Introduced Version






HOUSE BILL No. 1280

_____


DIGEST OF INTRODUCED BILL



Citations Affected: IC 2-5-26-16; IC 5-22-9-2.5; IC 12-7-2-126.9; IC 12-15; IC 12-21-6.5-8.5.

Synopsis: Health disparities in Medicaid. Requires a managed care organization (MCO) that contracts with the office of Medicaid policy and planning (OMPP) to do the following: (1) Report to the select joint commission on Medicaid oversight (commission) concerning the MCO's culturally and linguistically appropriate services (CLAS) standards plan and the progress in implementing these standards. (2) Implement standards concerning CLAS and encourage practices that are more culturally and linguistically accessible. (3) Develop and administer a community based health disparities advisory council. Requires that a request for proposals must include criteria evaluating the MCO's cultural competency in working with minority populations, and requires preferences to be awarded in the bidding process to an MCO that shows evidence of cultural competency. Requires OMPP to: (1) annually report specified information to the legislative council, the commission, and the commission on mental health; (2) beginning January 1, 2012, withhold a percentage of reimbursement from a managed care organization under specified circumstances; and (3) establish standards and guidelines and ensure continuity of care for Medicaid recipients who transfer from an MCO. Requires Medicaid contractors to establish certain quality initiatives. Requires the Indiana board of pharmacy to report to the commission during the 2011 interim concerning the feasibility and cost of requiring pharmacies to print prescription labels in foreign languages and the number of foreign languages the board would recommend.

Effective: Upon passage; July 1, 2011.





Crawford




    January 12, 2011, read first time and referred to Committee on Public Health.







Introduced

First Regular Session 117th General Assembly (2011)


PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
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HOUSE BILL No. 1280



    A BILL FOR AN ACT to amend the Indiana Code concerning human services.

Be it enacted by the General Assembly of the State of Indiana:

SOURCE: IC 2-5-26-16; (11)IN1280.1.1. -->     SECTION 1. IC 2-5-26-16 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 16. (a) As used in this section, "managed care organization" has the meaning set forth in IC 12-7-2-126.9.
    (b) Before October 1 of each year, a managed care organization that has contracted with the office of Medicaid policy and planning to provide Medicaid services under the risk based managed care program shall report to the commission concerning the following:
        (1) The managed care organization's culturally and linguistically appropriate services (CLAS) standards plan, including the managed care organization's progress in implementing the standards.
        (2) The progress of a contractor of the managed care organization in implementing a culturally and linguistically appropriate services standards plan.

     (c) Before September 1 of each year, the office of Medicaid policy and planning shall report to the commission orally and in

writing the following:
        (1) The following information concerning Medicaid recipients by race, age, and gender:
            (A) Percentage spent on mental health services.
            (B) The number of hospitalizations for mental health related services.
            (C) The number and percentage of recipients receiving behavioral health screenings.
            (D) Average length of time between referral and access to mental health services.
            (E) The following behavioral health outcomes:
                (i) Long term hospitalization.
                (ii) Institutionalization, including group home placements.
                (iii) Lengths of stays in items (i) and (ii).
                (iv) Number of readmissions.
        (2) Barriers to providing mental health services for racial ethnic minorities in the Medicaid program.
        (3) Any quality improvement plans to increase identification, stabilization, and utilization of mental health services by Medicaid recipients.
    (d) The reports required in this section shall be submitted to the commission in an electronic format under IC 5-14-6.

SOURCE: IC 5-22-9-2.5; (11)IN1280.1.2. -->     SECTION 2. IC 5-22-9-2.5 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 2.5. In a request for proposals or a request for services by the office of Medicaid policy and planning concerning managed care organizations (as defined in IC 12-7-2-126.9) providing services for the Medicaid program under IC 12-15, the office of Medicaid policy and planning shall:
        (1) include as criteria that will be used in evaluating the proposals information concerning the managed care organization's cultural competency in working with minority populations in Indiana; and
        (2) award preferences to a managed care organization that provides evidence of cultural competency in working with minority populations.

