CONFERENCE COMMITTEE REPORT
DIGEST FOR ESB 42
Citations Affected: IC 2-5-26; IC 12-8; IC 12-15-12.
Synopsis: Human services. Conference committee report for ESB 42. Adds the determination
of whether a managed care organization that has contracted with the state to provide Medicaid
services has performed the terms of the contract to the duties of the select joint commission on
Medicaid oversight (commission). Extends the expiration of the office of the secretary of family
and social services (office), certain divisions within the office, and the office of Medicaid policy
and planning until January 1, 2010, and provides that actions taken after December 31, 2007, by
the office, certain divisions within the office, and the office of Medicaid policy and planning are
legalized and validated to the same extent that the actions would have been legal and valid if they
had been taken before January 1, 2008. Requires certain managed care organizations
participating in the Medicaid program to: (1) be accredited by the National Committee for
Quality Assurance within certain timeframes; and (2) accept electronic claims for payment.
Repeals a provision that provided for the expiration of the commission on December 31, 2008.
(This conference committee report does the following: (1) removes the requirement that
the budget agency allot and distribute certain money appropriated for area health
education centers; (2) extends the office, certain divisions within the office, and the office
of Medicaid policy and planning until January 1, 2010; and (3) adds a provision legalizing
actions taken by the office, certain divisions within the office, and the office of Medicaid
policy and planning.)
Effective: December 31, 2007 (retroactive); July 1, 2008.
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Adopted Rejected
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CONFERENCE COMMITTEE REPORT
MR. SPEAKER:
Your Conference Committee appointed to confer with a like committee from the Senate
upon Engrossed House Amendments to Engrossed Senate Bill No. 42 respectfully reports that
said two committees have conferred and agreed as follows to wit:
that the Senate recede from its dissent from all House amendments and that
the Senate now concur in all House amendments to the bill and that the bill
be further amended as follows:
Delete the title and insert the following:
A BILL FOR AN ACT to amend the Indiana Code concerning
human services.
Delete everything after the enacting clause and insert the following:
SOURCE: IC 2-5-26-8; (08)CC004202.1. -->
SECTION 1. IC 2-5-26-8 IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2008]: Sec. 8. The commission shall do the
following:
(1) Determine whether the contractor for the office under
IC 12-15-30 that has responsibility for processing provider claims
for payment under the Medicaid program has properly performed
the terms of the contractor's contract with the state.
(2) Determine whether a managed care organization that has
contracted with the office to provide Medicaid services has
properly performed the terms of the managed care
organization's contract with the state.
(2) (3) Study and propose legislative and administrative
procedures that could help reduce the amount of time needed to
process Medicaid claims and eliminate reimbursement backlogs,
delays, and errors.
(3) (4) Oversee the implementation of a case mix reimbursement
system developed by the office and designed for Indiana Medicaid
certified nursing facilities.
(4) (5) Study and investigate any other matter related to Medicaid.
(5) (6) Study and investigate all matters related to the
implementation of the children's health insurance program
established by IC 12-17.6.
SOURCE: IC 12-8-1-10; (08)CC004202.2. -->
SECTION 2. IC 12-8-1-10, AS AMENDED BY P.L.234-2005,
SECTION 15, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
DECEMBER 31, 2007 (RETROACTIVE)]: Sec. 10. This chapter
expires January 1, 2008. 2010.
SOURCE: IC 12-8-2-12; (08)CC004202.3. -->
SECTION 3. IC 12-8-2-12, AS AMENDED BY P.L.234-2005,
SECTION 16, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
DECEMBER 31, 2007 (RETROACTIVE)]: Sec. 12. This chapter
expires January 1, 2008. 2010.
SOURCE: IC 12-8-6-10; (08)CC004202.4. -->
SECTION 4. IC 12-8-6-10, AS AMENDED BY P.L.234-2005,
SECTION 17, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
DECEMBER 31, 2007 (RETROACTIVE)]: Sec. 10. This chapter
expires January 1, 2008. 2010.
SOURCE: IC 12-8-8-8; (08)CC004202.5. -->
SECTION 5. IC 12-8-8-8, AS AMENDED BY P.L.234-2005,
SECTION 18, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
DECEMBER 31, 2007 (RETROACTIVE)]: Sec. 8. This chapter
expires January 1, 2008. 2010.
SOURCE: IC 12-15-12-21; (08)CC004202.6. -->
SECTION 6. IC 12-15-12-21 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2008]: Sec. 21. (a) Not later than January 1,
2011, the following must be accredited by the National Committee
for Quality Assurance or its successor:
(1) A managed care organization that has contracted with the
office before July 1, 2008, to provide Medicaid services under
the risk based managed care program.
(2) A behavioral health managed care organization that has
contracted before July 1, 2008, with a managed care
organization described in subdivision (1).
(b) A:
(1) managed care organization that has contracted with the
office after June 30, 2008, to provide Medicaid services under
the risk based managed care program; or
(2) behavioral health managed care organization that has
contracted after June 30, 2008, with a managed care
organization described in subdivision (1);
must begin the accreditation process and obtain accreditation by
the National Committee for Quality Assurance or its successor at
the earliest time that the National Committee for Quality
Assurance allows a managed care organization to be accredited.
SOURCE: IC 12-15-12-22; (08)CC004202.7. -->
SECTION 7. IC 12-15-12-22 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2008]: Sec. 22. A:
(1) managed care organization that has a contract with the
office to provide Medicaid services under the risk based
managed care program; or
(2) behavioral health managed care organization that has
contracted with a managed care organization described in
subdivision (1);
shall accept, receive, and process claims for payment that are filed
electronically by a Medicaid provider.
SOURCE: IC 2-5-26-15; (08)CC004202.8. -->
SECTION 8. IC 2-5-26-15 IS REPEALED [EFFECTIVE JULY 1,
2008].
SOURCE: ; (08)CC004202.9. -->
SECTION 9. [EFFECTIVE DECEMBER 31, 2007
(RETROACTIVE)] Actions taken under IC 12-8-1, IC 12-8-2,
IC 12-8-6, and IC 12-8-8 after December 31, 2007, and before the
passage of this act are legalized and validated to the extent that
those actions would have been legal and valid if this act had been
enacted before January 1, 2008.
SOURCE: ; (08)CC004202.10. -->
SECTION 10.
An emergency is declared for this act.
(Reference is to ESB 42 as reprinted February 15, 2008.)
Conference Committee Report
on
Engrossed Senate Bill 42
Text Box
S
igned by:
____________________________ ____________________________
Senator MillerRepresentative Brown C
Chairperson
____________________________ ____________________________
Senator SipesRepresentative Frizzell
Senate Conferees House Conferees