Bill Text: HI SB2120 | 2012 | Regular Session | Amended
Bill Title: CHIP; Physician Services; Payments Increase; Appropriation
Spectrum: Partisan Bill (Democrat 10-0)
Status: (Engrossed - Dead) 2012-03-22 - (H) Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Chang, Herkes, Nakashima excused (3). [SB2120 Detail]
Download: Hawaii-2012-SB2120-Amended.html
|
THE SENATE |
S.B. NO. |
2120 |
|
TWENTY-SIXTH LEGISLATURE, 2012 |
S.D. 1 |
|
|
STATE OF HAWAII |
H.D. 1 |
|
|
|
|
|
|
|
||
|
|
||
A BILL FOR AN ACT
RELATING TO HEALTH.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that medicaid is the cornerstone of health care for the most needy within Hawaii. Furthermore, the legislature has previously recognized that it is in the public interest to ensure that health care payments made with state funds or controlled by the State are sufficient to cover the actual costs of care. However, inadequate payment and reimbursement from medicaid have compromised access to medical care not only for the uninsured and those covered by medicaid but also for individuals who are covered by private employer-based health insurance.
As documented in numerous media reports, the inadequacy of medical care services, especially in specialty-care coverage in rural areas and on the neighbor islands, has reached a critical level. Furthermore, Hawaii's physicians serving medicaid‑eligible persons have been adversely affected by the inadequacy of medicaid reimbursements and payments.
For a two year period beginning January 1, 2013, the Affordable Care Act mandates that states reimburse primary care providers at one hundred per cent of medicare rates for primary care services provided to medicaid recipients. This increased reimbursement will be one hundred per cent federally funded. However, under the Affordable Care Act, reimbursement for primary care services provided to children's health insurance program recipients, namely children and pregnant women, will not be increased.
The purpose of this Act is to increase the payment for primary care physician services provided to children and pregnant women covered under the children's health insurance program to be equal to such reimbursement provided to medicaid recipients.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2012-2013 to increase payments for primary care services provided by primary care physicians for the care of children and pregnant women who are enrolled in the children's health insurance program.
The sum appropriated shall be expended by the department of human services for the purposes of this Act; provided that:
(1) The sum is equitably distributed among the fee-for-service, QUEST, and QUEST Expanded Access health plans based on the enrollment of children's health insurance program recipients, so that payment for these physician services can be increased; and
(2) The sum, when added to the amount of reimbursement payable under the appropriate medicaid fee schedule, shall in no event exceed per cent of the appropriate medicare fee schedule applicable to Hawaii.
SECTION 3. The department of human services shall include in its budget request for each year of the 2013-2015 fiscal biennium a sum at least equal to the sum appropriated in section 2, in addition to its baseline request for HMS 401, that will allow for increased moneys to be paid out for primary care services provided by primary care physicians to children's health insurance program recipients. The department shall report the amount of the baseline medicaid sum and the additional funds to be paid out for physician services to the legislature no later than twenty days prior to the convening of the regular sessions of 2013 and 2014.
SECTION 4. This Act shall take effect on July 2, 2050.
Report Title:
CHIP; Physician Services; Payments Increase; Appropriation
Description:
Appropriates funds for the 2012-2013 fiscal year to increase the payments for primary care services provided by primary care physicians for the care of children and pregnant women who are enrolled in the Children's Health Insurance Program up to a certain per cent of the current medicaid rate. Requires the Department of Human Services to report to the legislature baseline medicaid and additional funds needed for fiscal years 2013-2014 and 2014‑2015. Requires the Department of Human Services to seek an appropriation in an amount equal to at least the amount appropriated in 2012-2013 for additional payments for primary care services provided by primary care physicians to Children's Health Insurance Program recipients during the 2013-2015 fiscal biennium. Effective July 2, 2050. (SB2120 HD1)
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
