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H0254.................................................by HEALTH AND WELFARE MEDICAL ASSISTANCE - Amends existing law relating to the Medical Assistance Program to include coverage of assistive and augmentative communication devices. 02/15 House intro - 1st rdg - to printing 02/16 Rpt prt - to Health/Wel 02/23 Rpt out - rec d/p - to 2nd rdg 02/24 2nd rdg - to 3rd rdg 02/26 3rd rdg - PASSED - 63-0-7 AYES -- Alltus, Barraclough, Barrett, Bell, Bieter, Black, Bruneel, Callister, Campbell, Chase, Clark, Crow, Cuddy, Deal, Denney, Ellsworth, Field(13), Field(20), Gagner, Geddes, Hadley, Hammond, Hansen(23), Henbest, Hornbeck, Jaquet, Jones, Judd, Kempton, Kendell, Kunz, Lake, Limbaugh, Linford, Loertscher, Mader, Marley, McKague, Meyer, Montgomery, Mortensen, Moyle, Pischner, Pomeroy, Reynolds, Ridinger, Ringo, Robison, Sali, Schaefer, Sellman, Smith, Smylie, Stevenson, Stone, Taylor(Taylor), Tilman, Tippets, Watson, Wheeler, Williams, Wood, Zimmermann NAYS -- None Absent and excused -- Boe, Gould, Hansen(29), Kellogg, Stoicheff, Trail, Mr Speaker Floor Sponsor - Sali Title apvd - to Senate 03/01 Senate intro - 1st rdg - to Health/Wel 03/05 Rpt out - rec d/p - to 2nd rdg 03/08 2nd rdg - to 3rd rdg 03/10 3rd rdg - PASSED - 29-0-6 AYES--Andreason, Boatright, Branch, Bunderson, Cameron, Crow, Danielson, Darrington, Davis, Deide, Dunklin, Frasure, Geddes, Hawkins, Ingram, Ipsen, Keough, King, Lee, Richardson, Riggs, Risch, Schroeder, Sorensen, Stegner, Stennett, Thorne, Wheeler, Whitworth NAYS--None Absent and excused--Burtenshaw, McLaughlin, Noh, Parry, Sandy, Twiggs Floor Sponsor - King Title apvd - to House 03/11 To enrol 03/12 Rpt enrol - Sp signed 03/15 Pres signed 03/16 To Governor 03/19 Governor signed Session Law Chapter 132 Effective: 07/01/99
H0254|||| LEGISLATURE OF THE STATE OF IDAHO |||| Fifty-fifth Legislature First Regular Session - 1999IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 254 BY HEALTH AND WELFARE COMMITTEE 1 AN ACT 2 RELATING TO MEDICAL ASSISTANCE PROGRAM; AMENDING SECTION 56-209d, IDAHO CODE, 3 TO PROVIDE FOR COVERAGE OF COMMUNICATION DEVICES AND TO MAKE TECHNICAL 4 CORRECTIONS. 5 Be It Enacted by the Legislature of the State of Idaho: 6 SECTION 1. That Section 56-209d, Idaho Code, be, and the same is hereby 7 amended to read as follows: 8 56-209d. MEDICAL ASSISTANCE PROGRAM -- SERVICES TO BE PROVIDED. Notwith- 9 standing any other provision of this chapter, medical assistance shall 10 increase: 11 (1) Payment as determined underregulationsrules 12 established by the director from forty (40) days per fiscal year to 13 unlimited days of inpatient hospital care per state fiscal year. 14 (2) Payment as determined underregulationsrules 15 established by the director from thirty dollars ($30.00) per month to 16 an unlimited amount of prescribed drugs for each recipient. 17 (3) Provision of eligibility for medical assistance for residents of 18 skilled and intermediate care facilities who meet the medical criteria for 19 medical assistance, from those with countable income of two hundred one and 20 two-tenths percent (201.2%) to those with countable income of three hundred 21 percent (300%) of the SSI standard. 22 (4) Payment, as authorized by title XIX of the social security act, as 23 amended, and as determined underregulationsrules 24 established by the director for: 25 (a) Durable medical equipment. 26 (b) Soft organ transplants. 27 (c) Adult dental services. 28 (d) Adult vision services. 29 (e) Adult hearing services. 30 (f) Prosthetics. 31 (g) Assistive and augmentative communication devices.
STATEMENT OF PURPOSE RS 09008 This adds assistive and augmentive communication devices as an element of medical assistance provided through Medicaid. Medicaid currently pays for these devices for all children and for those covered by the Home and Community Based Services waiver. This bill regards the remaining 91 of the Medicaid-eligible population. The Department of Health and Welfare has not been authorizing Medicaid payment for these devices, but routinely loses lawsuits filed for such payments and ultimately pays for the devices anyway. It is intended that following passage of this legislation, the department will promulgate a fairly restrictive rule for such payments, similar to the rule in place for children and HCBS waiver clients. It is estimated that less than 25 devices will be funded. In 1998 only 5 devices were funded. FISCAL NOTE Estimated a maximum of $37,500 general fund and $87,500 federal Medicaid matching funds for 25 devices. Actual numbers will likely be less. There will also be a savings of legal fees and costs and wasted staff time. CONTACT: Rep. William T. Sali 332-1000 STATEMENT OF PURPOSE/ FISCAL NOTE Bill No. H 254