l9n/ Mississippi

2024 Regular Session

House Bill 425

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

Did not become law. It stopped in the House of Representatives's Medicaid Committee on March 5, 2024. The 2024 session has ended.

What it does

The synopsis the Legislature published with the bill.

AN ACT TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO REQUIRE MANAGED CARE ORGANIZATIONS UNDER ANY MANAGED CARE PROGRAM IMPLEMENTED BY THE DIVISION OF MEDICAID TO USE A CLEAR SET OF LEVEL OF CARE GUIDELINES IN THE DETERMINATION OF MEDICAL NECESSITY AND IN ALL UTILIZATION MANAGEMENT PRACTICES THAT ARE CONSISTENT WITH WIDELY ACCEPTED PROFESSIONAL STANDARDS OF CARE; TO PROHIBIT THOSE ORGANIZATIONS FROM USING ANY ADDITIONAL CRITERIA THAT WOULD RESULT IN DENIAL OF CARE THAT WOULD BE DETERMINED APPROPRIATE AND, THEREFORE, MEDICALLY NECESSARY BY THE GUIDELINES AND CERTAIN SPECIFIED PRINCIPLES; TO EXTEND THE DATE OF THE REPEALER ON THIS SECTION; AND FOR RELATED PURPOSES.

Sponsors

Who carried the bill in each chamber, and who signed on. Each name leads to the member's page.

In the House of Representatives

Its course

January 22 to March 5, 2024, on one scale. In the top row each mark is a day something happened; taller marks are busier days.

Each committee stop sits inside its chamber.

Every action2 actions on 2 days

In the House of RepresentativesJan 22 to Mar 5 · stopped43 days

MedicaidJan 22 to Mar 5 · stopped43 days

Text

Each version as the Legislature printed it.

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

What happened

In l9n's words, one line for each step. Every action as the Legislature published it is below.

In the House of Representatives Jan 22 – Mar 5

  1. Referred to the House committee on Medicaid
  2. Died in committee in the House
All 2 actions, as published