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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