Legislative Session number- 83

Bill Name: HF1681

hf1681FOURTH ENGROSSMENTOmnibus health and human services finance bill,
providing health plan+ and health care policy, making health and human services
forecast +adjustments and reductions, and appropriating money.ARTICLE 1�HEALTH
CARE COST CONTAINMENT; CONSUMER EMPOWERMENTSection 1: Health savings accounts
required.Sec. 2: Payment for health care services disclosure required.Sec. 3:
Payment disclosure provisions established.ARTICLE 2�HEALTH CARE COST
CONTAINMENT; BEST PRACTICESSection 1: Best practices and quality improvement
required.Sec. 2: Facility definition clarified.Sec. 3: Disease management
program implementation required.ARTICLE 3�HEALTH CARE COST CONTAINMENT;
COST-SHIFTINGSection 1: Limit on state health care program expansion
provided.Sec. 2: Cost shifting study required.ARTICLE 4�HEALTH CARE COST
CONTAINMENT; REDUCING GOVERNMENT MANDATESSection 1: Mandated benefits
moratorium prevented.Sec. 2: Small employer alternative benefit plans
detailed.Sec. 3: Repealer of bone marrow transplant mandate.ARTICLE 5�HEALTH
CARE COST CONTAINMENT; HEALTH PLAN COMPETITION AND +REFORMSection 1: Health
plan form added to approval provisions.Sec. 2: Technical language change.Sec.
3: Person defined.Sec. 4: Certificate of authority requirement modified.Sec.
5: Application review regulations modified.Sec. 6: Technical language
change.Sec. 7: Maximum premiums increased.Sec. 8: State plan premium charges
increased.Sec. 9: Audit regulations provided.Sec. 10: Electronic transmission
of required information authorized.Sec. 11: Change of health maintenance
organization regulatory +authority provided.ARTICLE 6�HEALTH CARE COST
CONTAINMENT; ADMINISTRATIVE SIMPLIFICATIONSection 1: Final interview of
applicant by teleconference +authorized. Sec. 2: Information web site for
interpreter services establishment +required.Sec. 3: Health care reporting cost
evaluation required.Sec. 4: Repealer.ARTICLE 7�CHILD CARESection 1: Family
child care provider assistance provisions expanded.Sec. 2: Subsidy restrictions
modified.Sec. 3: Absent day reimbursement to child care providers regulations
established.Sec. 4: Annual license or certification fees for programs with
+licensed capacity reduced.Sec. 5: Date extended.Sec. 6: Temporary eligibility
of military personnel addressed.ARTICLE 8�ECONOMIC SUPPORTSSection 1: Notices
and sanctions modified.Sec. 2: Food stamp employment and training program age
reduced.Sec. 3: Program funding provisions modified.Sec. 4: Family cap
modified.Sec. 5: Rental subsidy date modified and subsidy amount modified.Sec.
6: Program length cut in half.ARTICLE 9�HEALTH CARESection 1: Eligibility
for prescription drug program clarified.Sec. 2: Eligibility clarified.Sec. 3:
Prescription drug coverage provisions modified.Sec. 4: Medicare drug discount
card added to application procedures.Sec. 5: Pharmacy reimbursement
required.Sec. 6: Asset limitations modified.Sec. 7: Persons with disabilities
provisions clarified relating to +Title II of SSA.Sec. 8: Citizenship
requirements for medical assistance modified.Sec. 9: Dental services
modified.Sec. 10: Exceptions to co-payments provided.Sec. 11: Definitions
modified.Sec. 12: General assistance medical care eligibility language
+updated.Sec. 13: Services expanded.Sec. 14: Income definition modified.Sec.
15: Covered health services modified.Sec. 16: Dental services modified.Sec.
17: Co-payments for nonpreventive visits specified.Sec. 18: Limited benefits
coverage for certain individuals modified.Sec. 19: Effective date modified.Sec.
