2006 Legislation
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SENATE BILL NO. 1370 – Medicaid reimbursement, dentists

SENATE BILL NO. 1370

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Bill Status



S1370.................................................by HEALTH AND WELFARE
MEDICAID REIMBURSEMENT - DENTISTS - Amends existing law relating to
Medicaid reimbursement to add dentists to the rate of reimbursement for
Medicaid covered services; to provide that actual payments to a dentist
shall not exceed usual and customary charges; and to define the term
"dentist."
                                                                        
02/10    Senate intro - 1st rdg - to printing
02/13    Rpt prt - to Health/Wel
02/15    Rpt out - rec d/p - to 2nd rdg
02/16    2nd rdg - to 3rd rdg
02/22    3rd rdg - PASSED - 34-0-1
      AYES -- Andreason, Brandt(Harper), Broadsword, Bunderson, Burkett,
      Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
      Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Langhorst,
      Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce, Richardson,
      Schroeder, Stegner, Stennett, Sweet, Werk, Williams
      NAYS -- None
      Absent and excused -- Keough
    Floor Sponsor - McGee
    Title apvd - to House
02/23    House intro - 1st rdg - to Health/Wel
03/29    Rpt out - rec d/p - to 2nd rdg
03/30    2nd rdg - to 3rd rdg
    Rls susp - PASSED - 65-0-5
      AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
      Bedke, Bell, Bilbao, Black, Block, Boe, Bolz, Brackett, Bradford,
      Cannon, Chadderdon, Clark, Collins, Crow, Deal, Denney, Edmunson,
      Ellsworth, Eskridge, Field(18), Field(23), Garrett, Hart, Harwood,
      Henbest, Henderson, Jaquet, Kemp, Lake, LeFavour, Loertscher,
      Martinez, Mathews, McKague, Miller, Mitchell, Moyle, Nielsen, Nonini,
      Pasley-Stuart, Pence, Raybould, Ringo, Roberts, Rusche, Rydalch,
      Sali, Sayler, Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen,
      Smith(30), Smith(24), Snodgrass, Trail, Wills, Wood
      NAYS -- None
      Absent and excused -- McGeachin, Ring, Smylie, Stevenson, Mr. Speaker
    Floor Sponsor - Rusche
    Title apvd - to Senate
03/31    To enrol
04/03    Rpt enrol - Pres signed - Sp signed
04/04    To Governor
04/07    Governor signed
         Session Law Chapter 382
         Effective: 07/01/06

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                                    SENATE BILL NO. 1370
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO MEDICAID REIMBURSEMENT; AMENDING THE HEADING FOR PART  E,  CHAPTER
  3        1,  TITLE 56, IDAHO CODE; AMENDING SECTION 56-136, IDAHO CODE, TO REMOVE A
  4        FISCAL YEAR BEGINNING DATE, TO ADD DENTISTS TO THE RATE  OF  REIMBURSEMENT
  5        FOR  MEDICAID  COVERED SERVICES, TO PROVIDE THAT ACTUAL PAYMENTS TO A DEN-
  6        TIST SHALL NOT EXCEED USUAL AND CUSTOMARY CHARGES AND TO DEFINE "DENTIST."
                                                                        
  7    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
  8        SECTION 1.  That the Heading for Part E, Chapter 1, Title 56, Idaho  Code,
  9    be, and the same is hereby amended to read as follows:
                                                                        
 10                                       PART E.
 11                               PHYSICIANS AND DENTISTS
                                                                        
 12        SECTION  2.  That  Section  56-136, Idaho Code, be, and the same is hereby
 13    amended to read as follows:
                                                                        
 14        56-136.  PHYSICIAN AND DENTIST REIMBURSEMENT. (1)  Beginning  with  fiscal
 15    year  1996,  tThe rate of reimbursement for all medicaid-covered physician and
 16    dentist services rendered to medicaid recipients shall be adjusted each fiscal
 17    year. Each fiscal year adjustment shall be  determined  by  the  director  and
 18    shall equal the year over year inflation rate forecasted as of the midpoint of
 19    the  fiscal  year  by  the  all  item, goods and services index in the pacific
 20    northwest as published by data resources  incorporated.  Such  forecast  index
 21    shall  be  the  last published forecast prior to the start of the fiscal year.
 22    Provided however, an adjustment may exceed the index rate cited in  this  sec-
 23    tion at the discretion of the legislature.
 24        (2)  Actual  payments  made  by the director to each physician and dentist
 25    shall not exceed the usual and customary charges made to private pay patients.
 26        (3)  For the purposes of this section,:
 27        (a)  "pPhysican" means a person licensed to practice medicine pursuant  to
 28        chapter 18, title 54, Idaho Code.
 29        (b)  "Dentist"  means  a person licensed to practice dentistry pursuant to
 30        chapter 9, title 54, Idaho Code.
 31        (4)  The amount to be paid under the provisions of this section  shall  in
 32    no event exceed any limitations imposed by federal law or regulation.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE

                             RS 15959

This legislation would add Dentists to Idaho Code section 56-136.

Idaho Code section 56-136 provides for an annual adjustment for
the rate of reimbursement paid to physicians for Medicaid-covered
services.



                          FISCAL IMPACT

Approximately $150,000 annually from the general account.





Contact  
Name: Roy Eiguren, FORBA/Small Smiles Dental Clinics
Phone: (208) 388-1200 - (208) 859-1896



STATEMENT OF PURPOSE/FISCAL NOTE                    Bill No. S1370         


REVISED            REVISED            REVISED          REVISE