Bill Text: NH SB293 | 2019 | Regular Session | Introduced


Bill Title: Relative to federally qualified health care centers and rural health centers reimbursement.

Spectrum: Slight Partisan Bill (Democrat 2-1)

Status: (Engrossed) 2019-09-23 - Division III Work Session: 10/30/2019 10:00 am Legislative Office Building 210-211 [SB293 Detail]

Download: New_Hampshire-2019-SB293-Introduced.html

SB 293-FN - AS INTRODUCED

 

 

2019 SESSION

19-1098

01/03

 

SENATE BILL 293-FN

 

AN ACT relative to federally qualified health care centers and rural health centers reimbursement.

 

SPONSORS: Sen. Feltes, Dist 15; Sen. Sherman, Dist 24; Rep. Marsh, Carr. 8

 

COMMITTEE: Health and Human Services

 

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ANALYSIS

 

This bill requires the department of health and human services to reimburse federally qualified health care centers and rural health centers for services provided to persons whose Medicaid eligibility has been suspended for failure to comply with the work and community engagement requirement established under the New Hampshire granite advantage health care program.

 

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

19-1098

01/

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Nineteen

 

AN ACT relative to federally qualified health care centers and rural health centers reimbursement.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

1  New Hampshire Granite Advantage Health Care Program; Reimbursement Required.  Amend RSA 126-AA:2, I(i) to read as follows:

(i)  Consistent with the state plan amendment submitted by the department and approved by CMS, all contracts between a Medicaid managed care organization and a federally qualified health care center, as defined in section 1905(1)(2)(B) of the Social Security Act, 42 U.S.C. section 1396d(1)(2)(B), providing services in geographic areas served by the plan, shall reimburse each such center for such services as provided in 42 U.S.C. section 18022(g).  Federally qualified health care centers and rural health centers shall be reimbursed by the department for services provided to persons whose Medicaid eligibility has been suspended for failure to comply with the work and community engagement requirement established pursuant to this section.  For purposes of this paragraph, persons whose Medicaid benefits have been suspended for failure to comply with the work and community engagement requirement are considered Medicaid enrollees.

2  Effective Date.  This act shall take effect 60 days after its passage.

 

LBAO

19-1098

Revised 2/5/19

 

SB 293-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to federally qualified health car centers and rural health centers reimbursement.

 

FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2020

FY 2021

FY 2022

FY 2023

   Appropriation

$0

$0

$0

$0

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [    ] Other

 

METHODOLOGY:

This bill requires the Department of Health and Human Services to reimburse federally-qualified health care centers (FQHC) and rural health centers for services provided to individuals whose Medicaid eligibility has been suspended for failure to comply with the work and community engagement requirement established under the New Hampshire Granite Advantage Health Care Program.  The Department assumes if an individual remains enrolled as a Medicaid patient but is in a suspended status there would be no opportunity for federal reimbursement, either through Medicaid or through federal grants under the Public Health Service Act.  As of January 28, 2019, the Department had sought guidance on this subject from the Centers for Medicare and Medicaid Services (CMS), but had not yet received a response.  In the absence of federal reimbursement, payments to providers would be funded with 100 percent state General Funds.  The Department is unable to identify the number of individuals who may be affected by the work and community engagement requirement, but for informational purposes notes that in 2017, FQHCs in the state served 27,414 Medicaid enrollees.  It also states it is unknown what the total uncompensated charges would be for services rendered for this potential population or if federal funds would be available to cover those losses.

 

AGENCIES CONTACTED:

Department of Health and Human Services

 

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