Text to be removed highlighted in red.
1 New Subdivision; Aid to Medicaid and Uninsured Persons. Amend RSA 126-A by inserting after section 77 the following new subdivision:
Aid to Medicaid and Uninsured Persons
126-A:78 Definitions. In this subdivision:
I. "Facility" means any facility required to be licensed by RSA 151.
II. "Health care practitioner" means any person licensed or registered as a health care provider in the state of New Hampshire. "Health care practitioner" shall not include any person who has retired from the practice of health care, or any person who does not hold a current license or certificate to practice health care.
126-A:79 Acceptance of Medicaid and Uninsured Persons Required.
I. Except as provided in paragraph II, all health care practitioners and facilities shall provide services for patients funded by Medicaid and uninsured persons.
II. A health care practitioner may opt out of the provisions required by paragraph I by paying an annual fee of $10,000 to the department. Facilities may opt out of the requirements of paragraph I by paying an annual fee of $10,000 per full time professional staff equivalent to the department. The commissioner shall deposit the fees collected under this paragraph in the fund established in RSA 126-A:81.
III. Notwithstanding any provision of law to the contrary, the state shall not pay Medicaid facility fees to facilities and facility-employed physicians.
126-A:80 Audits Required.
I. The commissioner shall conduct an annual audit of health care practitioners and facilities, including outpatient facilities. Based on the audited data the commissioner shall calculate the ratio of Medicaid and uninsured procedures to other compensated procedures.
II. The commissioner shall also conduct an annual audit of licensed health care facilities to determine endowment. From the data collected, the commissioner shall calculate a ratio of Medicaid and uninsured procedures per unit of endowment. The commissioner shall then determine the average number of Medicaid and uninsured procedures per dollar of endowment for all facilities in the state. Data relative to facilities which exceed the state average by 20 percent shall be submitted to the department of revenue administration for purposes of penalties under RSA 21-J.
126-A:81 Fund Established. There is hereby established a nonlapsing fund to be known as the aid to Medicaid and uninsured persons fund to aid persons who rely on Medicaid and who are uninsured for medical procedures. The fund shall consist of all moneys collected under RSA 126-A:79, II. The fund shall be administered by the commissioner. The commissioner shall adopt rules pursuant to RSA 541-A relative to the qualifications and manner in which the funds shall be distributed to persons who qualify for aid from the fund.
2 New Subparagraph; Application of Receipts. Amend RSA 6:12, I(b) by inserting after subparagraph (343) the following new subparagraph:
(344) Moneys received under RSA 126-A:79, II which shall be credited to the aid to Medicaid and uninsured persons fund established in RSA 126-A:81.
3 Effective Date. This act shall take effect 60 days after its passage.
Text to be added highlighted in green.
1 New Subdivision; Aid to Medicaid and Uninsured Persons. Amend RSA 126-A by inserting after section 77 the following new subdivision:
Aid to Medicaid and Uninsured Persons
126-A:78 Definitions. In this subdivision:
I. "Facility" means any facility required to be licensed by RSA 151.
II. "Health care practitioner" means any person licensed or registered as a health care provider in the state of New Hampshire. "Health care practitioner" shall not include any person who has retired from the practice of health care, or any person who does not hold a current license or certificate to practice health care.
126-A:79 Acceptance of Medicaid and Uninsured Persons Required.
I. Except as provided in paragraph II, all health care practitioners and facilities shall provide services for patients funded by Medicaid and uninsured persons.
II. A health care practitioner may opt out of the provisions required by paragraph I by paying an annual fee of $10,000 to the department. Facilities may opt out of the requirements of paragraph I by paying an annual fee of $10,000 per full time professional staff equivalent to the department. The commissioner shall deposit the fees collected under this paragraph in the fund established in RSA 126-A:81.
III. Notwithstanding any provision of law to the contrary, the state shall not pay Medicaid facility fees to facilities and facility-employed physicians.
126-A:80 Audits Required.
I. The commissioner shall conduct an annual audit of health care practitioners and facilities, including outpatient facilities. Based on the audited data the commissioner shall calculate the ratio of Medicaid and uninsured procedures to other compensated procedures.
II. The commissioner shall also conduct an annual audit of licensed health care facilities to determine endowment. From the data collected, the commissioner shall calculate a ratio of Medicaid and uninsured procedures per unit of endowment. The commissioner shall then determine the average number of Medicaid and uninsured procedures per dollar of endowment for all facilities in the state. Data relative to facilities which exceed the state average by 20 percent shall be submitted to the department of revenue administration for purposes of penalties under RSA 21-J.
126-A:81 Fund Established. There is hereby established a nonlapsing fund to be known as the aid to Medicaid and uninsured persons fund to aid persons who rely on Medicaid and who are uninsured for medical procedures. The fund shall consist of all moneys collected under RSA 126-A:79, II. The fund shall be administered by the commissioner. The commissioner shall adopt rules pursuant to RSA 541-A relative to the qualifications and manner in which the funds shall be distributed to persons who qualify for aid from the fund.
2 New Subparagraph; Application of Receipts. Amend RSA 6:12, I(b) by inserting after subparagraph (343) the following new subparagraph:
(344) Moneys received under RSA 126-A:79, II which shall be credited to the aid to Medicaid and uninsured persons fund established in RSA 126-A:81.
3 Effective Date. This act shall take effect 60 days after its passage.