Bill Text | History of Actions | Background | Title |
Description: Medicaid; revise eligibility and services, and prohibit CONs for certain facilities.
Bill Text: [Introduced]
| 1 | 01/17 (H) Referred To Public Health and Welfare;Appropriations | |
| 2 | 02/04 (H) Died In Committee |
| Effective date | Passage | |
| Disposition | Dead | |
| Deadline | General Bill/Constitutional Amendment | |
| Revenue | No | |
| Vote type required | Three/Fifths |
House Committees:
Principal Author: Moody
Additional Author: Holland
Code Sections: A 043-0013-0115, A 043-0013-0117, A 043-0013-0107, A 043-0013-0122, A 043-0013-0145, A 041-0007-0191
Title: AN ACT RELATIVE TO THE MISSISSIPPI MEDICAID PROGRAM; TO AMEND SECTION 43-13-115, MISSISSIPPI CODE OF 1972, TO CLARIFY ELIGIBILITY FOR MEDICAID; TO AUTHORIZE THE DIVISION OF MEDICAID TO APPLY FOR APPLICABLE WAIVERS FOR BENEFITS AND BUY-IN OPTIONS FOR THE DISABLED CHILDREN LIVING AT HOME AND POVERTY LEVEL AGED AND DISABLED (PLADS) ELIGIBILITY CATEGORIES AND TO ESTABLISH AN EXPENDITURE/ENROLLMENT CAP FOR THESE CATEGORIES; TO AMEND SECTION 43-13-117, MISSISSIPPI CODE OF 1972, TO REDUCE THE NURSING FACILITY BED DAYS ELIGIBLE FOR MEDICAID REIMBURSEMENT; TO AUTHORIZE THE DIVISION TO DEVELOP AN ASSESSMENT PROCESS FOR LONG-TERM CARE SERVICES AND DELETE THE REFERRAL PHYSICIAN CERTIFICATION PROCESS; TO DELETE THE NECESSITY TO COMPARE HOME HEALTH COSTS TO NURSING FACILITY SERVICES FOR REIMBURSEMENT; TO DELETE AUTHORITY FOR THE DIVISION TO OPT OUT OF THE FEDERAL DRUG REBATE PROGRAM AND CREATE A CLOSED DRUG FORMULARY; TO DIRECT THE DIVISION TO CONTRACT FOR FULL SCOPE PHARMACY BENEFIT MANAGEMENT, INCLUDING A PREFERRED DRUG LIST, MAIL ORDER, SUPPLEMENTAL REBATES AND COALITION BUYING; TO INCREASE THE AVERAGE WHOLESALE PRICE (AWP) DISCOUNT AND DIRECT THE DIVISION TO DEVELOP A STATE MAXIMUM ALLOWABLE COST (MAC) PRICING SCHEDULE; TO DELETE PRIOR APPROVAL OF MONTHLY DRUG PRESCRIPTIONS OVER FIVE; TO ALLOW A DISPENSING FEE FOR OVER-THE-COUNTER DRUGS; TO REDUCE THE ICF/MR BED DAYS ELIGIBLE FOR REIMBURSEMENT; TO DELETE CERTAIN RESTRICTIONS ON THE HOME- AND COMMUNITY-BASED SERVICES WAIVER PROGRAM; TO DIRECT THE DIVISION TO PAY A FLAT FEE FOR NONEMERGENCY TRANSPORTATION SERVICES, OR IN THE ALTERNATIVE REIMBURSE ACTUAL MILES TRAVELED AND TO APPLY FOR WAIVERS TO DRAW FEDERAL FUNDS FOR NONEMERGENCY TRANSPORTATION AS A COVERED SERVICE; TO DELETE THE AUTHORITY FOR REIMBURSEMENT FOR BIRTHING CENTER SERVICES; TO CLARIFY THE ASSISTED LIVING SERVICES WAIVER PROVISION; TO GIVE THE DIVISION DISCRETION IN PAYING MEDICARE COINSURANCE AMOUNTS; TO AUTHORIZE CHILDREN UP TO TWO YEARS OF AGE FOR THE OBSTETRICAL CARE WAIVER PROGRAM; TO DELETE CERTAIN RESTRICTIONS IN THE DISEASE MANAGEMENT PROGRAM AUTHORITY; TO REMOVE THE FIVE PERCENT REIMBURSEMENT REDUCTION FOR CASE MANAGEMENT SERVICES UNDER THE HOME- AND COMMUNITY-BASED WAIVER PROGRAM; AND TO AUTHORIZE THE DIVISION TO REMOVE THE FIVE PERCENT REDUCTION IN REIMBURSEMENT FOR PROVIDERS WHO PARTICIPATE IN THE EMERGENCY ROOM REDIRECTION PROGRAM; TO AMEND SECTION 43-13-122, MISSISSIPPI CODE OF 1972, TO DELETE CERTAIN OBSOLETE LANGUAGE; TO AMEND SECTION 43-13-107, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE DIVISION TO SUBMIT EMERGENCY DRUG ISSUES TO THE PHARMACY AND THERAPEUTICS COMMITTEE WITHOUT PUBLIC COMMENT; TO AMEND SECTION 43-13-145, MISSISSIPPI CODE OF 1972, TO INCREASE THE PER BED ASSESSMENT LEVIED UPON NURSING FACILITIES FOR SUPPORT OF THE MEDICAID PROGRAM; TO AMEND SECTION 41-7-191, MISSISSIPPI CODE OF 1972, TO PROHIBIT THE STATE DEPARTMENT OF HEALTH FROM ISSUING A CERTIFICATE OF NEED FOR THE ADDITION, CONSTRUCTION OR CONVERSION OF ANY NURSING FACILITY BEDS AFTER THE EFFECTIVE DATE OF THIS ACT, AND TO INCLUDE HOME- AND COMMUNITY-BASED SERVICES IN THE STATE HEALTH PLAN FOR LONG-TERM CARE CON PURPOSES; AND FOR RELATED PURPOSES.
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