House Bill 1216

AN ACT TO DIRECT THE MISSISSIPPI DIVISION OF MEDICAID, THE MISSISSIPPI INSURANCE DEPARTMENT, THE MISSISSIPPI DEPARTMENT OF HUMAN SERVICES AND THE MISSISSIPPI STATE DEPARTMENT OF HEALTH TO PREPARE A REPORT ON FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 RELATED RULES AND REGULATIONS; AND FOR RELATED PURPOSES.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1. (1) The Mississippi Division of Medicaid, the Mississippi Insurance Department, the Mississippi Department of Human Services and the Mississippi State Department of Health shall prepare a report for the Legislature, due by July 1, 2017, that includes the following:

(a) A listing of all state rules and regulations changed as a result of or in relation to the federal Patient Protection and Affordable Care Act of 2010 (PPACA) and a description of each;

(b) A listing of all federal grants received by the department to implement the PPACA and its related rules and regulations, which shall include:

(i) The amount of the grant, its start and completion dates and its corresponding Catalog of Federal Domestic Assistance grant number;

(ii) Whether the grant will be renewed and under what conditions;

(iii) The department resources obligated by the grant for each fiscal year in which the grant provided or will provide funding; and

(iv) Copies of any memoranda of understanding, maintenance of effort agreements, agreement or contracts entered into with any federal agency for the purposes of implementing any aspect of the PPACA;

(c) A fiscal impact analysis for any rule or regulation change that has increased or is expected to increase, as applicable, health insurance premiums, consumer or business costs, or taxes by more than one percent (1%); or otherwise has had or will have a negative fiscal impact on the private sector in excess of Five Hundred Thousand Dollars ($500,000.00) annually. This analysis shall include the impact on private sector employment, investment and state domestic product;

(d) A description of any ways in which the rate, rule, regulation or tax change has or will increase or decrease total state spending;

(e) A description of any ways in which the rate, rule, regulation or tax change has or will result in the restraint of trade or furtherance or creation of any monopolies;

(f) A description of any ways in which the rate, rule, regulation or tax change has or will fiscally impact subdivisions of the state; and

(g) As appropriate to the department, a detailed description of strategies being employed to address the following:

(i) Market disruptions created by the repeal, in whole or in part, of the PPACA;

(ii) Strategies for lowering health insurance premium costs;

(iii) Strategies for reducing the number of uninsured;

(iv) Strategies for increasing private insurance coverage and reducing government-subsidized coverage, such as Medicaid;

(v) Strategies for reducing healthcare-related taxes; and

(vi) A listing of any changes in state law, or by rule or regulation, that must occur to implement these strategies.

(2) The report shall be provided to the Chairmen of the House and Senate Committees on Medicaid, Insurance, Public Health and Human Services, Public Health and Welfare, Ways and Means and Finance, and shall be posted prominently on the Joint Committee on Performance Evaluation and Expenditure Review website.

SECTION 2. This act shall take effect and be in force from and after its passage.