HB 1347-1_ Filed 01/26/2000, 12:21
Text Box
PREVAILED Roll Call No. _______
FAILED Ayes _______
WITHDRAWN Noes _______
RULED OUT OF ORDER
[
HOUSE MOTION ____
]
MR. SPEAKER:
I move that
House Bill 1347
be recommitted to a Committee of One, its author, with specific instructions
to amend as follows:
Delete everything after the enacting clause and insert the following:
SOURCE: IC 12-7-2-110; (00)MO134701.1. -->
SECTION 1. IC 12-7-2-110 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 110. "Hospital"
means the following:
(1) For purposes of IC 12-15-11.5, the meaning set forth in
IC 12-15-11.5-1.
(1) (2) For purposes of IC 12-15-18, the meaning set forth in
IC 12-15-18-2.
(2) (3) For purposes of IC 12-16, except IC 12-16-1, the term
refers to a hospital licensed under IC 16-21.
SOURCE: IC 12-15-11.5; (00)MO134701.2. -->
SECTION 2. IC 12-15-11.5 IS ADDED TO THE INDIANA
CODE AS A
NEW CHAPTER TO READ AS FOLLOWS
[EFFECTIVE UPON PASSAGE]:
Chapter 11.5. Lake County Disproportionate Share Hospitals
Sec. 1. As used in this chapter, "hospital" refers to an acute
care hospital provider licensed under IC 16-21 that qualifies as a
disproportionate share hospital under IC 12-15-16 and is the sole
disproportionate share hospital in a city located in a county having
a population of more than four hundred thousand (400,000) but
less than seven hundred thousand (700,000).
Sec. 2. A hospital must be regarded by the office or the office's
managed care contractor as a contracted provider in the office's
managed care services program, which provides a capitated
prepayment managed care system, for the provision of medical
services to each individual who:
(1) is eligible to receive services under IC 12-15 and has
enrolled in the office's managed care services program;
(2) resides in the same city in which the hospital is located;
and
(3) has selected a primary care provider who:
(A) is a contracted provider with the office's managed
care contractor; and
(B) has medical staff privileges at the hospital.
Sec. 3. The office or the office's managed care contractor may
not provide incentives or mandates to the primary medical
provider to direct patients described in section 2 of this chapter to
contracted hospitals other than a hospital in a city where the
patient resides.
Sec. 4. A hospital must be reimbursed for services provided to
patients described in section 2 of this chapter at established
Medicaid rates paid to Medicaid providers who are not contracted
providers in the office's managed health care services program,
unless the hospital has entered into a contract under section 5 of
this chapter.
Sec. 5. A hospital may enter into a contract with the office or
the office's managed care contractor for reimbursement at rates
other than those described in section 4 of this chapter.
SECTION 3.
An emergency is declared for this act.".
(Reference is to HB 1347 as printed January 20, 2000.)
________________________________________
Representative DAY