Bill Text: NJ A111 | 2010-2011 | Regular Session | Introduced


Bill Title: Requires Medicaid program to increase reimbursement for ambulance services provided to Medicaid recipients who are also Medicare eligible to Medicare rate.

Sponsorship: Slight Partisan Bill (Democrat 2-1)

Status: (Introduced - Dead) 2010-01-12 - Introduced, Referred to Assembly Health and Senior Services Committee [A111 Detail]

Download: New_Jersey-2010-A111-Introduced.html

ASSEMBLY, No. 111

STATE OF NEW JERSEY

214th LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2010 SESSION

 


 

Sponsored by:

Assemblyman  PETER J. BIONDI

District 16 (Morris and Somerset)

Assemblyman  VINCENT PRIETO

District 32 (Bergen and Hudson)

Assemblywoman  ELEASE EVANS

District 35 (Bergen and Passaic)

 

 

 

 

SYNOPSIS

     Requires Medicaid program to increase reimbursement for ambulance services provided to Medicaid recipients who are also Medicare eligible to Medicare rate.

 

CURRENT VERSION OF TEXT

     Introduced Pending Technical Review by Legislative Counsel

  


A Supplement to "An Act making appropriations for the support of the State Government and the several public purposes for the fiscal year ending June 30, 2005 and regulating the disbursement thereof," approved ......., 2004 (P.L.2004, c.  ) (pending before the Legislature as the FY 2005 appropriations bill).

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    The following language is added to p. of P.L.2004, c.   (pending before the Legislature as the FY 2005 appropriations bill):

 

54 DEPARTMENT OF HUMAN SERVICES

24  Special Health Services

7540 Division of Medical Assistance and Health Services

GRANTS-IN-AID

 

Notwithstanding the provisions of N.J.A.C.10:49-7.3 et seq. to the contrary and subject to approval by the federal government, the Division of Medical Assistance and Health Services shall increase reimbursement for ambulance services provided to Medicaid recipients who are also Medicare eligible to the applicable Medicare rate for all levels of ambulance services recognized by Medicare whether or not all levels are currently covered under Medicaid.

 

     2.    This act shall take effect immediately but shall remain inoperative until enactment of P.L.2004, c.  , (pending before the Legislature as the FY 2005 appropriations bill).

 

 

STATEMENT

 

     The FY 2004 appropriations act included budget language that directed the Medicaid program to increase reimbursement for ambulance services provided to Medicaid recipients who were also Medicare eligible, to the applicable Medicare rate.

     The FY 2005 recommended budget does not include this language.  As such, Medicaid reimbursement for these services will be reduced, effective July 1, 2004.  This bill would restore the language that has been omitted from the FY 2005 recommended budget.  Thus, Medicaid reimbursement for these ambulance services would continue to be reimbursed at the higher Medicare rate.

     Eleven states have adopted policies that allow their state Medicaid programs to reimburse providers of ambulance services at the higher Medicare rate.

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