Revision: June 25, 2020, 2:20 p.m.
HB 250 - AS AMENDED BY THE SENATE
8Jan2020... 2725h
06/16/2020 1427s
2019 SESSION
19-0316
10/08
HOUSE BILL 250
AN ACT establishing a dental benefit under the state Medicaid program.
SPONSORS: Rep. Jeudy, Hills. 10
COMMITTEE: Health, Human Services and Elderly Affairs
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AMENDED ANALYSIS
This bill requires the commissioner of the department of health and human services to solicit information and to contract with dental managed care organizations to provide dental care to persons under the Medicaid managed 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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
8Jan2020... 2725h
06/16/2020 1427s 19-0316
10/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
AN ACT establishing a dental benefit under the state Medicaid program.
Be it Enacted by the Senate and House of Representatives in General Court convened:
I. The general court recognizes that untreated oral health conditions negatively affect a person’s overall health and that good oral health improves a person’s ability to obtain and keep employment. The general court further recognizes that regular dental care and access to preventive and restorative treatments for oral health conditions are less expensive than emergency care and prevent oral conditions from developing into more complex health conditions that would require medical care.
II. Therefore, to improve overall health, promote savings in the state’s Medicaid managed care program, and prevent future health conditions caused by oral health problems, and based on the recommendation of the working group convened pursuant to 2019, 346:225, the general court hereby determines that it is in the best interest of the state of New Hampshire to extend dental benefits under the Medicaid managed care program to individuals 21 years of age and over.
2 New Paragraph; Medicaid Managed Care Program; Dental Benefits. Amend RSA 126-A:5 by inserting after paragraph XIX the following new paragraph:
XIX-a.(a)(1) The commissioner shall pursue contracting options to administer the state’s Medicaid dental program with the goals of improving access to dental care for Medicaid populations, improving health outcomes for Medicaid enrollees, expanding the provider network, increasing provider capacity, and retaining innovative programs that improve access and care through a value-based care model.
(2) The commissioner shall issue a request for information to assist in selecting the administrative model for the state’s Medicaid dental program. Such model shall be either a model administered by a dental managed care organization or a model administered by the state’s current medical managed care organizations. The commissioner shall obtain the requested information from both the current medical managed care organizations and any interested dental managed care organization. The administrative model selected shall demonstrate the greatest ability to satisfy the state's need for value, quality, efficiency, innovation, and savings. The request for information shall be released no later than August 1, 2020. The request for information shall address improving health outcomes, expanding the provider network, increasing capacity of providers, integrating a value-based care model, and exploring innovative programs for children and adults.
(3) If the model administered by a dental managed care organization is selected, the commissioner shall issue a 3-year request for proposals, with 2 optional one-year extensions, to enter into contracts with the vendor that demonstrates the greatest ability to satisfy the state's need for value, quality, efficiency, innovation, and savings. The state plan amendment shall be submitted to the Centers for Medicare and Medicaid Services (CMS) no later than November 1, 2020. Implementation of a procured contract shall begin April 1, 2021. The commissioner shall establish a capitated rate for the appropriate model for the contract that is full risk to the vendor. In contracting for a dental managed care model and the various rate cells, the department shall ensure no reduction in the quality of care of services provided to enrollees in the managed care model and shall exercise all due diligence to maintain or increase the quality of care provided. Following approval by the joint health care reform oversight committee, pursuant to RSA 420-N:3, the department shall seek, with the review of the fiscal committee of the general court, all necessary and appropriate state plan amendments and waivers to implement the provisions of this paragraph. The program shall not commence operation until such state plan amendments or waivers have been approved by CMS. All necessary state plan amendments and waivers shall be submitted by November 1, 2020.
(4) The commissioner shall adopt rules, pursuant to RSA 541-A, if necessary, to implement the provisions of this paragraph and shall first obtain approval of proposed rules by the joint health care reform oversight committee, pursuant to RSA 420-N:3.
(b) Any vendor awarded a contract pursuant to this paragraph shall provide the required dental services to children and the following dental services to individuals 21 years of age and over, reimbursed under the United States Social Security Act, Title XIX, or successors to it:
(1) Preventive dental services including an annual comprehensive oral examination, necessary x-rays or other imaging, prophylaxis, topical fluoride, oral hygiene instruction, behavior management and smoking cessation counseling, and other services as determined by the commissioner.
(2) Comprehensive restorative treatment necessary to prevent or treat oral health conditions, to reduce or eliminate the need for future acute oral health care, and to avoid more costly medical or dental care.
(3) Treatment necessary to relieve pain, eliminate infection or prevent imminent tooth loss.
(4) Prosthodontic coverage subject to medical necessity.
(c) In this paragraph, “dental managed care organization” means any dental care organization, dental service organization, health insurer, or other entity licensed under Title XXXVII, that provides, directly or by contract, dental care services covered under this paragraph rendered by licensed providers and that meets the requirements of Title XIX or Title XI of the federal Social Security Act.
3 Effective Date. This act shall take effect upon its passage.
19-0316
Amended 6/25/20
HB 250- FISCAL NOTE
AS AMENDED BY THE SENATE (AMENDMENT #2020-1427s)
AN ACT establishing a dental benefit under the state Medicaid program.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| Estimated Increase / (Decrease) | |||
STATE: | FY 2020 | FY 2021 | FY 2022 | FY 2023 |
Appropriation | $0 | $0 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ X ] Other - Federal matching Medicaid funds | |||
METHODOLOGY:
This bill requires the Department of Health and Human Services to solicit information and contract with dental managed care organizations to extend dental benefits under the Medicaid managed care program to individuals 21 years of age and over. Specifically, the bill amends RSA 126-A:5 by inserting a new paragraph XIX-a, which requires the Department to:
As shown in the table below, the Department has provided "medium" and "high" estimates of the cost of adding a dental benefit to the Medicaid program. It should be noted, however, that the FY 2020/21 budget trailer bill (codified in law as Chapter 346:225, III, Laws of 2019), required the Department to implement an adult dental benefit by April 1, 2021, so the cost of a generic dental benefit is attributable to that existing law rather than to the current bill. The Department has not identified the difference in cost, if any, between the dental benefit required by the trailer bill and the requirements contained in this bill.
DHHS-Projected Dental Benefit Costs, Per Full Year of Implementation | ||
| Medium | High |
Gross Per-Member, Per-Month (PMPM) Cost | $ 20.50 | $ 36.79 |
Additional Transportation Services | $ 2.60 | $ 2.60 |
Medical Cost Offsets (e.g., reduced emergency costs) | $ (0.76) | $ (0.76) |
Net Projected PMPM Cost: | $ 22.34 | $ 38.63 |
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Federal Share of Costs |
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|
Traditional Medicaid Population (50% of cost) | $ 5,130,000 | $ 8,860,000 |
Expanded Medicaid Population (90% of cost) | $ 11,450,000 | $ 19,810,000 |
Projected Federal Share of Costs: | $ 16,580,000 | $ 28,670,000 |
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State Share of Costs |
|
|
Traditional Medicaid Population (50% of cost) | $ 5,130,000 | $ 8,860,000 |
Expanded Medicaid Population (10% of cost) | $ 1,270,000 | $ 2,200,000 |
Projected State Share of Costs: | $ 6,400,000 | $ 11,060,000 |
Since the benefit is scheduled to take effect on April 1, 2021, FY 2021 costs will be 25 percent of those reflected above. In addition, the FY 2020/21 budget contained an appropriation of $500,000 ($250,000 general funds / $250,000 federal funds) for a dental benefit in FY 2021.
AGENCIES CONTACTED:
Department of Health and Human Services