House Bill 1275

AN ACT TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO EXTEND THE AUTOMATIC REPEALER ON THE STATUTE THAT PROVIDES HEALTH CARE SERVICES COVERED UNDER THE MEDICAID PROGRAM; TO DELETE THE LIMITATION ON EMERGENCY ROOM VISITS COVERED UNDER THE MEDICAID PROGRAM; TO DIRECT THE DIVISION TO UPDATE THE CASE-MIX PAYMENT SYSTEM FOR NURSING SERVICES; TO DIRECT THE DIVISION TO UPDATE THE FAIR RENTAL REIMBURSEMENT SYSTEM FOR INTERMEDIATE CARE FACILITIES FOR THE INTELLECTUALLY DISABLED; TO AUTHORIZE A MEDICARE UPPER PAYMENT LIMITS PROGRAM FOR PHYSICIANS EMPLOYED BY PUBLIC HOSPITALS AND AUTHORIZE THE UPL PROGRAM FOR PHYSICIANS EMPLOYED BY PRIVATE HOSPITALS; TO DIRECT THE DIVISION TO UPDATE THE FAIR RENTAL REIMBURSEMENT SYSTEM FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES; TO REVISE THE CAP ON ENROLLMENT IN MEDICAID MANAGED CARE OR SIMILAR PROGRAMS; TO DIRECT THE DIVISION TO DEVELOP A PLAN FOR CERTAIN RECIPIENTS UNDER THE MANAGED CARE PROGRAM; TO DIRECT MEDICAID MANAGED CARE PROGRAMS TO PROVIDE STATISTICAL DATA TO THE LEGISLATURE AND THE DIVISION ON A REASONABLE TIMELINE; TO REVISE LANGUAGE RELATING TO THE MEDICAID REIMBURSEMENT FOR FREESTANDING PSYCHIATRIC HOSPITALS; TO PROVIDE THAT THE MEDICAID PLAN SHALL NOT RESTRICT COVERAGE FOR PHYSICIAN PRESCRIBED TREATMENT BASED UPON THE INDIVIDUAL'S DIAGNOSIS WITH A TERMINAL CONDITION; TO AUTHORIZE THE DIVISION TO REIMBURSE FOR CERTAIN PRIMARY CARE SERVICES AT THE MEDICARE RATE; TO CLARIFY THAT THE STATE DEPARTMENT OF HEALTH SHALL BE REIMBURSED ON A FULL REASONABLE COST BASIS FOR PHRM/ISS SERVICES; TO AMEND SECTION 43-13-119, MISSISSIPPI CODE OF 1972, TO EXTEND THE AUTOMATIC REPEALER ON THE TRANSPORTATION PROGRAM FOR RECIPIENTS RECEIVING NECESSARY DIALYSIS SERVICES; TO AMEND SECTION 43-13-121, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE DIVISION OF MEDICAID TO EXTEND ITS FISCAL AGENT AND ELIGIBILITY DETERMINATION SYSTEM CONTRACTS WITHOUT ISSUING FORMAL REQUESTS FOR PROPOSALS; TO PROVIDE FOR THE VENUE OF CIVIL ACTIONS AGAINST THE DIVISION BY PROVIDERS; TO AMEND SECTION 43-13-125, MISSISSIPPI CODE OF 1972, TO CLARIFY THE RIGHTS OF THE DIVISION OF MEDICAID WITH RESPECT TO A CLAIM AGAINST A THIRD PARTY; 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 AMEND SECTION 41-86-9, MISSISSIPPI CODE OF 1972, TO PROVIDE FOR OPERATION OF THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) BY THE DIVISION OF MEDICAID; TO DIRECT THE DIVISION OF MEDICAID TO PREPARE A REPORT TO THE LEGISLATURE ON THE IMPACT OF REFERRALS BY PHYSICIANS FOR ADVANCED IMAGING SERVICES USING EQUIPMENT OWNED IN FULL OR IN PART BY THE REFERRING PHYSICIAN; AND FOR RELATED PURPOSES.

In the House of Representatives

• Bobby B. Howell

  Sponsor

• House of Representatives floor amendmentAdopted

  Adopted Feb 11

• Senate committee amendmentPending

• Senate floor amendmentPending

• Senate floor amendmentAdopted

  Adopted Mar 12

• Senate floor amendmentAdopted

  Adopted Mar 13

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

In the House of Representatives Jan 20 – Feb 11

1. Jan 20Referred to the House committees on Medicaid and on Appropriations
2. Jan 29Reported as a committee substitute from ME to AP in the House: title sufficient, do pass
3. Feb 4Reported as a committee substitute from AP to ME in the House: title sufficient, do pass
4. Reported from committee in the House: title sufficient, do pass as a committee substitute
5. Feb 11Committee substitute adopted in the House
6. Amended in the House
7. Passed the House as amended

In the Senate Feb 13 – Mar 12

1. Feb 13Sent to the Senate
2. Feb 17Referred to the Senate committee on Public Health and Welfare
3. Mar 4Reported from committee in the Senate: title sufficient, do pass as amended
4. Mar 12Amended in the Senate
5. Passed the Senate as amended

Back in the House of Representatives Mar 12 – Apr 8

1. Mar 12Motion in the Senate to reconsider entered
2. Mar 13Reconsidered in the Senate
3. Amended in the Senate
4. Passed the Senate as amended
5. Mar 14Returned to the House to concur in the Senate's amendments
6. Mar 27Declined in the House to concur, and invited a conference
7. Mar 28Conferees named in the House: Howell, Barker and White
8. Conferees named in the Senate: Kirby, Bryan and Burton
9. Mar 31Conference report filed in the Senate
10. Conference report filed in the House
11. Apr 1Conference report adopted in the House
12. Conference report adopted in the Senate
13. Apr 8Enrolled bill signed in the House

To the Governor Apr 8 – Apr 15

1. Apr 8Enrolled bill signed in the Senate
2. Apr 15Approved by the Governor