Senate Bill 2823

AN ACT TO AMEND SECTION 43-13-115, MISSISSIPPI CODE OF 1972, TO MAKE CERTAIN TECHNICAL AMENDMENTS TO THE PROVISIONS THAT PROVIDE FOR MEDICAID ELIGIBILITY, TO CONFORM WITH FEDERAL LAW TO ALLOW CHILDREN IN FOSTER CARE TO BE ELIGIBLE UNTIL THEIR 26TH BIRTHDAY; TO AUTHORIZE THE DIVISION OF MEDICAID TO APPLY FOR A FEDERAL FAMILY PLANNING WAIVER OR TO AMEND ITS STATE PLAN FOR SUCH PURPOSE; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, AS AMENDED BY HOUSE BILL NO 970, 2024 REGULAR SESSION, TO MAKE CERTAIN TECHNICAL AMENDMENTS TO THE PROVISIONS THAT PROVIDE FOR MEDICAID SERVICES, TO COMPLY WITH FEDERAL LAW; TO PROVIDE THAT THE DIVISION OF MEDICAID SHALL UPDATE THE CASE-MIX PAYMENT SYSTEM AND FAIR RENTAL REIMBURSEMENT SYSTEM AS NECESSARY TO MAINTAIN COMPLIANCE WITH FEDERAL LAW; TO REVISE CERTAIN PROVISIONS RELATED TO FAMILY PLANNING SERVICES, INCLUDING THAT CONTRACEPTIVES MAY BE PRESCRIBED AND DISPENSED IN 12-MONTH SUPPLY INCREMENTS; TO REQUIRE THE DIVISION TO SUBMIT A WAIVER BY JULY 1, 2024, TO CMS TO AUTHORIZE THE DIVISION TO CONDUCT LESS FREQUENT MEDICAL REDETERMINATIONS FOR ELIGIBLE CHILDREN WHO HAVE CERTAIN LONG-TERM OR CHRONIC CONDITIONS THAT DO NOT NEED TO BE REIDENTIFIED EVERY YEAR; TO DELETE TECHNICAL PROVISIONS RELATED TO THE MISSISSIPPI HOSPITAL ACCESS PROGRAM (MHAP); TO REQUIRE THE DIVISION TO REIMBURSE PEDIATRICIANS FOR CERTAIN PRIMARY CARE SERVICES AS DEFINED BY THE DIVISION AT 100% OF THE RATE ESTABLISHED UNDER MEDICARE; TO REQUIRE THE DIVISION, IN CONSULTATION WITH THE MISSISSIPPI HOSPITAL ASSOCIATION, TO DEVELOP ALTERNATIVE MODELS FOR DISTRIBUTION OF MEDICAL CLAIMS AND SUPPLEMENTAL PAYMENTS FOR INPATIENT AND OUTPATIENT HOSPITAL SERVICES; TO PROVIDE THAT SUPPLEMENTAL PAYMENTS TO A HOSPITAL SHALL NOT DECREASE BY MORE THAN 5% WHEN COMPARED TO A HOSPITAL'S PRIOR YEAR PAYMENT UNLESS THAT HOSPITAL HAS CLOSED, OR CHANGED SERVICES OR PATIENT VOLUME WHICH IMPACT THAT HOSPITAL'S PAYMENT, AND THE DIVISION SHALL NOT SUBSTANTIALLY CHANGE THE METHODOLOGIES USED TO CALCULATE A HOSPITAL'S SUPPLEMENTAL PAYMENT; TO EXTEND THE DATE OF REPEAL ON THE PROVISIONS THAT PROVIDE FOR CERTAIN REIMBURSEMENTS TO ANY BORDER CITY UNIVERSITY-AFFILIATED PEDIATRIC TEACHING HOSPITAL; TO PROVIDE THAT THE DIVISION SHALL CONTRACT WITH THE STATE DEPARTMENT OF HEALTH TO PROVIDE PERINATAL HIGH-RISK MANAGEMENT/INFANT SERVICES SYSTEM FOR ANY ELIGIBLE BENEFICIARY THAT CANNOT RECEIVE SUCH SERVICES UNDER A DIFFERENT PROGRAM; TO AUTHORIZE THE DIVISION TO REIMBURSE FOR SERVICES AT CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTERS; TO EXTEND THE DATE OF REPEAL ON SUCH SECTION; TO REQUIRE THE DIVISION TO COVER A CONTINUING GLUCOSE MONITORING (CGM) SERVICE AS A PHARMACY BENEFIT WHEN CERTAIN CONDITIONS ARE MET; TO INCLUDE ADDITIONAL LICENSED PROVIDERS IN THE DIVISION'S UPPER PAYMENT LIMITS PROGRAM; TO AUTHORIZE THE DIVISION TO PROVIDE REIMBURSEMENT FOR NEUROMUSCULAR TONGUE MUSCLE STIMULATOR FOR THE REDUCTION OF SNORING AND OBSTRUCTIVE SLEEP APNEA; TO REQUIRE THE DIVISION TO DEVELOP AND IMPLEMENT A METHOD FOR REIMBURSEMENT OF AUTISM SPECTRUM DISORDER SERVICES BASED ON A CONTINUUM OF CARE FOR BEST PRACTICES IN MEDICALLY NECESSARY EARLY INTERVENTION TREATMENT; TO PROVIDE THAT THE DIVISION MAY REIMBURSE AMBULATORY SURGICAL CARE (ASC) BASED ON 100% OF THE MEDICARE ASC PAYMENT SYSTEM RATE IN EFFECT JULY 1 OF EACH YEAR AS SET BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES; TO REQUIRE THE DIVISION TO REIMBURSE AMBULANCE TRANSPORTATION SERVICE PROVIDERS THAT PROVIDE AN ASSESSMENT, TRIAGE, TREAT OR TRANSPORT ELIGIBLE MEDICAID BENEFICIARIES TO AN ALTERNATIVE DESTINATION IN THIS STATE OR PROVIDE AN ASSESSMENT OR TREAT ELIGIBLE MEDICAID BENEFICIARIES IN PLACE; TO SET CERTAIN REIMBURSEMENT LEVELS FOR SUCH PROVIDERS; TO AMEND SECTION 43-13-305, MISSISSIPPI CODE OF 1972, TO REVISE CERTAIN PROVISIONS RELATED TO MEDICAID AND THIRD-PARTY BENEFITS TO COMPLY WITH FEDERAL LAW; TO AMEND SECTION 43-11-1, MISSISSIPPI CODE OF 1972, TO DEFINE ADULT DAY CARE FACILITY; TO AMEND SECTION 43-11-13, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT BEGINNING JULY 1, 2025, TO OPERATE AN ADULT DAY CARE CENTER IN MISSISSIPPI, A FACILITY PROVIDER SHALL BE LICENSED WITH THE LICENSING DIVISION OF THE STATE DEPARTMENT OF HEALTH; TO ESTABLISH THAT MISSISSIPPI MEDICAID WAIVER PROVIDERS ARE REQUIRED TO HAVE A STATE LICENSE AND HAVE A MEDICAID PROVIDER CONTRACT WITH THE DIVISION OF MEDICAID; TO AMEND SECTION 43-13-117.1, MISSISSIPPI CODE OF 1972, TO REQUIRE THE DIVISION TO REIMBURSE ADULT DAY CARE CENTERS; AND FOR RELATED PURPOSES.

