General Bill
Medicaid:
Provides waiver authority to the Agency for Health Care Administration; specifies demonstration pilot project sites; provides requirements for managed care pilot projects; provides for implementation of demonstration pilot projects; requires the agency to develop a capitated system of care; requires managed care plans to include mandatory Medicaid services and behavioral health and pharmacy services; requires a managed care plan to have a certificate of authority from the agency before operating under the waiver; provides for certification requirements, including financial solvency, infrastructure, network capacity, and recipient access to be established in consultation with Office of Insurance Regulation; provides for contracts for administrative functions, and requirements; provides for cost sharing by recipients, and requirements; provides for continuance of the MediPass program under certain circumstances; requires the agency to develop an encounter data system; requires plans and providers to report data; requires the agency to have an accountability system; requires plans to have quality assurance systems; requires plans to have quality improvement systems; requires certain entities certified to operate a managed care plan to comply with specified law; provides for agency to establish and provide for funding of catastrophic coverage for recipients who exceed a plan's risk capacity; provides for a threshold to access to catastrophic coverage; requires plans to continue to provide services to recipients receiving catastrophic coverage; provides for agency to develop a rate setting and risk adjustment system based on set premiums, health status, and other factors and actuarial analysis and requirements for the system; provides for applicability and enforcement; grants rulemaking authority to the agency; requires legislative authority to implement the waiver; provides for future review and repeal of the act; deletes requirement for competitive bidding for provider service networks and preserving hospital networks.
Effective Date:
July 1, 2005.
Last Event:
Laid on Table under Rule 7.9(c); Refer to HCB 6003 (Died on Senate Calendar); Link/Iden/Sim/Compare passed, refer to CS/CS/SB 838 (Ch. 2005-133) on Wednesday, April 6, 2005 2:26 PM
| Bill #
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Subject
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Relationship
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Bill #:
HB 1869
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Subject:
Medicaid
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Relationship:
Compare
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Bill #:
HB 1871
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Subject:
Medicaid
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Relationship:
Compare
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Bill #:
HB 1873
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Subject:
Medicaid
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Relationship:
Compare
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Bill #:
HCB 6003
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Subject:
Medicaid Reform
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Relationship:
Compare
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Bill #:
CS/CS/SB 838
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Subject:
Medicaid
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Relationship:
Compare
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| Event |
Time |
Member |
Committee |
Ver. |
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Event:
H Laid on Table under Rule 7.9(c); Refer to HCB 6003 (Died on Senate Calendar); Link/Iden/Sim/Compare passed, refer to CS/CS/SB 838 (Ch. 2005-133)
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Time:
04/06/2005 - 2:26 PM
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Member:
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Committee:
Health & Families Council
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Version:
__
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Event:
H 1st Reading
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Time:
04/01/2005 - 7:06 PM
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Member:
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Committee:
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Version:
__
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Event:
H Now in Health & Families Council
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Time:
04/01/2005 - 3:54 PM
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Member:
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Committee:
Health & Families Council
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Version:
__
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Event:
H Referred to Health & Families Council
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Time:
04/01/2005 - 3:54 PM
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Member:
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Committee:
Health & Families Council
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Version:
__
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Event:
H Filed
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Time:
04/01/2005 - 11:22 AM
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Member:
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Committee:
Health Care Regulation Committee
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Version:
__
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