE MEDICAID PROGRAM; TO CLARIFY CERTAIN DEFINITIONS REGARDING THE HOSPITAL ASSESSMENT; TO DELETE THE AUTHORITY FOR A MEDICARE PUBLISHED MARKET BASKET INFLATIONARY INDEX PAYMENT INCREASE; TO INCREASE THE ADDITIONAL UPL PAYMENT TO FREESTANDING PSYCHIATRIC HOSPITALS; TO DIRECT THE DIVISION OF MEDICAID TO DEVELOP CERTAIN REPORTS TO THE LEGISLATURE REGARDING PROVIDER REIMBURSEMENT; AND FOR RELATED PURPOSES.

In the House of Representatives

• Mark Formby

  Sponsor

• House of Representatives floor amendmentAdopted

  Adopted Mar 14

• Senate committee amendmentAdopted

  Adopted Apr 9

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

In the House of Representatives Feb 13 – Mar 14

1. Feb 13Referred to the House committee on Medicaid
2. Mar 5Reported from committee in the House: title sufficient, do pass as a committee substitute
3. Mar 13Read the third time in the House
4. Mar 14Committee substitute adopted in the House
5. Amended in the House
6. Passed the House as amended

In the Senate Mar 14 – Apr 9

1. Mar 14Motion in the House to reconsider entered (Howell, Lane and Holland)
2. Mar 16Motion in the House to reconsider tabled
3. Mar 21Sent to the Senate
4. Mar 26Referred to the Senate committees on Public Health and Welfare and on Appropriations
5. Mar 28Reported as amended from PH to AP in the Senate: title sufficient, do pass
6. Mar 29Reported from committee in the Senate: title sufficient, do pass as amended
7. Apr 9Amended in the Senate
8. Passed the Senate as amended

Back in the House of Representatives Apr 10 – May 3

1. Apr 10Returned to the House to concur in the Senate's amendments
2. Apr 13Declined in the House to concur, and invited a conference
3. Apr 20Conferees named in the House: Howell, Barker and Zuber
4. Apr 24Conferees named in the Senate: Kirby, Bryan and Burton
5. Apr 27Conference report filed in the House
6. Conference report filed in the Senate
7. Apr 28Conference report adopted in the House
8. Conference report adopted in the Senate
9. May 3Enrolled bill signed in the House

To the Governor May 3 – May 17

1. May 3Enrolled bill signed in the Senate
2. May 17Approved by the Governor