SOURCE: IC 12-7-2-126.9; (11)IN1280.1.3. -->     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 the following:
            (A) A pharmacy benefit manager.
            (B) A case management coordinator.
            (C) A behavioral health services coordinator.

SOURCE: IC 12-15-1-14; (11)IN1280.1.4. -->     SECTION 4. IC 12-15-1-14 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 14. (a) The office shall annually submit a report to the legislative council that covers all aspects of the office's evaluation, including the following:
        (1) The number and demographic characteristics of the individuals receiving Medicaid during the preceding fiscal year.
        (2) The number of births during the preceding fiscal year.
        (3) The number of infant deaths during the preceding fiscal year.
        (4) The improvement in the number of low birth weight babies for the preceding fiscal year.
        (5) The total cost of providing Medicaid during the preceding fiscal year.
        (6) The total cost savings during the preceding fiscal year that are realized in other state funded programs because of providing Medicaid.
         (7) The number of Medicaid recipients who transfer from a managed care organization to a different managed care organization under the Medicaid program, including the following:
            (A) The number of Medicaid recipients transferring out of each managed care organization.
            (B) The number of Medicaid recipients transferring into each managed care organization.
            (C) The following information regarding the transferring recipient:
                (i) Race.
                (ii) Reason for transfer.

                 (iii) The health outcomes for each recipient during the six (6) months after the recipient transfers.
        (8) The information required to be reported in IC 12-15-12-23.
The report must be in an electronic format under IC 5-14-6.
     (b) The office shall report the information required in

subsection (a) in the aggregate and in a manner that protects individual identifiable health information.

SOURCE: IC 12-15-1-21; (11)IN1280.1.5. -->     SECTION 5. IC 12-15-1-21 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 21. The office shall establish standards and guidelines and ensure continuity of care for Medicaid recipients who transfer from a managed care organization to another managed care organization within the Medicaid program. Continuity of care includes maintaining the same level of management and access to programs.
SOURCE: IC 12-15-1-22; (11)IN1280.1.6. -->     SECTION 6. IC 12-15-1-22 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: 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 12-15-12-23; (11)IN1280.1.7. -->     SECTION 7. IC 12-15-12-23 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 23. (a) A managed care organization that has a contract with the office to provide Medicaid services under the risk based managed care program shall do the following:
        (1) Measure health disparities using Healthcare Effectiveness Data and Information Set (HEDIS) standards.
         (2) Implement standards concerning culturally and linguistically appropriate services (CLAS) issued by the federal Office of Minority Health within the United States Department of Health and Human Services to encourage practices that are more culturally and linguistically accessible, including:
            (A) establishing and administering a written plan; and
            (B) reporting annually on the progress of the plan.

         (3) Develop and administer a community based health disparities advisory council as described in subsection (c). A managed care organization may partner with other managed care organizations in the establishment of the council required under this subdivision.
         (4) 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)(7)(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.

     (b) The managed care organization shall:
        (1) provide the culturally and linguistically appropriate services (CLAS) standards report required by subsection (a)
to the interagency state council on black and minority health established by IC 16-46-6-3; and
        (2) make the report available to the public upon request.

     (c) The community based health disparities advisory council developed by managed care organizations as required in subsection (a)(3) must include the following:
        (1) At least two (2) members who are minority (as defined in IC 16-46-6-2) Medicaid recipients.
        (2) Seventy-five percent (75%) of the members must be individuals who are not employed by the managed care organization, representing the following:
            (A) Health care professionals.
            (B) Advocates in the health and human services area.
            (C) Individuals who provide direct services to risk based managed care recipients.
        (3) At least one (1) member representing each of the following:
            (A) The Indiana Minority Health Coalition.
            (B) The commission on Hispanic/Latino affairs established by IC 4-23-28-2.
            (C) American Indian Center of Indiana.
            (D) Asian Help Services.
            (E) The Arc of Indiana.
            (F) The Central Indiana Council on Aging.
            (G) An entity that provides direct services to risk based managed care recipients.
The council membership must reflect the population served.
    (d) A community based health disparities advisory council shall do the following:
        (1) Provide input and assist the managed care organization in the development and implementation of the culturally and

