HB 1320-9_ Filed 04/08/2013, 10:49 Miller Patricia

SENATE MOTION


MADAM PRESIDENT:

    I move
that Engrossed House Bill 1320 be amended to read as follows:

SOURCE: Page 9, line 41; (13)MO132012.9. -->     Page 9, line 41, delete "a reasonable" and insert " an".
    Page 10, line 1, delete "at any time" and insert " before the medical service facility provides the service or product".
    Page 10, line 9, delete "Two hundred percent (200%)" and insert " Three hundred twenty-five percent (325%)".
    Page 10, delete lines 13 through 19.
    Page 10, delete lines 26 through 28.
    Page 10, line 29, delete "(e)" and insert " (d)".
    Page 11, line 2, delete "(f)" and insert " (e)".
    Page 11, line 19, delete "and" and insert " or".
    Page 11, delete lines 31 through 42.
    Page 12, delete lines 1 through 2.
    Page 30, line 39, delete "P.L.168-2011," and insert "HEA 1325-2013,".
    Page 30, line 40, delete "11," and insert "10,".
    Page 34, between lines 4 and 5, begin a new line block indented and insert:
        "(12) An individual who is not an employee of the state or a political subdivision is considered to be a temporary employee of the state for purposes of IC 22-3-2 through IC 22-3-6 while serving as a member of a mobile support unit on duty for training, an exercise, or a response, as set forth in IC 10-14-3-19(c)(2)(B).".
    Page 36, line 27, after "product" insert " and seeks reimbursement".
    Page 36, line 27, delete ":" and insert " for a service or product the facility provided that is of a type that would be reimbursable as a facility fee or technical component under the Medicare program:".
    Page 36, line 35, delete "or a health care professional (as" and insert " .".
    Page 36, delete lines 36 through 38.
    Page 37, line 8, delete "a reasonable" and insert " an".
    Page 37, line 11, delete "at any time" and insert " before the medical service facility provides the service or product".
    Page 37, line 20, delete "Two hundred percent (200%)" and insert " Three hundred twenty-five percent (325%)".
    Page 37, delete lines 24 through 31.
    Page 37, line 33, delete "and" and insert " an item, or".
    Page 37, between lines 34 and 35, begin a new paragraph and insert:
SOURCE: IC 22-3-6-1.5; (13)MO132012.14. -->     "SECTION 14. IC 22-3-6-1.5 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 1.5. (a) This section is effective beginning July 1, 2014.
    (b) For purposes of calculating the payment under section 1(k)(2) of this chapter to a hospital licensed under IC 16-21, the payment owed for a claim submitted by the hospital for inpatient or outpatient services or products must be the amount determined under STEP TWO of the following formula:
        STEP ONE: Determine the amount the Medicare program would have paid the hospital for the claim at the time the hospital provided the service or product comprising the claim before reconciliation of the hospital's Medicare cost report by the Medicare program.
        STEP TWO: Multiply the amount calculated in STEP ONE by the percentage of Medicare specified in section 1(k)(2)(B) of this chapter.
".
SOURCE: Page 37, line 35; (13)MO132012.37. -->     Page 37, line 35, delete "P.L.6-2012," and insert "HEA 1325-2013,".
    Page 37, line 36, delete "150," and insert "11,".
    Page 40, between lines 16 and 17, begin a new line block indented and insert:
        "(10) An individual who is not an employee of the state or a political subdivision is considered to be a temporary employee of the state for purposes of this chapter while serving as a member of a mobile support unit on duty for training, an exercise, or a response, as set forth in IC 10-14-3-19(c)(2)(B).".
    Page 43, line 8, after "product" insert " and seeks reimbursement".
    Page 43, line 9, delete ":" and insert " for a service or product the facility provided that is of a type that would be reimbursable as a facility fee or technical component under the Medicare program:".
    Page 43, line 17, delete "or a health care professional (as" and insert " .".
    Page 43, delete lines 18 through 20.
    Page 43, line 32, delete "a reasonable" and insert " an".
    Page 43, line 35, delete "at any time" and insert " before the medical service facility provides the service or product".
    Page 44, line 2, delete "Two hundred percent (200%)" and insert " Three hundred twenty-five percent (325%)".
    Page 44, delete lines 6 through 13.
    Page 44, line 15, delete "and" and insert " an item, or".
    Page 44, between lines 16 and 17, begin a new paragraph and insert:
SOURCE: IC 22-3-7-9.5; (13)MO132012.16. -->     "SECTION 16. IC 22-3-7-9.5 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 9.5. (a) This section is effective beginning July 1, 2014.
    (b) For purposes of calculating the payment under section 9(m)(2) of this chapter to a hospital licensed under IC 16-21, the payment owed for a claim submitted by the hospital for inpatient or outpatient services or products must be the amount determined under STEP TWO of the following formula:
        STEP ONE: Determine the amount the Medicare program would have paid the hospital for the claim at the time the hospital provided the service or product comprising the claim before reconciliation of the hospital's Medicare cost report by the Medicare program.
        STEP TWO: Multiply the amount calculated in STEP ONE by the percentage of Medicare specified in section 9(m)(2)(B) of this chapter.
".
SOURCE: Page 61, line 20; (13)MO132012.61. -->     Page 61, line 20, delete "a reasonable" and insert " an".
    Page 61, line 22, delete "at any time" and insert " before the medical service facility provides the service or product".
    Page 61, line 30, delete "Two hundred percent (200%)" and insert " Three hundred twenty-five percent (325%)".
    Page 61, delete lines 34 through 41.
    Page 62, delete lines 5 through 7.
    Page 62, line 8, delete "(e)" and insert " (d)".
    Page 62, line 23, delete "(f)" and insert " (e)".
    Page 62, line 41, delete "and" and insert " or".
    Page 63, delete lines 39 through 42.
    Page 64, delete lines 1 through 11.
    Renumber all SECTIONS consecutively.
    (Reference is to EHB 1320 as printed April 5, 2013.)

________________________________________

Senator MILLER PATRICIA


MO132012/DI 104     2013