SENATE MOTION


MR. PRESIDENT:

    I move
that Engrossed House Bill 1001 be amended to read as follows:

SOURCE: Page 54, line 15; (03)MO100135.54. -->     Page 54, line 15, after "there is" insert " first".
    Page 54, line 15, after "from the" insert " Medicaid augmentation account, and, if there is insufficient money in the Medicaid augmentation account, then from".
    Page 94, between lines 23 and 24, begin a new paragraph and insert:
SOURCE: ; (03)MO100135.38. -->     "SECTION 38. [EFFECTIVE JULY 1, 2003] (a) There is appropriated to the Medicaid augmentation account one hundred million dollars ($100,000,000) from the tobacco master settlement agreement fund for the uses of the Medicaid augmentation account for the biennium beginning July 1, 2003, and ending June 30, 2005.
     (c) This SECTION expires July 1, 2005.
SOURCE: IC 4-12-1-15.6; (03)MO100135.39. -->     SECTION 39. IC 4-12-1-15.6 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2003]: Sec. 15.6. (a) The Medicaid augmentation account is created within the state general fund to provide money for Medicaid when the appropriation for Medicaid in the biennial budget is insufficient to pay Medicaid claims.
    (b) The account shall be administered by the budget agency. Expenses of administering the account shall be paid from money in the account.

     (c) The account consists of money appropriated by the general assembly from the tobacco master settlement agreement fund.
    (d) The budget agency shall transfer the amount of money, up to the entire balance, from the Medicaid augmentation account to the account from which Medicaid current obligations are paid.
    (e) Money in the Medicaid augmentation account is annually appropriated for the purposes of this section.
    (f) The treasurer of state shall invest the money in the account not currently needed to meet the obligations of the account in the

same manner as other public money may be invested.".

SOURCE: Page 156, line 3; (03)MO100135.156. -->     Page 156, between lines 3 and 4, begin a new paragraph and insert:
SOURCE: ; (03)MO100135.3. -->     "SECTION 3. [EFFECTIVE UPON PASSAGE] (a) The office of Medicaid policy and planning established by IC 12-8-6-1, in cooperation with the attorney general's office, shall contract with an outside vendor to conduct an annual audit of areas of the state Medicaid program, including:
        (1) claims processing;
        (2) provider billing practices; and
        (3) overutilization of services by Medicaid recipients;
under the state Medicaid program, to identify overutilization, fraudulently submitted claims, and incorrectly paid billings or claims.
    (b) If the audit conducted under subsection (a) discloses credible evidence to suggest fraudulent activity, the office of Medicaid policy and planning shall submit the audit data regarding the Medicaid contractor, provider, or recipient to the attorney general, the health professions bureau under IC 25-1-5, and each board and committee listed in IC 25-1-5-3(a)(1) through IC 25-1-5-3(a)(11) and IC 25-1-5-3(a)(13) through IC 25-1-5-3(a)(22) for further action.
    (c) Information obtained or used in the audit required under subsection (a) that identifies an individual Medicaid contractor, provider, or recipient must be kept confidential unless the attorney general commences an official action by the state against the fraudulent activity.
    (d) The office of Medicaid policy and planning shall report to the state budget committee and the select joint commission on Medicaid oversight upon request regarding the office's implementation of this SECTION.
    (e) This SECTION expires December 31, 2007.
".
    Renumber all SECTIONS consecutively.
    (Reference is to EHB 1001 as printed April 1, 2003.)

________________________________________

Senator SIMPSON


MO100135/DI 14     2003