SB 293-FN - AS INTRODUCED
SENATE BILL 293-FN
SPONSORS: Sen. Feltes, Dist 15; Sen. Sherman, Dist 24; Rep. Marsh, Carr. 8
COMMITTEE: Health and Human Services
This bill requires the department of health and human services to reimburse federally qualified health care centers and rural health centers for services provided to persons whose Medicaid eligibility has been suspended for failure to comply with the work and community engagement requirement established under the New Hampshire granite advantage health care program.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
Be it Enacted by the Senate and House of Representatives in General Court convened:
(i) Consistent with the state plan amendment submitted by the department and approved by CMS, all contracts between a Medicaid managed care organization and a federally qualified health care center, as defined in section 1905(1)(2)(B) of the Social Security Act, 42 U.S.C. section 1396d(1)(2)(B), providing services in geographic areas served by the plan, shall reimburse each such center for such services as provided in 42 U.S.C. section 18022(g). Federally qualified health care centers and rural health centers shall be reimbursed by the department for services provided to persons whose Medicaid eligibility has been suspended for failure to comply with the work and community engagement requirement established pursuant to this section. For purposes of this paragraph, persons whose Medicaid benefits have been suspended for failure to comply with the work and community engagement requirement are considered Medicaid enrollees.
SB 293-FN- FISCAL NOTE
AN ACT relative to federally qualified health car centers and rural health centers reimbursement.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
[ X ] General [ ] Education [ ] Highway [ ] Other
This bill requires the Department of Health and Human Services to reimburse federally-qualified health care centers (FQHC) and rural health centers for services provided to individuals whose Medicaid eligibility has been suspended for failure to comply with the work and community engagement requirement established under the New Hampshire Granite Advantage Health Care Program. The Department assumes if an individual remains enrolled as a Medicaid patient but is in a suspended status there would be no opportunity for federal reimbursement, either through Medicaid or through federal grants under the Public Health Service Act. As of January 28, 2019, the Department had sought guidance on this subject from the Centers for Medicare and Medicaid Services (CMS), but had not yet received a response. In the absence of federal reimbursement, payments to providers would be funded with 100 percent state General Funds. The Department is unable to identify the number of individuals who may be affected by the work and community engagement requirement, but for informational purposes notes that in 2017, FQHCs in the state served 27,414 Medicaid enrollees. It also states it is unknown what the total uncompensated charges would be for services rendered for this potential population or if federal funds would be available to cover those losses.
Department of Health and Human Services
|Jan. 3, 2019||Introduced 01/03/2019 and Referred to Health and Human Services; SJ 4|
|Feb. 7, 2019||Hearing: 02/07/2019, Room 101, LOB, 01:15 pm; SC 9|
|March 14, 2019||Committee Report: Ought to Pass, 03/14/2019; SC 13|
|March 14, 2019||Ought to Pass: RC 14Y-10N, MA; Refer to Finance Rule 4-5; 03/14/2019; SJ 8|
|March 28, 2019||Committee Report: Ought to Pass, 03/28/2019; SC 15|
|Feb. 7, 2019||Senate||Hearing|
|March 14, 2019||Senate||Floor Vote|
|March 28, 2019||Senate||Floor Vote|