Bills › 90th General Assembly
Where it is now
- Done: IntroducedMarch 26, 2024
- Done: SubcommitteeMarch 26, 2024
- 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 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary If a healthcare provider gets permission from a Medicaid managed care organization before giving a service or item to a patient, the organization must pay the full amount for that claim. The organization cannot ask for that money back from the patient or the provider unless they find evidence of fraud. This rule ensures providers and patients are not charged extra after the service has been approved.1
Read the official explanation
This bill relates to reimbursement of a provider by a Medicaid managed care organization (MCO) for an item or service subject to prior authorization. The bill provides that if a provider obtains any necessary prior authorization from an MCO for the furnishing of an item or service to a recipient, the MCO shall pay the provider 100 percent of the claim for reimbursement for the item or service, and shall not seek repayment, offset against future reimbursement of claims, or other payment or reimbursement from the recipient, the provider, or any other source involved with the furnishing of the item or service, unless the MCO determines the claim for reimbursement involves fraud or misrepresentation.
House subcommittee
Named March 26, 2024. On April 2, 2024 it recommended 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