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S.F. No. 0060 |
Medicaid reform. |
Sponsored By: Joint Labor, Health and Social Services Interim Committee
AN ACT relating to the Medicaid program; providing direction to the department of health for the reform and redesign of the program; requiring reports; repealing a cap on the number of participants in the home and community based waiver program; providing an appropriation; and providing for an effective date.
12/31/2012 Bill Number Assigned
1/8/2013 S Received for Introduction
1/8/2013 S Introduced and Referred to S10
1/16/2013 S10 Recommended Amend and Do Pass
ROLL CALL
Ayes: Senator(s) Anderson, JL S28, Craft, Nutting, Peterson and Scott
Ayes 5 Nays 0 Excused 0 Absent 0 Conflicts 0
1/16/2013 S Placed on General File
1/16/2013 S Rereferred to S02
1/17/2013 S02 Recommended Do Pass
ROLL CALL
Ayes: Senator(s) Bebout, Dockstader, Hastert, Meier and Perkins
Ayes 5 Nays 0 Excused 0 Absent 0 Conflicts 0
1/17/2013 S Placed on General File
SF0060SS001/ADOPTED
Page 4-line 21 After "acuity" insert ", percentage of Medicaid occupancy and regional economic factors". SCOTT, CHAIRMAN
1/22/2013 S Passed CoW
SF0060S2001/ADOPTED
Page 6-line 3 After "interest" insert "." and delete balance of line. CRAFT, BARNARD, SCOTT
1/23/2013 S Passed 2nd Reading
1/24/2013 S Passed 3rd Reading
ROLL CALL
Ayes: Senator(s) Anderson, JD S02, Anderson, JL S28, Bebout, Burns, Case, Christensen, Coe, Cooper, Craft, Dockstader, Driskill, Emerich, Esquibel, F., Geis, Hastert, Hicks, Hines, Johnson, Landen, Meier, Nicholas, P., Nutting, Perkins, Peterson, Ross, Rothfuss, Schiffer, Scott and Von Flatern
Nays: Senator(s) Barnard
Ayes 29 Nays 1 Excused 0 Absent 0 Conflicts 0
1/25/2013 H Received for Introduction
1/28/2013 H Introduced and Referred to H10
2/7/2013 H10 Recommended Amend and Do Pass
ROLL CALL
Ayes: Representative(s) Barlow, Coleman, Filer, Greene, Harvey, Kasperik, Larsen, Throne and Wilson
Ayes 9 Nays 0 Excused 0 Absent 0 Conflicts 0
2/7/2013 H Placed on General File
2/7/2013 H Rereferred to H02
2/19/2013 H02 Recommended Amend and Do Pass
ROLL CALL
Ayes: Representative(s) Burkhart, Esquibel, K., Harshman, Moniz, Stubson and Wallis
Excused: Representative(s) Nicholas, B.
Ayes 6 Nays 0 Excused 1 Absent 0 Conflicts 0
2/19/2013 H Placed on General File
SF0060HS001/ADOPTED (CORRECTED COPY) (TO ENGROSSED COPY)
Page 2-line 2 After "Concerning" insert "all"; after "care" insert "and waiver".
Page 3-line 11 Delete "Provision" insert "Expansion".
Page 5-line 23 Delete "community based" insert "lower cost, more integrated".
Page 6-After line 3 Insert:
"(b) The department shall hold at least two (2) informational meetings to provide opportunities for clients, guardians and service providers affected by the program changes proposed in paragraph (a)(iii) of this section to provide testimony. The department shall provide notice to those clients, guardians and service providers at least two (2) weeks prior to each meeting.".
Page 6-line 5 Delete "(b)" insert "(c)". HARVEY, CHAIRMAN
SF0060HS002/ADOPTED (TO ENGROSSED COPY)
Page 1-line 5 After "appropriation;" insert "exempting contracts from procurement requirements as specified;".
Page 6-line 21 After "Section 3." insert "(a)".
Page 7-After line 10 Insert:
"(b) The department of health shall have the authority to contract with experts and consultants as may be useful in conducting any study provided for in this act. In contracting for services with experts and consultants for purposes of conducting any study, the department shall be exempt from the procurement requirements set out in W.S. 9‑2‑1016 and any other state laws, rules or policies governing the procurement of services by a state agency other than the requirement for approval of those contracts by the attorney general. This exemption shall expire on June 30, 2014 or upon completion of the study, whichever occurs first.". HARSHMAN, CHAIRMAN
SF0060HW001/ADOPTED (TO ENGROSSED COPY)
Page 5-After line 23 Insert:
"(D) Creation of a temporary technical assistance program to assist current providers with the transition to the proposed new model of care that will, to the best of the department's ability, provide guidance and assistance in the areas of:
(I) Staffing realignments and training;
(II) Transitioning clients to the least intense level of care;
(III) Establishing networks of coordinated care;
(IV) Developing partnerships for community and support services or the creation of those services;
(V) License and certification changes;
(VI) