SB 266-2_ Filed 02/28/2006, 08:26 Brown T


Text Box


    PREVAILED      Roll Call No. _______
    FAILED        Ayes _______
    WITHDRAWN        Noes _______
    RULED OUT OF ORDER


[

HOUSE MOTION ____

]

MR. SPEAKER:

    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 recipients.
        (3) Alternative sites for Medicaid recipients to receive health care services.
        (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 emergency room.
        (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 following settings:
            (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.)

________________________________________

Representative Brown T


MO026603/DI 110     2006