Relating to Medicaid reimbursement for breast pumps and associated supplies

Where it is now

1. ✓
   Done: IntroducedJanuary 31, 2020
2. ✓
   Done: SubcommitteeFebruary 6, 2020
3. ✓
   Done: Senate committeeFebruary 18, 2020
4. –
   Skipped: Passes the SenateContinued as SF 2319
5. Next: House committee
6. Next: Passes the House
7. Next: To the Governor
8. Next: Signed into law

Became SF 2319 → Its progress continues under the new number. Go to SF 2319 What’s a funnel?

What’s in it

This bill directs the department of human services (DHS) under both fee-for-service and managed care administration of Medicaid to adopt administrative rules, amend any contract with a managed care organization, and apply for any Medicaid state plan amendment or waiver as may be necessary to provide reimbursement for breast pumps, including electric breast pumps and associated breast pump supplies, as prescribed by a Medicaid member’s health care provider based on a determination of medical necessity. The rules adopted by the DHS shall include the specifications that a covered breast pump must meet and the reimbursement rate applicable to the specific type of breast pump and associated breast pump supplies.

Full bill text¹

Senate subcommittee

Named February 6, 2020. On February 13, 2020 it recommended amendment and passage.

• Sen. Craig Johnson REmail
• Sen. Amanda Ragan D
• Sen. Mark Segebart R

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

Fiscal note

House File 2500 is estimated to increase DHS operating costs by $662,000 in FY 2021 and subsequent fiscal years. In addition, if providing breast pumps results in an increase in women who breastfeed, it could result in Medicaid cost avoidance in both the short- and long-term, due to fewer pediatric and maternal diseases.

• Medicaid, Breast Pumps · February 26, 2020
• Medicaid, Breast Pumps · February 20, 2020

Reading a fiscal note²

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