linguistically appropriate services (CLAS) standards.
        (2) Review the annual assessment and evaluate whether the plan is improving minority health outcomes.
        (3) Review the annual report required by subsection (b)(1).
        (4) Approve stipend reimbursement for travel expenses, including mileage for council members who reside in a location other than where the council meeting is being held to travel to attend a council meeting.
    (e) A managed care organization shall pay for the costs of the managed care organization's community based health disparities advisory council.

     (f) Beginning January 1, 2012, the office shall withhold a percentage of reimbursement from a managed care organization based on a lack of progress by the managed care organization in improving health disparity outcomes.

SOURCE: IC 12-15-30-2; (11)IN1280.1.8. -->     SECTION 8. IC 12-15-30-2 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 2. (a) The office shall do the following:
        (1) Prepare requirements, including qualifications, for bidders offering to contract with the state to perform the functions under section 3 of this chapter.
        (2) Assist the Indiana department of administration in preparing bid specifications in conformity with requirements.
     (b) The office shall comply with IC 5-22-9-2.5 in preparing a bid for managed care organization services under the risk based managed care program.
SOURCE: IC 12-15-30-8; (11)IN1280.1.9. -->     SECTION 9. IC 12-15-30-8 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 8. (a) A person that:
        (1) contracts with the office to provide direct services, including pharmacy vendors; and
        (2) receives reimbursement under Medicaid;
shall implement at least two (2) quality improvement initiatives to reduce health disparities, at least one (1) of which addresses race, ethnic, or other geographic disparities.
    (b) The initiatives required in subsection (a) must do the following:
        (1) Include baseline data on individuals who receive services from the contractor.
        (2) Include measurable goals and outcomes.
        (3) Use a third party source to evaluate the contractor's initiatives.
        (4) Be in one (1) of the following categories:
            (A) Obstetrics.
            (B) Asthma.
            (C) Diabetes.
            (D) Immunizations.
            (E) Healthcare effectiveness data and information set.

SOURCE: IC 12-21-6.5-8.5; (11)IN1280.1.10. -->     SECTION 10. IC 12-21-6.5-8.5 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2011]: Sec. 8.5. (a) Before September 1 of each year, the office of Medicaid policy and planning shall report to the commission orally and in writing the following:
        (1) The following information concerning Medicaid recipients by race, age, and gender:
            (A) Percentage spent on mental health services.
            (B) The number of hospitalizations for mental health related services.
            (C) The number and percentage of recipients receiving behavioral health screenings.
            (D) Average length of time between referral and access to mental health services.
            (E) The following behavioral health outcomes:
                (i) Long term hospitalization.
                (ii) Institutionalization, including group home placements.
                (iii) Lengths of stays in items (i) and (ii).
                (iv) Number of readmissions.
        (2) Barriers to providing mental health services for racial ethnic minorities in the Medicaid program.
        (3) Any quality improvement plans to increase identification, stabilization, and utilization of mental health services by Medicaid recipients.
    (b) The report required in this section shall be submitted to the commission in an electronic format under IC 5-14-6.

SOURCE: ; (11)IN1280.1.11. -->     SECTION 11. [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 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, 2011.

SOURCE: ; (11)IN1280.1.12. -->     SECTION 12. [EFFECTIVE UPON PASSAGE] (a) As used in this SECTION, "commission" refers to the select joint commission on Medicaid oversight established by IC 2-5-26-3.
    (b) The Indiana board of pharmacy shall report to the commission during the 2011 legislative interim concerning the feasibility and cost of requiring pharmacies to print prescription labels in foreign languages. The pharmacy board shall also report the number of foreign languages, if any, that the board would recommend to be required to be printed on a prescription drug label.

     (c) This SECTION expires December 31, 2011.
SOURCE: ; (11)IN1280.1.13. -->     SECTION 13. An emergency is declared for this act.