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