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H0324..........................................................by EDUCATION
MEDICAID COVERAGE - Amends existing law to provide that the cost of
physician, hospital or other services deemed experimental are excluded from
Medicaid coverage; and to provide that the director of the Department of
Health and Welfare may allow coverage of procedure or services deemed
investigational if the procedures or services are as cost effective as
traditional standard treatments.
03/11 House intro - 1st rdg - to printing
03/14 Rpt prt - to Health/Wel
03/17 Rpt out - rec d/p - to 2nd rdg
03/18 2nd rdg - to 3rd rdg
03/21 3rd rdg - PASSED - 66-0-4
AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
Bedke, Bell, Bilbao, Block, Boe, Bolz, Bradford, Cannon, Chadderdon,
Clark, Collins, Deal, Denney, Edmunson(Barker), Ellsworth, Field(18),
Field(23), Garrett, Hart, Henbest, Henderson, Jaquet, Jones, Kemp,
Lake, LeFavour, Loertscher, Martinez, Mathews, McGeachin, McKague,
Miller, Mitchell, Moyle, Nielsen, Nonini, Pasley-Stuart, Pence,
Raybould, Ring, Ringo, Roberts, 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, Crow, Eskridge, Harwood
Floor Sponsors - McGeachin & Rusche
Title apvd - to Senate
03/22 Senate intro - 1st rdg - to Health/Wel
03/23 Rpt out - rec d/p - to 2nd rdg
03/24 2nd rdg - to 3rd rdg
03/25 3rd rdg - PASSED - 34-0-0, 1 vacancy
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough, Langhorst,
Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce, Richardson,
Schroeder, Stegner, Stennett, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- (District 21 seat vacant)
Floor Sponsor - Brandt
Title apvd - to House
03/28 To enrol
03/29 Rpt enrol - Sp signed
03/30 Pres signed
03/31 To Governor
04/06 Governor signed
Session Law Chapter 294
Effective: 07/01/06
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature First Regular Session - 2005
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 324
BY EDUCATION COMMITTEE
1 AN ACT
2 RELATING TO THE STATE MEDICAL ASSISTANCE PROGRAM; AMENDING SECTION 56-209d,
3 IDAHO CODE, TO PROVIDE THAT THE COST OF PHYSICIAN, HOSPITAL OR OTHER SER-
4 VICES DEEMED EXPERIMENTAL ARE EXCLUDED FROM COVERAGE AND TO PROVIDE THAT
5 THE DIRECTOR OF THE DEPARTMENT OF HEALTH AND WELFARE MAY ALLOW COVERAGE OF
6 PROCEDURES OR SERVICES DEEMED INVESTIGATIONAL IF THE PROCEDURES OR SER-
7 VICES ARE AS COST EFFECTIVE AS TRADITIONAL, STANDARD TREATMENTS; AND PRO-
8 VIDING AN EFFECTIVE DATE.
9 Be It Enacted by the Legislature of the State of Idaho:
10 SECTION 1. That Section 56-209d, Idaho Code, be, and the same is hereby
11 amended to read as follows:
12 56-209d. MEDICAL ASSISTANCE PROGRAM -- SERVICES TO BE PROVIDED -- EXPERI-
13 MENTAL SERVICES OR PROCEDURES EXCLUDED. Notwithstanding any other provision of
14 this chapter, medical assistance shall increase:
15 (1) Payment as determined under rules established by the director from
16 forty (40) days per fiscal year to unlimited days of inpatient hospital care
17 per state fiscal year.
18 (2) Payment as determined under rules established by the director from
19 thirty dollars ($30.00) per month to an unlimited amount of prescribed drugs
20 for each recipient.
21 (3) Provision of eligibility for medical assistance for residents of
22 skilled and intermediate care facilities who meet the medical criteria for
23 medical assistance, from those with countable income of two hundred one and
24 two-tenths percent (201.2%) to those with countable income of three hundred
25 percent (300%) of the SSI standard.
26 (4) Payment, as authorized by title XIX of the social security act, as
27 amended, and as determined under rules established by the director for:
28 (a) Durable medical equipment.
29 (b) Soft organ transplants.
30 (c) Adult dental services.
31 (d) Adult vision services.
32 (e) Adult hearing services.
33 (f) Prosthetics.
34 (g) Assistive and augmentative communication devices.
35 (5) Payment for breast and cervical cancer-related treatment services for
36 persons who are eligible for screening for these cancers under the federal
37 centers for disease control and prevention's national breast and cervical can-
38 cer early detection program, and are eligible for medical assistance pursuant
39 to the provisions of the federal "Breast and Cervical Cancer Prevention and
40 Treatment Act of 2000" (Pub. L. 106-354).
41 (6) The cost of physician, hospital or other services deemed experimental
42 are excluded from coverage. The director may allow coverage of procedures or
43 services deemed investigational if the procedures or services are as cost
2
1 effective as traditional, standard treatments.
2 SECTION 2. This act shall be in full force and effect on and after July
3 1, 2006.
STATEMENT OF PURPOSE
RS 15131C1
The purpose of this legislation is to specify services and
treatments not covered under Idaho's state medical assistance
program.
FISCAL NOTE
The fiscal impact to the general fund is positive to the extent
that certain services are not covered.
Contact
Name: Rep. Janice McGeachin
Rep. John Rusche
Phone: 208-332-1000
STATEMENT OF PURPOSE/FISCAL NOTE H 324