SB 407 IN Passed One Chamber
Medicaid risk based managed care.
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Summary
Requires review by the budget committee before a request for proposal for the procurement of a covered population in a risk based managed care program or a capitated managed care program (program) is issued. Sets forth requirements that the office of the secretary (office) must ensure are met before the office may contract with an entity to operate a program. Sets forth provisions that must be included in a contract with an entity to operate the program. Requires the office to do the following: (1) determine all eligibility requirements; and (2) determine the base reimbursement rate structure, methodology, and reimbursement rates that are sufficient to provide an adequate number of providers to provide home and community based services. Requires a managed care organization to contract with any providers that meet specified requirements for the program. Prohibits a managed care organization from delegating or subcontracting specified functions within the program unless certain conditions are met. Requires the office to apply to amend the aged and disabled waiver to ensure that an individual in need of waiver services is authorized for reimbursable services within 72 hours of determining the individual would qualify for Medicaid and the waiver services. Expires the program on July 1, 2027. Requires the office to annually provide the budget committee information concerning the number of Medicaid recipients in certain categories and reimbursement rates for home and community based services. Allows the office of the attorney general to investigate and prosecute complaints concerning employment agencies. Provides that the division of consumer protection is responsible for the investigation of complaints concerning employment agencies.
Sponsors (4)
- Ryan Mishler Republican · author
- Ed Charbonneau Republican · author
- Michael Karickhoff Republican · sponsor
- Mark Messmer · author
10 coauthors / cosponsors
- Liz Brown Republican · coauthor
- Jon Ford · coauthor
- Justin Busch Republican · coauthor
- Vaneta Becker Republican · coauthor
- Jean Leising Republican · coauthor
- Eric Bassler Republican · coauthor
- Lonnie Randolph Democratic · coauthor
- Matt Lehman Republican · cosponsor
- Brad Barrett Republican · cosponsor
- Robin Shackleford Democratic · cosponsor
Action history (17)
- Jan 12, 2022 Coauthored by Senators Brown L, Ford Jon, Busch · upper
- Jan 12, 2022 Authored by Senators Messmer, Mishler, Charbonneau · upper
- Jan 12, 2022 First reading: referred to Committee on Health and Provider Services · upper
- Jan 20, 2022 Committee report: do pass adopted; reassigned to Committee on Appropriations · upper
- Jan 27, 2022 Committee report: amend do pass, adopted · upper
- Jan 27, 2022 Senators Becker and Leising added as coauthors · upper
- Jan 31, 2022 Amendment #1 (Messmer) prevailed; voice vote · upper
- Jan 31, 2022 Second reading: amended, ordered engrossed · upper
- Jan 31, 2022 Senator Bassler added as coauthor · upper
- Feb 1, 2022 Third reading: passed; Roll Call 189: yeas 47, nays 2 · upper
- Feb 1, 2022 House sponsor: Representative Karickhoff · upper
- Feb 1, 2022 Cosponsors: Representatives Lehman, Barrett, Shackleford · upper
- Feb 1, 2022 Senator Randolph added as coauthor · upper
- Feb 2, 2022 Referred to the House · upper
- Feb 7, 2022 First reading: referred to Committee on Public Health · lower
- Feb 17, 2022 Committee report: amend do pass, adopted · lower
- Feb 17, 2022 Referred to the Committee on Ways and Means pursuant to House Rule 127 · lower
Text versions (5)
The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.
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