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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
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-eighth Legislature Second Regular Session - 2006IN 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 fiscal15year 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 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