Introduced Version






HOUSE BILL No. 1352

_____


DIGEST OF INTRODUCED BILL



Citations Affected: None (noncode).

Synopsis: Medicaid and Wishard healthcare management program. Requires the office of Medicaid policy and planning to establish a demonstration project for a health care management program that requires: (1) a portion of the Marion County Medicaid recipients to receive services from Wishard Hospital; and (2) Wishard Hospital to establish and implement a program that tracks the services received by the Medicaid recipients in a manner similar to that of the federal Quality Enhancement Research Initiative (QUERI). Requires the office and Wishard Hospital to study the impact of the program on the quality and costs of health care. Requires the office to apply for an amendment to the state Medicaid plan or a demonstration waiver if necessary to implement the program.

Effective: Upon passage.





Orentlicher




    January 12, 2006, read first time and referred to Committee on Public Health.







Introduced

Second Regular Session 114th General Assembly (2006)


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.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2005 Regular Session of the General Assembly.

HOUSE BILL No. 1352



    A BILL FOR AN ACT concerning Medicaid.

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

SOURCE: ; (06)IN1352.1.1. -->     SECTION 1. [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) Before June 1, 2006, the office shall establish a demonstration project for a health care management program that would allow the office to do the following:
        (1) Require a certain percentage of the Medicaid recipients who reside in Marion County to receive Medicaid services at the health and hospital corporation of Marion County, including any clinic operated by the corporation. The percentage of recipients must be a large enough group to obtain meaningful data described in this SECTION.

         (2) Require the health and hospital corporation of Marion County to establish and implement a program of health care management that is modeled after the United States Department of Veterans Affairs Quality Enhancement Research Initiative (QUERI).    
        (3) Include payment incentives for:
            (A) health care providers; and
            (B) administrators;
        of the health and hospital corporation of Marion County to reward the achievement of objectives established under the health care management program.
    (c) The office and the health and hospital corporation of Marion County shall study the impact of implementing the health care management program, including the impact the program has on the:
        (1) quality; and
        (2) cost;
of health care.
    (d) The office shall consult with the Regenstrief Institute for Health Care in developing, implementing, and studying the health care management program described in this SECTION.
    (e) The office shall apply to the United States Department of Health and Human Services for any amendment to the state Medicaid plan or waiver that is needed to implement this SECTION. The health and hospital corporation of Marion County shall assist the office in requesting the amendment or demonstration waiver and, if the amendment or waiver is approved, establishing and implementing the amendment or waiver.
    (f) The office may not implement the amendment or waiver until the office files an affidavit with the governor attesting that the amendment or waiver applied for under this SECTION is in effect. The office shall file the affidavit under this subsection not more than five (5) days after the office is notified that the amendment or waiver is approved.
    (g) If the office receives approval for the amendment or waiver under this SECTION from the United States Department of Health and Human Services and the governor receives the affidavit filed under subsection (f), the office shall implement the amendment or waiver not more than sixty (60) days after the governor receives the affidavit.
    (h) The office may adopt rules under IC 4-22-2 to implement this SECTION.
    (i) This SECTION expires January 1, 2012.

SOURCE: ; (06)IN1352.1.2. -->     SECTION 2. An emergency is declared for this act.