Proyectos de ley › 89.ª Asamblea General
Dónde está ahora
- Hecho: Presentado17 de febrero de 2021
- Hecho: Subcomité17 de febrero de 2021
- Hecho: Comité de la Cámara2 de marzo de 2021
- Se saltó: Lo aprueba la CámaraSigue como HF 736
- Sigue: Comité del Senado
- Sigue: Lo aprueba el Senado
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Ahora es HF 736 → Sigue avanzando con el número nuevo. Ir a HF 736 ¿Qué es el embudo (funnel)?
Qué contiene
Resumen con IA If Medicaid or its insurance companies find they paid a doctor or hospital too much money, they cannot ask for that money back if a certain amount of time has passed. This rule also stops them from taking that extra money out of future payments to those providers. (Todavía no está traducido al español.)1
Lea la explicación oficial (en inglés)
This bill provides that notwithstanding any provision of law to the contrary, if the Medicaid program, including any managed care organization contracting with the state to pay providers for the cost of medical services received by Medicaid members, discovers an overpayment to a provider, the provider shall not be subject to repayment of the overpayment or to offset against future reimbursement of claims by the provider if months or more have elapsed since the overpayment was made. The bill takes effect upon enactment.
Cambiado después por las enmiendas S-5095, H-1235; vea Enmiendas.
Texto completo del proyecto (en inglés) · Qué cambió antes de aprobarse2
House subcommittee
Named February 17, 2021. On March 1, 2021 it recommended amendment and passage. Vote Total: 3-0.
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
Nota fiscal
Resumen con IA This bill requires the Department of Human Services to use state funds to reimburse Medicaid providers if a recipient is later found to be ineligible after care was already delivered. The change is estimated to cost the state $909,000 in fiscal year 2023 and subsequent fiscal years. (en inglés)3
Lea la nota fiscal (en inglés)
Description
House File 736 specifies that if a recipient is deemed ineligible for Medicaid following the delivery of care or service by a provider, in an administrative action to recover overpayment to the provider based solely on the ground of ineligibility, the Department of Human Services (DHS) is required to reimburse the provider for any recoupment or overpayment using State funds only. To be eligible to receive the State payment, the provider must have verified eligibility and obtained any necessary prior authorizations for the recipient, documented those actions in a manner or format established by DHS rule, and retained the required documentation in the recipient’s file.
Assumptions
This change will mainly impact individuals who were incarcerated, and the estimated fiscal impact is based on incarceration recoveries. No federal matching Medicaid funds will be used to reimburse providers.
Fiscal Impact
House File 736 is estimated to cost the State $909,000 in FY 2023 and subsequent fiscal years.
Source
- Department of Human Services
Cómo cambió el cálculo
- $20,600 9 de marzo de 2021
- $20,600 26 de marzo de 2021
- $909,000 29 de marzo de 2022
- $909,000 27 de junio de 2022 · final
- Final Fiscal Note — Medicaid, Refunds and Offsets · 27 de junio de 2022 · $909,000
- Medicaid, Refunds and Offsets · 29 de marzo de 2022 · $909,000
- Medicaid, Refunds and Offsets · 26 de marzo de 2021 · $20,600
- Medicaid, Refunds and Offsets · 9 de marzo de 2021 · $20,600
Cabildeo
29 a favor · 3 en contra · 15 indecisos · Quiénes →
Family tree
Study bill
89th General Assembly
Picked up later
Earlier and later bills are matched by wording or an identical title.