Print Friendly SENATE BILL NO. 1370 – Medicaid reimbursement, dentists
SENATE BILL NO. 1370
View Bill Status
View Bill Text
View Statement of Purpose / Fiscal Impact
Text to be added within a bill has been marked with Bold and
Underline. Text to be removed has been marked with
Strikethrough and Italic. How these codes are actually displayed will
vary based on the browser software you are using.
This sentence is marked with bold and underline to show added text.
This sentence is marked with strikethrough and italic, indicating
text to be removed.
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
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
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN 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 fiscal
15 year 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
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
Approximately $150,000 annually from the general account.
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