In the Senate

• Kevin Blackwell

  Sponsor

• Senate floor amendmentAdopted

  Adopted Mar 13

• House of Representatives committee amendmentAdopted

  Adopted Apr 3

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

In the Senate Feb 19 – Mar 13

1. Feb 19Referred to the Senate committee on Medicaid
2. Mar 5Reported from committee in the Senate: title sufficient, do pass as a committee substitute
3. Mar 13Committee substitute adopted in the Senate
4. Amended in the Senate
5. Passed the Senate as amended

In the House of Representatives Mar 15 – Apr 3

1. Mar 15Sent to the House
2. Mar 18Referred to the House committee on Medicaid
3. Mar 27Reported from committee in the House: title sufficient, do pass as amended
4. Apr 3Amended in the House
5. Passed the House as amended

Back in the Senate Apr 4 – May 2

1. Apr 4Returned to the Senate to concur in the House's amendments
2. Apr 9Declined in the Senate to concur, and invited a conference
3. Apr 12Conferees named in the Senate: Blackwell, Boyd and Wiggins
4. Apr 16Conferees named in the House: McGee, Mansell and Hood
5. Apr 29Conference report filed in the House
6. Conference report filed in the Senate
7. Apr 30Recommitted in the House to the conferees for further conference
8. Recommitted in the Senate to the conferees for further conference
9. May 2Died in conference in the Senate