HSB 518

A governmental entity is required to request available sources of health insurance or other benefits from a prisoner at the time of intake into a county jail or municipal holding facility. If identified, the governmental entity is required to provide the prisoner’s health insurance or benefit information to a hospital or medical provider at the time the prisoner is presented at the hospital or medical provider or at the earliest possible opportunity. A hospital or medical provider is required to request available sources of health insurance or other benefits from the governmental entity and the prisoner at the time of intake at or admission of the prisoner to the hospital or medical provider. The hospital or medical provider shall utilize the health insurance or other benefits identified and shall seek payment for medical aid through the prisoner’s health insurance or other benefits prior to a request for reimbursement being presented to a governmental entity. If the prisoner is entitled to health insurance or other benefits to pay for the medical aid, any amounts not met by the prisoner’s health insurance or other benefits shall be the responsibility of the prisoner. _____ If health insurance is denied or other benefits are not available to pay for medical aid provided to a prisoner, a hospital or medical provider shall submit any bill for reimbursement of medical aid to the governmental entity within days of treatment or shall submit any written denial of coverage to the governmental entity within days of receipt of the denial, as applicable. The governmental entity shall submit the bill for reimbursement within days of receipt of the bill and shall remit payment to the hospital or medical provider in the governmental entity’s next billing cycle. The hospital or medical provider shall be reimbursed by the governmental entity at the rate negotiated and agreed upon by the hospital or medical provider and the governmental entity. If a rate has not been agreed to, the governmental entity shall reimburse the hospital or medical provider the hospital’s or medical provider’s published Medicaid rate for such treatment, regardless of the prisoner’s eligibility for Medicaid. Except as otherwise provided by law, a governmental entity shall not be responsible for payment of the costs of any medical aid provided to a prisoner if such medical aid is provided after the prisoner is released from the custody of the governmental entity or when the individual is released on parole. The bill does not preclude a city or a county from seeking reimbursement from a prisoner for the costs of medical aid incurred by the city or county for the prisoner’s medical aid. Payment for medical aid provided to a prisoner at a state-funded hospital shall be provided through state funds received by the hospital.