Legislative Session number- 86

Bill Name: SF3027

2E Relating to human services

ARTICLE 1 - INDIVIDUALIZED EDUCATION PLAN
SERVICES

Modifying the cost-based payment structure for medical assistance
(MA) payment of special education services by requiring costs to be reported
through the department of education data systems for qualification

ARTICLE 2
- STATE HEALTH ACCESS PROGRAM

Removing certain restrictions for formation of
community-based health care coverage programs

ARTICLE 3 - CHILDREN'S HEALTH
INSURANCE REAUTHORIZATION ACT (CHIPRA)

Removing a restriction for infants MA
benefits payment

ARTICLE 4 - LONG-TERM CARE PARTNERSHIP

Providing consumer
protection standards for long-term care partnership policies; repealing the
long-term care partnership policy inflation protection

ARTICLE 5 -
MODIFICATION TO PROHIBITIONS ON ASSET TRANSFERS

Repealing MA prohibited
transfers, period of ineligibility, homestead exception to transfer prohibition,
other exceptions to transfer prohibition and notice of receipt of federal
waiver

ARTICLE 6 - COMMUNITY CLINICS

Exempting federally qualified health
centers and rural health clinics from the health care provider performance
thresholds in the peer grouping system; changing the MA benefit for other clinic
services by removing services of a clinic meeting criteria established by rule;
defining nonprofit community clinic

ARTICLE 7 - DENTAL BENEFIT
SET

Modifying (MA) dental benefits

ARTICLE 8 - PRIOR AUTHORIZATION FOR
HEALTH SERVICES

Removing the requirement for the commissioner of human
services (DHS) to publish a list of MA prior authorization required for health
services and criteria and standards

ARTICLE 9 - DRUG FORMULARY
COMMITTEE

Changing the formulary committee meeting frequency

ARTICLE 10 -
PREFERRED DRUG LIST

Requiring all prescription drugs not on the preferred
drug list to be subject to prior authorization

ARTICLE 11 - MULTISOURCE
DRUGS

Modifying MA payment rates for multisource drugs

ARTICLE 12 -
ADMINISTRATIVE UNIFORMITY COMMITTEE

Specifying the MA payment rate for home
infusion therapy services

ARTICLE 13 - HEALTH PLANS

Making conforming
changes

ARTICLE 14 - CLAIMS AGAINST THE STATE

Excluding federal government
distribution portions from recoveries

ARTICLE 15 - PREPAID HEALTH
PLANS

Modifying disposition of the managed care plan payments
withhold

ARTICLE 16 - INCOME STANDARDS FOR ELIGIBILITY

Prohibiting income
standards to go below a previously effective rate for medical assistance (MA)
for families with children and general assistance medical care
(GAMC)
(rt)