Revision: April 5, 2023, 10:02 a.m.
Rep. Stringham, Graf. 3
Rep. Telerski, Hills. 11
April 5, 2023
2023-1323h
10/07
Floor Amendment to HB 2-FN-A-LOCAL
Amend the bill by replacing section 242 with the following:
242 Appropriation; Department of Health and Human Services; Targeted Medicaid Rate Increases. In addition to any other sums appropriated, there is hereby appropriated to the department of health and human services the following amounts for the purpose of increasing rates paid to service providers. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated. Said rate increases shall go into effect no later than January 1, 2024. If feasible, the department shall implement any of the rate increases prior to that date, with priority given to those the commissioner has deemed most critical. For all appropriations below, the department may accept and expend matching federal funds without prior approval of the fiscal committee of the general court. For each appropriation, the department shall report to the fiscal committee of the general court, by October 1, 2023, the accounting units in the state operating budget to which funds will be or have been allocated, along with the rate increases that will be provided from the funds appropriated:
I. $4,677,979 in the fiscal year ending June 30, 2024 and $9,355,958 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to nursing homes.
II. $2,154,309 in the fiscal year ending June 30, 2024 and $4,308,618 in the fiscal year ending June 30, 2025 for the purpose of increasing rates for all Choices for Independence providers not provided rate increases elsewhere in this section.
III. $708,678 in the fiscal year ending June 30, 2024 and $1,417,355 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to assisted living facilities.
IV. $483,000 in the fiscal year ending June 30, 2024 and $966,000 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to home health aides.
V. $70,691 in the fiscal year ending June 30, 2024 and $141,382 in the fiscal year ending June 30, 2025 for the purpose of increasing rates for home delivered meals paid to Meals on Wheels providers.
VI. $736,954 in the fiscal year ending June 30, 2024 and $1,473,908 in the fiscal year ending June 30, 2025 for the purpose of increasing rates for private duty nursing providers.
VII. $169,658 in the fiscal year ending June 30, 2024 and $339,317 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid for section 1915(c) waiver case management services.
VIII. $3,969,301 in the fiscal year ending June 30, 2024 and $7,938,602 in the fiscal year ending June 30, 2025 for the purpose of increasing rates and/or wages paid to providers of community mental health services.
IX. $623,848 in the fiscal year ending June 30, 2024 and $1,247,697 in the fiscal year ending June 30, 2025 for the purpose of increasing housing reimbursement rates for those receiving community mental health services.
X. $3,000,000 in the fiscal year ending June 30, 2024 and $6,000,000 in the fiscal year ending June 30, 2025 for the purpose of rebasing rates for community health centers to ensure that Medicaid rates are sufficient to cover the cost of service provision.
XI. $1,133,707 in the fiscal year ending June 30, 2024 and $2,267,415 in the fiscal year ending June 30, 2025 for the purpose of bringing Medicaid rates for community health centers up to the levels of Medicare reimbursement.
XII. $8,221,367 in the fiscal year ending June 30, 2024 and $16,442,733 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to providers of early supports and services, developmental services, acquired brain disorder services, and children’s in-home support services.
XIII. $1,374,940 in the fiscal year ending June 30, 2024 and $2,749,881 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to providers of opioid treatment programs. Said amounts are intended to cover the cost of rate increases for both the traditional Medicaid population and granite advantage program population.
XIV. $113,106 in the fiscal year ending June 30, 2024 and $226,211 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to residential treatment providers serving those experiencing substance use disorders.
XV. $169,858 in the fiscal year ending June 30, 2024 and $339,317 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to providers of medication assisted treatment for those experiencing substance use disorders.
XVI. $255,371 in the fiscal year ending June 30, 2024 and $510,743 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to providers of outpatient services for those experiencing substance use disorders.
XVII. $50,000 in the fiscal year ending June 30, 2024 and $100,000 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to midwives providing Medicaid births in nonhospital environments.
XVIII. $125,000 in the fiscal year ending June 30, 2024 and $250,000 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid to birthing centers.
XIX. $1,944,003 in the fiscal year ending June 30, 2024 and $3,888,007 in the fiscal year ending June 30, 2025 for the purpose of increasing rates paid for providers of ambulance/EMT services. Notwithstanding any other provisions, the rates for the following ambulance codes shall be as follows:
Ambulance Codes Rate
A0425 13.00
A0427 700
A0428 325
A0429 450
If the department determines that the appropriations contained in this paragraph are insufficient to set rates at the specified levels, it may delay implementation until such time as the rate increases can be provided.
XX. $1,500,000 in the fiscal year ending June 30, 2024 and $3,000,000 in the fiscal year ending June 30, 2025 for the purpose of increasing rates for state plan personal care assistant services.
XXI. $15,740,786 in fiscal year 2024 for the purpose of increasing any of the rates in this section prior to January 1, 2024, if feasible, where the department has given priority to those increases the commissioner has deemed most critical.