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.
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
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Conflict reconciliation: Text in a statute in
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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.