Mississippi Legislature
2005 Regular Session

House Bill 1104

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Bill Text

History of Actions

Amendments

Background

Title

Description: Medicaid; amend sections on eligibility, services and facility assessments.

Bill Text: [Introduced] [Committee Substitute] [Passed House] [Sent to Governor]

History of Actions:

1 01/17 (H) Referred To Medicaid;Appropriations
2 01/26 (H) DR - TSDPCS: ME To AP
3 01/27 (H) DR - TSDPCS: AP To ME
4 01/27 (H) Title Suff Do Pass Comm Sub
5 01/31 (H) Committee Substitute Adopted
6 01/31 (H) Amended
7 01/31 (H) Failed
8 01/31 (H) Motion to Reconsider Entered
9 02/01 (H) Reconsidered
10 02/01 (H) Amended
11 02/01 (H) Passed As Amended
12 02/03 (H) Transmitted To Senate
13 02/03 (S) Referred To Public Health and Welfare;Appropriations
14 02/08 (S) DR - TSDPAA: PH To AP
15 02/09 (S) Title Suff Do Pass As Amended
16 02/10 (S) Amended
17 02/10 (S) Passed As Amended
18 02/11 (S) Returned For Concurrence
19 02/16 (H) Decline to Concur/Invite Conf
20 02/17 (H) Conferees Named Morris,Holland,Flaggs
21 02/18 (S) Conferees Named Nunnelee,Gordon,Burton
22 03/16 (H) Conference Report Filed
23 03/16 (S) Conference Report Filed
24 03/17 (S) Conference Report Adopted
25 03/17 (H) Recommitted For Further Conf
26 03/17 (S) Reconsidered
27 03/17 (S) Recommitted For Further Conf
28 03/25 (S) Conference Report Filed
29 03/25 (H) Conference Report Filed
30 03/26 (S) Conference Report Adopted
31 03/26 (H) Conference Report Adopted
32 03/28 (H) Enrolled Bill Signed
33 03/28 (S) Enrolled Bill Signed
34 03/31 Approved by Governor

Amendments/Conference Report:

Adopted [H] Amendment No 1 (Cmte Sub)
Lost [H] Amendment No 2 (Cmte Sub)
Adopted [H] Amendment No 3 (Cmte Sub)
Adopted [H] Amendment No 4 (Cmte Sub)
Adopted [H] Amendment No 5 (Cmte Sub)
Adopted [S] Committee Amendment No 1
Lost [S] Amendment No 1 to Amendment No 1
Lost [S] Amendment No 2 to Amendment No 1
Withdraw [S] Amendment No 3 to Amendment No 1
Lost [S] Amendment No 4 to Amendment No 1
   
[S] Amendment Report for House Bill No. 1104

Conference Report
Conference Report # 2

Background Information:

Effective datePassage
DispositionLaw
DeadlineGeneral Bill/Constitutional Amendment
RevenueNo
Vote type requiredThree/Fifths
Chapter number470

House Committees:

Senate Committees:

