HB 1277-11_ Filed 02/01/2010, 08:48 Crawford
Adopted 2/1/2010


Text Box


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    WITHDRAWN        Noes _______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


[

HOUSE MOTION ____

]

MR. SPEAKER:

    I move that House Bill 1277 be amended to read as follows:

SOURCE: Page 1, line 3; (10)MO127705.1. -->     Page 1, line 3, after "16." insert " (a) As used in this section, "managed care organization" has the definition set forth in IC 12-7-2-126.9.
    (b)
".
    Page 1, line 17, after "proposal" insert " or a request for services".
    Page 2, line 2, after "organizations" insert " (as defined in IC 12-7-2-126.9)".
    Page 2, between lines 11 and 12, begin a new paragraph and insert:
SOURCE: IC 12-7-2-126.9; (10)MO127705.3. -->     "SECTION 3. IC 12-7-2-126.9 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 126.9. "Managed care organization", for purposes of IC 12-15, includes the following:
        (1) A health maintenance organization established under IC 27-13-2 with which the office of Medicaid policy and planning has entered into a contract to provide services under the risk-based managed care program.
        (2) A person that contracts with the office or a person described in subdivision (1) to provide the administration or coordination of managed services, including a pharmacy benefit manager, case management coordinator, or behavioral health services coordinator.
".
SOURCE: Page 2, line 13; (10)MO127705.2. -->     Page 2, line 13, after "14." insert " (a)".
    Page 3, between lines 20 and 21, begin a new line block indented and insert:
        " (9) The information required to be reported in IC 12-15-12-23.".
    Page 3, between lines 21 and 22, begin a new paragraph and insert:
    " (b) The office shall report the information required in subsection (a) in the aggregate and in a manner that protects individual identifiable health information.".
    Page 3, between lines 29 and 30, begin a new paragraph and insert:
SOURCE: IC 12-15-1-22; (10)MO127705.5. -->     "SECTION 5. IC 12-15-1-22 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2010]: Sec. 22. The office, or a person that has contracted with the office to assist in the application or enrollment of individuals in the Medicaid program, shall do the following:
        (1) Collect data on race and primary languages as a part of the application and enrollment process.

         (2) Provide the data collected under subdivision (1) to the office or managed care organization providing the care to the recipient.
SOURCE: IC 12-15-1-23; (10)MO127705.6. -->     SECTION 6. IC 12-15-1-23 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2010]: Sec. 23. (a) In the pharmacy drug benefit for Medicaid recipients, the office or a contractor of the office shall require a pharmacy filling a prescription for a recipient to provide the label for the prescription drug in the recipient's preferred language.
    (b) Upon request, a pharmacy that participates in and receives reimbursement from the Medicaid program shall provide the label for a prescription drug in the recipient's preferred language.
".
SOURCE: Page 3, line 40; (10)MO127705.3. -->     Page 3, line 40, after "member." insert " The report must be made in the aggregate and in a manner that protects individual identifiable health information.".
    Page 4, line 6, after "(c)." insert " A managed care organization may partner with other managed care organizations in the establishment of the council required under this subdivision.".
    Page 4, line 7, delete "Include as part of the member's pharmacy benefits that" and insert " Complete two (2) health risk assessments for each recipient who has transferred from another managed care organization to assist in measuring health outcomes of the recipient as required by IC 12-15-1-14(a)(8)(C)(iii). The health risk assessments must be completed as follows:
            (A) The first health risk assessment must be completed not later than fifteen (15) days after the transfer date.
            (B) The second health risk assessment must be completed not later than six (6) months after the transfer date.
".
    Page 4, delete lines 8 through 9.
    Page 4, line 17, delete "each".
    Page 4, line 17, delete "organization" and insert " organizations".
    Page 6, after line 7, begin a new paragraph and insert:
SOURCE: ; (10)MO127705.9. -->     "SECTION 9. [EFFECTIVE UPON PASSAGE] (a) As used in this SECTION, "office" refers to the office of Medicaid policy and planning established by IC 12-8-6-1.
    (b) If the office of Medicaid policy and planning has a request for proposal or a request for services that:
        (1) is already in progress upon the passage of this act; and
        (2) is affected by the requirements of IC 5-22-9-2.5, as added by this act;
the office shall communicate the requirements of IC 5-22-9-2.5, as added by this act, and the culturally and linguistically appropriate services (CLAS) standards to a person that has submitted a proposal for the request.
    (c) This SECTION expires December 31, 2010.

SOURCE: ; (10)MO127705.10. -->     SECTION 10. An emergency is declared for this act.".
    Renumber all SECTIONS consecutively.
    (Reference is to HB 1277 as printed January 25, 2010.)

________________________________________

Representative Crawford


MO127705/DI 104     2010