Bill Text: CT HB05329 | 2010 | General Assembly | Comm Sub

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Bill Title: An Act Concerning Reimbursement Rates To Physicians Who Provide Emergency Room Services To Medicaid Recipients.

Spectrum: Committee Bill

Status: (Introduced - Dead) 2010-04-05 - Referred by House to Committee on Appropriations [HB05329 Detail]

Download: Connecticut-2010-HB05329-Comm_Sub.html

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General Assembly		Substitute Bill No. 5329
February Session, 2010		*_____HB05329HS____030510____*

AN ACT CONCERNING REIMBURSEMENT RATES TO PHYSICIANS WHO PROVIDE EMERGENCY ROOM SERVICES TO MEDICAID RECIPIENTS.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Subsection (e) of section 17b-239 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2010):

(e) The commissioner shall adopt regulations, in accordance with the provisions of chapter 54, establishing criteria for defining emergency and nonemergency visits to hospital emergency rooms. All nonemergency visits to hospital emergency rooms shall be paid at the hospital's outpatient clinic services rate. The rate paid by the commissioner to an emergency room physician who (1) provides professional services to a Medicaid beneficiary in the emergency room of a hospital, and (2) does not receive a salary or subsidy to provide such services in such hospital, shall be separate and distinct from the rate provided to such hospital for the provision of services. Nothing contained in this subsection or the regulations adopted hereunder shall authorize a payment by the state for such services to any hospital in excess of the charges made by such hospital for comparable services to the general public.

This act shall take effect as follows and shall amend the following sections:
Section 1	July 1, 2010	17b-239(e)

HS

Joint Favorable Subst.