Mississippi House Bill 425

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Completed Legislative Action
Spectrum: Partisan Bill (Democrat 1-0)
Status: Failed on March 5 2024 - 100% progression
Action: 2024-03-05 - Died In Committee
Text: Latest bill text (Introduced) [HTML]

An Act To Amend Section 43-13-117, Mississippi Code Of 1972, To Require Managed Care Organizations Under Any Managed Care Program Implemented By The Division Of Medicaid To Use A Clear Set Of Level Of Care Guidelines In The Determination Of Medical Necessity And In All Utilization Management Practices That Are Consistent With Widely Accepted Professional Standards Of Care; To Prohibit Those Organizations From Using Any Additional Criteria That Would Result In Denial Of Care That Would Be Determined Appropriate And, Therefore, Medically Necessary By The Guidelines And Certain Specified Principles; To Extend The Date Of The Repealer On This Section; And For Related Purposes.

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

Rep. John Hines [D]

Date	Chamber	Action
2024-03-05	House	Died In Committee
2024-01-22	House	Referred To Medicaid

Chapter	Article	Section	Citation Type	Statute Text
43	13	117	Amended Code	See Bill Text

Type	Source
Summary	https://billstatus.ls.state.ms.us/2024/pdf/history/HB/HB0425.xml
Text	https://billstatus.ls.state.ms.us/documents/2024/html/HB/0400-0499/HB0425IN.htm