Bills › 88th General Assembly
Relating to reimbursement for services provided in an emergency department to Medicaid members
Where it is now
- Done: IntroducedJanuary 15, 2020
- Done: SubcommitteeJanuary 22, 2020
- Stopped: House committeeDied when the General Assembly ended
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to reimbursement of services delivered in an emergency department under the Medicaid program. The bill requires that reimbursement provided under both Medicaid fee-for-service and managed care administration for services delivered in an emergency department shall comply with all of the following: 1. 2. 3. Shall not be denied including retroactively denied, restricted, reduced, or down-coded based on a “policy of selective emergency services coverage” which means any practice of making reimbursement for emergency services dependent upon a determination of whether an injury, symptom, complaint, or other presenting condition strictly constitutes an emergency medical condition.
Read the full explanation
The bill requires the department of human services to adopt administrative rules and provides that any contract the department enters into with a managed care organization shall require the managed care organization to comply with the bill and the rules adopted under the bill.
House subcommittee
Named January 22, 2020. Meeting: Tuesday, January 28 · 8:30 AM · House Lounge.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Lobbying
8 for · 1 against · 13 undecided · Who →