SB 266-2_ Filed 02/28/2006, 08:26 Brown T
PREVAILED Roll Call No. _______
FAILED Ayes _______
WITHDRAWN Noes _______
RULED OUT OF ORDER
HOUSE MOTION ____
I move that Engrossed Senate Bill 266 be amended to read as follows:
Delete the title and insert the following:
A BILL FOR AN ACT to amend the Indiana Code concerning
health and human services.
SOURCE: Page 1, line 1; (06)MO026603.1. -->
Page 1, between the enacting clause and line 1, begin a new
paragraph and insert:
SOURCE: IC 2-5-23-21; (06)MO026603.1. -->
"SECTION 1. IC 2-5-23-21 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2006]: Sec. 21. Not more than thirty (30) days after a
change to the state Medicaid plan for the Medicaid program, the
office of Medicaid policy and planning shall submit a report of the
change to the commission and the legislative council in an
electronic format under IC 5-14-6.
SOURCE: IC 12-15-15-2.7; (06)MO026603.2. -->
SECTION 2. IC 12-15-15-2.7 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2006]: Sec. 2.7. (a) If approved by the office,
a managed care organization may adopt a plan for the collection of
a copayment for services that are provided to a Medicaid recipient
in an emergency room.
(b) Each managed care organization must adopt a plan that
includes the following components:
(1) The education of Medicaid recipients concerning how a
recipient may access health care services and modifications to
the recipient's health plan.
(2) Procedures to track visits to emergency rooms by Medicaid
(3) Alternative sites for Medicaid recipients to receive health
(4) Methods to clearly identify a Medicaid recipient's current
status to a provider who is not a member of the recipient's
managed care organization.
(5) Procedures to pay for professional services provided to
screen a Medicaid recipient who seeks services in an
(6) Protocols for dispute resolution between the managed care
organization and providers.".
SOURCE: Page 4, line 11; (06)MO026603.4. -->
Page 4, after line 11, begin a new paragraph and insert:
SOURCE: ; (06)MO026603.5. -->
"SECTION 5. [EFFECTIVE JULY 1, 2006] (a) The office of
Medicaid policy and planning shall do the following:
(1) Study possible changes to the state Medicaid program or
other new programs that would limit or restrict a future
increase in the number of Medicaid recipients in health
facilities licensed under IC 16-28.
(2) Prepare a comprehensive cost comparison of Medicaid and
Medicaid waiver services and other expenditures in the
(A) Home care.
(B) Community care.
(C) Health facilities.
The cost comparison must include a comparison of similar
services that are provided in the different settings.
(b) Before October 1, 2006, the office of Medicaid policy and
planning shall report its findings under subsection (a) to the select
joint commission on Medicaid oversight established by IC 2-5-26-3.
(c) This SECTION expires January 1, 2007.
Renumber all SECTIONS consecutively.
(Reference is to ESB 266 as printed February 24, 2006.)
MO026603/DI 110 2006