20: General requirements modified.Sec. 21: Other health coverage provisions
modified.Sec. 22: Federal approval required.Sec. 23: Repealer.ARTICLE
10�LONG-TERM CARESection 1: Replacement beds exceptions modified.Sec. 2:
Training and education for nursing facility providers +requirements
modified.Sec. 3: Agency quality improvement program established and report
+required.Sec. 4: Federally required survey process procedures established.Sec.
5: Interagency agreement amendment required.Sec. 6: Metropolitan rate area
designation provided.Sec. 7: Professional liability costs provided.Sec. 8:
Nursing facility alternate rate dates modified.Sec. 9: Grants to Medicare
certified home care agencies established.Sec. 10: Nursing facility scholarship
program procedure clarified.Sec. 11: Progress report required.Sec. 12: Federal
waiver and approval request resubmittal procedures established.Sec. 13:
Repealer.ARTICLE 11�CONTINUING CARESection 1: Contribution calculation
percentages adjusted and +procedures modified.Sec. 2: Cost sharing provisions
for persons in HIV coverage program established.Sec. 3: Fund distributions
modified.Sec. 4: Cost division relating to individuals with mental +retardation
modified.Sec. 5: Annual report expansion required.Sec. 6: ICF/MR plan
consultation required.Sec. 7: Consumer directed community support consultation
required.ARTICLE 12�DHS PROGRAM INTEGRITY AND ADMINISTRATIONSection 1: Test
site authorization provided.Sec. 2: Retention rates for county agencies
specified.Sec. 3: Hearing authority modified.Sec. 4: Third party payer
definition modified.Sec. 5: Competitive bidding rate changes non-effect
specified.Sec. 6: Excess income provisions expanded.Sec. 7: State agency
monetary claim notice required.Sec. 8: Joinder of state in actions against
third parties +regulations provided.Sec. 9: Settlements of claims on behalf of
medical assistance +recipients addressed.Sec. 10: Ineligibility period
clarified.Sec. 11: General assistance medical care eligibility technical
+reference removed.Sec. 12: Social security number requirement exception for
religious +objections provided.Sec. 13: Social security number requirements
provided.Sec. 14: Cooperation in establishing third-party liability support
+technical reference added.Sec. 15: Applications for other benefits
regulated.Sec. 16: Limitations provided.Sec. 17: Disbursement limitations
provided.Sec. 18: Life estate and joint tenancy interests in real estate
+continuation provided.ARTICLE 13�MISCELLANEOUSSection 1: Previous award
status provided.Sec. 2: Public interest review required.Sec. 3: Optional
registration regulations modified.Sec. 4: Family planning grant funds
designated not to be used to +subsidize abortion services.Sec. 5: Technical
reference added.Sec. 6: Single benefit demonstration authorized.Sec. 7:
Special needs technical language added.Sec. 8: License requirements modified
for group residential housing.Sec. 9: Patient services definition modified.Sec.
10: Exemptions to gross revenues modified.ARTICLE 14�HEALTH AND HUMAN
SERVICES FORECAST ADJUSTMENTSSection 1: Forecast adjustments provided.Sec. 2:
Total appropriation summary by fund provided.Sec. 3: Federal TANF fund
adjustments provided.Sec. 4: Basic health care grant summary by fund
adjustments provided.Sec. 5: Health care management summary by fund adjustments
provided.Sec. 6: Continuing care grant summary by fund adjustments
provided.Sec. 7: Economic support grants summary by fund adjustments
provided.Sec. 8: Total appropriation adjustments provided.Sec. 9: Child care
funding adjustments provided.Sec. 10: Effective date.ARTICLE
15--APPROPRIATIONSSection 1: Health and human services appropriations
provided.Sec. 2: Commissioner of human services appropriations detailed.Sec. 3:
Commissioner of health appropriations detailed.Sec. 4: Board of chiropractic
examiners appropriations detailed.Sec. 5: Veterans homes board money
appropriated.AE