Bills › 89th General Assembly
Relating to reimbursement of hospitals for days awaiting placement through private insurance and the Medicaid program
Topics:Health careMedicaid
Where it is now
- Done: IntroducedJanuary 25, 2021
- Done: SubcommitteeJanuary 27, 2021
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: House committee
- Next: Passes the House
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2022 session adjourned on May 24, 2022, 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 for services provided by a hospital during a days awaiting placement period. The bill provides that under private insurance and fee-for-service and managed care administration of Medicaid, a hospital shall not be denied reimbursement for the continuation of all higher-level services, including but not limited to inpatient care, provided to a covered individual or Medicaid-eligible member, respectively, during a days awaiting placement period. Reimbursement shall be provided to a hospital for each day a covered individual or Medicaid-eligible member remains in the care of the hospital while awaiting placement in a lower-level facility.
Read the full explanation
The bill defines ”days awaiting placement” as the days during which a covered individual or Medicaid-eligible member no longer meets acute care criteria for stay in a hospital, has been verified to require placement in a lower-level facility which may not be immediately located, and is awaiting placement at the lower-level facility. “Lower-level facility” is defined as a facility that is able to provide adequate, available, and accessible services and supports, including but not limited to mental health services and supports, to meet a covered individual’s or Medicaid-eligible member’s needs as specified in the covered individual’s or Medicaid-eligible member’s discharge plan. The bill provides the criteria that must be met by a hospital to receive reimbursement and requires the department of human services and the commissioner or insurance, respectively, to adopt administrative rules to administer the bill.
Senate subcommittee
Named January 27, 2021. It hasn’t reported yet.
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
Family tree
Tried before
89th General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in an earlier General Assembly. None got through a chamber.
- SF 2280 Relating to reimbursement of hospitals for days awaiting placement through private insuran…88th General Assembly · Subcommittee recommends passage · same titleCleared committee
Matched by wording or an identical title.