Principal Author: Morris

Additional Author: Holland

Code Sections: A 043-0013-0115, A 043-0013-0117, A 043-0013-0145

Title: AN ACT TO AMEND SECTION 43-13-115, MISSISSIPPI CODE OF 1972, TO DELETE FROM MEDICAID ELIGIBILITY THE CATEGORY OF CERTAIN INDIVIDUALS WHO RECEIVE HOSPICE CARE BENEFITS; TO REINSTATE MEDICAID ELIGIBILITY FOR THE POVERTY-LEVEL, AGED AND DISABLED (PLAD) GROUP UNTIL JANUARY 1, 2006; TO DEFINE MEDICAID ELIGIBILITY FOR INDIVIDUALS WHO ARE ENTITLED TO MEDICARE PART D; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO DEFINE THE AGE LIMITATION FOR UNLIMITED DAYS IN DISPROPORTIONATE SHARE HOSPITALS; TO DELETE THE AUTOMATIC REPEALER ON THE PROVISION FOR AN ADDITIONAL PAYMENT TO BE MADE TO HOSPITALS FOR IMPLANTABLE PROGRAMMABLE BACLOFEN DRUG PUMPS; TO ESTABLISH A REIMBURSEMENT LIMIT FOR EMERGENCY ROOM VISITS; TO PROVIDE THAT CERTAIN NONEMERGENCY OUTPATIENT HOSPITAL SERVICES SHALL BE REIMBURSABLE UNDER MEDICAID; TO AUTHORIZE THE DIVISION TO REVISE RATES AND METHODOLOGY FOR OUTPATIENT HOSPITAL SERVICES; TO DELETE CERTAIN RESTRICTIONS ON THE REIMBURSEMENT RATE FOR PHYSICIAN'S SERVICES AND CLINIC SERVICES; TO AUTHORIZE THE DIVISION OF MEDICAID TO DEVELOP AND IMPLEMENT A DIFFERENT REIMBURSEMENT SCHEDULE FOR PHYSICIAN'S SERVICES PROVIDED BY PHYSICIANS AT AN ACADEMIC HEALTH CARE CENTER AND ASSOCIATED RURAL HEALTH CENTERS; TO REDUCE THE NUMBER OF HOME HEALTH SERVICE VISITS ALLOWED ANNUALLY FOR MEDICAID RECIPIENTS; TO REVISE THE MONTHLY LIMIT ON PRESCRIPTION DRUGS THAT ARE REIMBURSABLE UNDER MEDICAID; TO DELETE THE AUTHORITY FOR UNLIMITED PRESCRIPTIONS FOR GENERIC DRUGS; TO AUTHORIZE THE DIVISION TO APPROVE SPECIFIC MAINTENANCE DRUGS FOR CERTAIN MEDICAL CONDITIONS; TO AUTHORIZE THE DIVISION TO ALLOW A STATE AGENCY TO BE THE SOLE SOURCE PURCHASER AND DISTRIBUTOR OF CERTAIN MEDICATIONS; TO PROVIDE THAT DRUGS PRESCRIBED FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY RESIDENTS MUST BE PROVIDED IN TRUE UNIT DOSES WHEN AVAILABLE; TO AUTHORIZE THE DIVISION TO REQUIRE THAT CERTAIN DRUGS PRESCRIBED FOR LONG-TERM CARE FACILITY RESIDENTS BE PROVIDED IN TRUE UNIT DOSES WHEN AVAILABLE; TO PROVIDE FOR THE RETURN OF UNUSED DRUGS BY RESIDENTS IN ANY OF THOSE FACILITIES THAT WERE ORIGINALLY BILLED TO THE DIVISION TO BE RETURNED TO THE BILLING PHARMACY FOR CREDIT TO THE DIVISION; TO PROVIDE THAT ONLY ONE DISPENSING FEE PER MONTH MAY BE CHARGED; TO PROVIDE THAT THE DIVISION SHALL DEVELOP A METHODOLOGY FOR REIMBURSING FOR RESTOCKED DRUGS; TO REDUCE THE MAXIMUM PORTION OF A PRESCRIPTION FOR WHICH THE DIVISION WILL REIMBURSE FROM A THIRTY-FOUR-DAY SUPPLY TO A THIRTY-ONE-DAY SUPPLY; TO DELETE THE PROVISION REQUIRING MEDICAID PROVIDERS WHO PRESCRIBE DRUGS TO USE COUNTERFEIT-PROOF PRESCRIPTION PADS FOR MEDICAID PRESCRIPTIONS FOR CONTROLLED SUBSTANCES; TO REQUIRE THE DIVISION TO PROVIDE TO MEDICAID PROVIDERS ON A REGULAR BASIS CERTAIN INFORMATION ABOUT THE COSTS TO THE MEDICAID PROGRAM OF BRAND NAME DRUGS; TO PROVIDE FOR THE CONFIDENTIALITY OF INFORMATION REGARDING THE PRESCRIPTION DRUG PROGRAM; TO DELETE THE AUTOMATIC REPEALER ON THE MEDICARE UPPER PAYMENT LIMITS PROGRAM; TO CLARIFY THE DISEASES AND CONDITIONS ELIGIBLE FOR THE MEDICAID DISEASE MANAGEMENT PROGRAM; TO AUTHORIZE THE DIVISION TO PROVIDE TARGETED CASE MANAGEMENT SERVICES FOR CERTAIN HIGH-COST CASES; TO PROVIDE THAT FEDERALLY QUALIFIED HEALTH CENTERS MAY PARTICIPATE IN THE DIVISION'S EMERGENCY ROOM REDIRECTION PROGRAM, AND THE DIVISION MAY PAY THOSE CENTERS A PERCENTAGE OF ANY SAVINGS TO THE MEDICAID PROGRAM ACHIEVED BY THE CENTERS' ACCEPTING PATIENT REFERRALS THROUGH THE PROGRAM; TO REVISE THE AUTHORITY OF THE GOVERNOR TO DISCONTINUE PAYMENT FOR SERVICES AND TAKE COST CONTAINMENT MEASURES WHEN THE EXPENDITURES OF THE DIVISION EXCEED THE AMOUNT OF FUNDS APPROPRIATED; TO DELETE THE AUTOMATIC REPEALER ON THIS SECTION; TO AMEND SECTION 43-13-145, MISSISSIPPI CODE OF 1972, TO INCREASE THE AMOUNT OF THE ASSESSMENT LEVIED ON BEDS IN NURSING FACILITIES, INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED, PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES AND HOSPITALS; TO DELETE THE EXEMPTION FROM THE ASSESSMENT FOR INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED OPERATED BY STATE AGENCIES; TO PROVIDE THAT THE ENFORCEMENT AUTHORITY OF THE DIVISION TO COLLECT ASSESSMENTS FROM HEALTH CARE FACILITIES APPLIES TO ANY ASSESSMENTS IMPOSED ON THOSE FACILITIES BY THE DIVISION; TO DIRECT THE DIVISION OF MEDICAID TO STUDY AND EVALUATE THE LAWS OF OTHER STATES THAT PROVIDE FOR METHODS OF REDUCING THE COST OF PRESCRIPTION DRUGS TO THE MEDICAID PROGRAMS AND THE CITIZENS OF THOSE STATES TO DETERMINE IF ANY OF THE PROVISIONS OF THOSE LAWS WOULD BE HELPFUL IN REDUCING THE COST OF PRESCRIPTION DRUGS TO THE MISSISSIPPI MEDICAID PROGRAM AND THE CITIZENS OF THIS STATE IF THEY WERE ENACTED IN MISSISSIPPI; TO PROVIDE THAT THE DIVISION SHALL PREPARE A WRITTEN REPORT OF ITS STUDY AND SUBMIT THE REPORT TO THE LEGISLATURE AND THE GOVERNOR; AND FOR RELATED PURPOSES.


Information pertaining to this measure was last updated on 03/31/05 at 10:46.

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2005/pdf/History/HB/HB1104.htm