Bill Text: HI HB2285 | 2012 | Regular Session | Amended

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Bill Title: Audit; QUEST Expanded Access; Evercare; Ohana Health Plan

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Introduced - Dead) 2012-02-15 - (H) The committee(s) on LMG recommend(s) that the measure be deferred. [HB2285 Detail]

Download: Hawaii-2012-HB2285-Amended.html

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STAND. COM. REP. NO.  110-12

 

Honolulu, Hawaii

                , 2012

 

RE:   H.B. No. 2285

      H.D. 1

 

 

 

 

Honorable Calvin K.Y. Say

Speaker, House of Representatives

Twenty-Sixth State Legislature

Regular Session of 2012

State of Hawaii

 

Sir:

 

     Your Committee on Human Services, to which was referred H.B. No. 2285 entitled:

 

"A BILL FOR AN ACT RELATING TO MEDICAID,"

 

begs leave to report as follows:

 

     The purpose of this measure is to require the Auditor to conduct a management and financial audit of the services provided by Evercare and Ohana Health Plan to Medicaid clients under the QUEST Expanded Access Program.

 

     The Policy Advisory Board for Elder Affairs, Consumer Family and Youth Alliance, Hawaii Primary Care Association, and a concerned individual supported the measure.  Ohana Health Plan and the Department of Human Services opposed the measure.  The Department of the Attorney General and the United States Department of Health and Human Services offered comments on the measure.

 

     Your Committee has amended this measure by:

 

     (1)  Requiring the Department of Human Services to develop with the Department of Health, a fair discharge and referral system, and requiring the Department of Human Services to collaborate with stakeholders to develop a methodology for fair and equitable reimbursement payments based on the acuity of the patient;

 

     (2)  Changing the effective date to July 1, 2050, to promote further discussion; and

 

     (3)  Making technical, nonsubstantive amendments for clarity, consistency, and style.

 

     As affirmed by the record of votes of the members of your Committee on Human Services that is attached to this report, your Committee is in accord with the intent and purpose of H.B. No. 2285, as amended herein, and recommends that it pass Second Reading in the form attached hereto as H.B. No. 2285, H.D. 1, and be referred to the Committee on Legislative Management.

 

Respectfully submitted on behalf of the members of the Committee on Human Services,

 

 

		____________________________ JOHN M. MIZUNO, Chair