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H0190.................................................by HEALTH AND WELFARE
MEDICAID - Adds to existing law to provide that the Department of Health
and Welfare shall implement a methodology for reviewing and determining
reimbursement rates to private businesses providing developmental
disability agency service, mental health services, service coordination and
case management services, residential habilitation agency services and
affiliated residential habilitation specialized family home services
annually.
02/11 House intro - 1st rdg - to printing
02/14 Rpt prt - to Health/Wel
02/23 Rpt out - rec d/p - to 2nd rdg
02/24 2nd rdg - to 3rd rdg
03/01 3rd rdg - PASSED - 68-0-2
AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
Bedke, Bell, Bilbao, Block, Boe, Bolz, Bradford, Cannon, Chadderdon,
Clark, Collins, Crow, Deal, Denney, Edmunson, Ellsworth, Eskridge,
Field(18), Field(23), Garrett, Hart, Harwood, Henbest, Henderson,
Jaquet, Jones, Kemp, Lake, LeFavour, Loertscher, Martinez, Mathews,
McGeachin, McKague, Miller, Mitchell, Moyle, Nielsen, Nonini,
Pasley-Stuart, Pence, Raybould, Ring, Ringo, Rusche, Rydalch, Sali,
Sayler, Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen,
Smith(30), Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wills,
Wood, Mr. Speaker
NAYS -- None
Absent and excused -- Black, Roberts
Floor Sponsors - McGeachin & Garrett
Title apvd - to Senate
03/02 Senate intro - 1st rdg - to Health/Wel
03/08 Rpt out - rec d/p - to 2nd rdg
03/09 2nd rdg - to 3rd rdg
03/10 3rd rdg - PASSED - 32-0-2, 1 vacancy
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
Gannon, Geddes, Goedde, Jorgenson, Kelly, Keough, Langhorst, Little,
Lodge, Malepeai, Marley, McGee, McKenzie, Richardson, Schroeder,
Stegner, Stennett, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- Hill, Pearce, (District 21 seat vacant)
Floor Sponsor - Keough
Title apvd - to House
03/11 To enrol
03/14 Rpt enrol - Sp signed
03/15 Pres signed
03/16 To Governor
03/21 Governor signed
Session Law Chapter 86
Effective: 07/01/05
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature First Regular Session - 2005
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 190
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO REIMBURSEMENT RATES UNDER MEDICAID; AMENDING CHAPTER 1, TITLE 56,
3 IDAHO CODE, BY THE ADDITION OF A NEW SECTION 56-118, IDAHO CODE, TO PRO-
4 VIDE THAT THE DEPARTMENT OF HEALTH AND WELFARE SHALL IMPLEMENT A METHOD-
5 OLOGY FOR REVIEWING AND DETERMINING REIMBURSEMENT RATES TO PRIVATE BUSI-
6 NESSES PROVIDING DEVELOPMENTAL DISABILITY AGENCY SERVICES, MENTAL HEALTH
7 SERVICES, SERVICE COORDINATION AND CASE MANAGEMENT SERVICES, RESIDENTIAL
8 HABILITATION AGENCY SERVICES AND AFFILIATED RESIDENTIAL HABILITATION SPE-
9 CIALIZED FAMILY HOME SERVICES ANNUALLY, TO PROVIDE REQUIREMENTS FOR THE
10 METHODOLOGY, TO PROVIDE FOR A REPORT AND TO PROVIDE THE EFFECT OF THE
11 REVIEW.
12 Be It Enacted by the Legislature of the State of Idaho:
13 SECTION 1. That Chapter 1, Title 56, Idaho Code, be, and the same is
14 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
15 ignated as Section 56-118, Idaho Code, and to read as follows:
16 56-118. REIMBURSEMENT RATES. (1) The department shall implement a method-
17 ology for reviewing and determining reimbursement rates to private businesses
18 providing developmental disability agency services, mental health services,
19 service coordination and case management services, residential habilitation
20 agency services and affiliated residential habilitation specialized family
21 home services annually.
22 (2) In addition to any policy or federal statutory requirements, such
23 methodology shall incorporate, at a minimum, the following:
24 (a) The actual cost of providing quality services, including personnel
25 and total operating expenses, directly related to providing such services
26 which shall be provided by the private business entities;
27 (b) Changes in the expectations placed on private business providers in
28 delivering services;
29 (c) Inflationary effects on the private business providers' ability to
30 deliver the service since the last adjustment to the rate;
31 (d) Comparison of rates paid in neighboring states for comparable ser-
32 vices;
33 (e) Comparison of any rates paid for comparable services in other public
34 or private capacities.
35 (3) A report of the results of this analysis and review shall be sent to
36 the director, to the joint finance-appropriations committee and the health and
37 welfare committees of the senate and the house of representatives by November
38 30 of each year. The department shall include in the report cost saving sug-
39 gestions that private businesses shall provide. Any changes in reimbursement
40 rates shall include estimated costs of implementation based on the current
41 caseload forecasts and shall be submitted as part of the department's budget
42 request required in section 67-3502, Idaho Code. Reimbursement rates included
43 in appropriation bills enacted by the legislature shall become effective not
2
1 later than July 1 of each year.
2 (4) The results of this annual review and analysis and subsequent rules
3 do not guarantee a change in reimbursement rates, but shall be a fair and
4 equitable process for establishing and reviewing such rates.
STATEMENT OF PURPOSE
RS 14919
The purpose of this legislation is to direct the Department of
Health & Welfare to implement a methodology for reviewing and
discussing reimbursement rates for private businesses providing
services.
FISCAL NOTE
There is no fiscal impact to the general fund.
Contact
Name: Rep. Janice McGeachin
Phone: 208-332-1000
Rep. Kathie Garrett
Sen. Shawn Keough
Sen. Dick Compton
STATEMENT OF PURPOSE/FISCAL NOTE H 190