Revision: Jan. 31, 2020, 11:28 a.m.
SB 716-FN - AS INTRODUCED
SENATE BILL 716-FN
SPONSORS: Sen. Rosenwald, Dist 13; Sen. Bradley, Dist 3; Sen. Dietsch, Dist 9; Sen. Hennessey, Dist 5; Sen. Sherman, Dist 24; Sen. Kahn, Dist 10; Rep. Martin, Hills. 23; Rep. Wallner, Merr. 10; Rep. Berrien, Rock. 18; Rep. Espitia, Hills. 31
COMMITTEE: Health and Human Services
This bill expands Medicaid coverage for services intended to support healthy childhood development. The bill also directs the department of health and human services to complete a fiscal impact study regarding expansion of Medicaid coverage for childhood mental health services and directs the department to develop a plan to maximize the use of EPSDT and IECMH benefits under Medicaid.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.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 Twenty
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Duties of the Commissioner of the Department of Health and Human Services; Medicaid Coverage to Support Healthy Childhood and Development. Amend RSA 126-A:5 by inserting after paragraph XXXIII the following new paragraph:
XXXIV. In order to support healthy childhood and development, by November 1, 2020, the commissioner shall submit to the joint legislative committee on administrative rules final proposed rules, and amend the state Medicaid plan where necessary, to make the following changes to Medicaid coverage:
(a) Require maternal depression screening and referral at well child visits.
(b) Cover parent education programs that support a child's social and emotional development.
(c) Adopt and require use of mental health diagnostic criteria specific to young children.
(d) Expand targeted case management and enhance case coordination to include children at high risk of trauma.
I. In order to further the development of a comprehensive primary prevention system for children, by November 1, 2020, the commissioner of the department of health and human services shall:
(a) Complete a fiscal impact study of adding child parent psychotherapy and other infant and early childhood mental health services to the home and community-based behavioral health services program for children under RSA 167:3-l, including the use of rate enhancements for behavioral health evidence-based practices; and
(b) Develop a plan to maximize the use of Medicaid and the early and periodic screening, diagnostic, and treatment (EPSDT) benefit to build and support New Hampshire's existing network of family resource centers, home visiting programs, and infant and early childhood mental health (IECMH) services and include coverage for IECMH services in managed care contracts.
II. The fiscal impact study and plan shall be submitted to the governor, the senate president, the speaker of the house of representatives, and the chairpersons of the house and senate policy committees with jurisdiction over health and human services matters on or before November 1, 2020.
SB 716-FN- FISCAL NOTE
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
[ X ] General [ ] Education [ ] Highway [ X ] Other - Federal matching Medicaid funds.
This bill requires the Department of Health and Human Services to submit administrative rules and, where necessary, amend the Medicaid state plan to provide coverage for services intended to support healthy childhood development. In addition, the bill requires the Department to complete a fiscal impact study of adding child-parent psychotherapy and other services to the home- and community-based care program, and to develop a plan to maximize the use of Medicaid and early and periodic screening, diagnostic, and treatment (EPSDT) benefit to build and support the state's existing network of programs relative to childhood development.
The Department states that it will use existing budgetary resources to conduct the fiscal impact study and develop the plan required by the bill. With respect to Medicaid-covered services, the Department notes that maternal depression screening, well-child visits, and parent education programs are currently covered and should not have a fiscal impact. Requiring the use of mental health diagnostic criteria, on the other hand, will require systems changes, training, and other administrative costs, as will the requirement to expand targeted case management and enhance case coordination. In addition, the expansion of these services to all Medicaid-eligible children will likely result in increased fee for service costs and increased capitation rates for managed care organizations. The Department assumes that, over time, the increases in these costs may be offset to some extent by the preventative nature of the services.
Department of Health and Human Services