SB 293-FN - AS INTRODUCED
2019 SESSION
19-1098
01/03
SENATE BILL 293-FN
AN ACT relative to federally qualified health care centers and rural health centers reimbursement.
SPONSORS: Sen. Feltes, Dist 15; Sen. Sherman, Dist 24; Rep. Marsh, Carr. 8
COMMITTEE: Health and Human Services
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ANALYSIS
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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
19-1098
01/
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
AN ACT relative to federally qualified health care centers and rural health centers reimbursement.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Hampshire Granite Advantage Health Care Program; Reimbursement Required. Amend RSA 126-AA:2, I(i) to read as follows:
(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.
2 Effective Date. This act shall take effect 60 days after its passage.
19-1098
Revised 2/5/19
SB 293-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to federally qualified health car centers and rural health centers reimbursement.
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 | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other |
METHODOLOGY:
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.
AGENCIES CONTACTED:
Department of Health and Human Services
Date | Body | Type |
---|---|---|
Feb. 7, 2019 | Senate | Hearing |
March 14, 2019 | Senate | Floor Vote |
March 28, 2019 | Senate | Floor Vote |
April 10, 2019 | House | Hearing |
April 18, 2019 | House | Exec Session |
May 8, 2019 | House | Floor Vote |
May 29, 2019 | House | Exec Session |
Nov. 12, 2019 | House | Exec Session |
House | Floor Vote |
Jan. 8, 2020: Inexpedient to Legislate: MA VV 01/08/2020 HJ 1 P. 47
: Committee Report: Inexpedient to Legislate (Vote 19-0; CC) HC 50 P. 11
Nov. 12, 2019: Executive Session: 11/12/2019 10:00 am LOB 210-211
Oct. 30, 2019: ==CANCELLED== Division III Work Session: 10/30/2019 10:00 am LOB 210-211
Oct. 29, 2019: Division III Work Session: 10/29/2019 10:00 am LOB 210-211
: Retained in Committee
May 29, 2019: Executive Session: 05/29/2019 10:00 am LOB 210-211
May 21, 2019: Division III Work Session: 05/21/2019 10:00 am LOB 210-211
May 14, 2019: Division III Work Session: 05/14/2019 11:15 am LOB 210-211
May 8, 2019: Referred to Finance 05/08/2019 HJ 15 P. 24
May 8, 2019: Ought to Pass: MA RC 226-134 05/08/2019 HJ 15 P. 24
May 8, 2019: Committee Report: Ought to Pass for 05/08/2019 (Vote 16-4; RC) HC 23 P. 9
April 18, 2019: Executive Session: 04/18/2019 10:00 am LOB 205
April 17, 2019: Division II Subcommittee Work Session: 04/17/2019 01:00 pm LOB 205
April 16, 2019: Division II Subcommittee Work Session: 04/16/2019 10:00 am LOB 205
April 10, 2019: Public Hearing: 04/10/2019 10:00 am LOB 205
March 20, 2019: Introduced 03/20/2019 and referred to Health, Human Services and Elderly Affairs HJ 11 P. 74
March 28, 2019: Ought to Pass: RC 13Y-10N, MA; OT3rdg; 03/28/2019; SJ 11
March 28, 2019: Committee Report: Ought to Pass, 03/28/2019; SC 15
March 14, 2019: Ought to Pass: RC 14Y-10N, MA; Refer to Finance Rule 4-5; 03/14/2019; SJ 8
March 14, 2019: Committee Report: Ought to Pass, 03/14/2019; SC 13
Feb. 7, 2019: Hearing: 02/07/2019, Room 101, LOB, 01:15 pm; SC 9
Jan. 3, 2019: Introduced 01/03/2019 and Referred to Health and Human Services; SJ 4