Report Title:

Medicaid Fee Schedule; Medicaid Fee-For-Service Providers

 

Description:

Increases the rates or reimbursement of individual practitioners providing Medicaid services.  Appropriates funds.  (HB360 HD1)

 


HOUSE OF REPRESENTATIVES

H.B. NO.

360

TWENTY-FOURTH LEGISLATURE, 2007

H.D. 1

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT


 

 

RELATING TO MEDICAID.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  The legislature finds that provider reimbursements under the federal medicare and medicaid programs do not adequately compensate physicians for their services and are contributing to the healthcare crisis in Hawaii.  However, where medicare reimbursements are set by the federal government, Hawaii has the ability to increase reimbursements under medicaid.

     The purpose of this Act is to provide fairer levels of compensation for individual practitioners who participate in the medicaid program, by increasing the rates of reimbursement under the Hawaii medicaid fee schedule.

     SECTION 2.  Section 346-59, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:

     "(b)  Rates of payment to providers of medical care who are individual practitioners, including doctors of medicine, dentists, podiatrists, psychologists, osteopaths, optometrists, and other individuals providing services, shall be based upon the Hawaii medicaid fee schedule.  The amounts paid shall not exceed the maximum permitted to be paid individual practitioners or other individuals under federal law and regulation, the medicare fee schedule for the current year, the state limits as provided in the appropriation act, or the provider's billed amount.

     The appropriation act shall indicate the percentage of the medicare fee schedule for the year [2000] 2006 to be used as the basis for establishing the Hawaii medicaid fee schedule.  For any subsequent adjustments to the fee schedule, the legislature shall specify the extent of the adjustment in the appropriation act."

     SECTION 3.  There is appropriated out of the general revenues of the State of Hawaii the sum of $        or so much thereof as may be necessary for fiscal year 2007-2008 and the sum of $        or so much thereof as may be necessary for fiscal year 2008-2009 to increase the medicaid fee schedule to

           per cent of the 2006 medicare fee schedule.

     The sums appropriated shall be expended by the department of human services for the purposes of this Act.

     SECTION 4.  Statutory material to be repealed is bracketed and stricken.  New statutory material is underscored.

     SECTION 5.  This Act shall take effect on July 1, 2007.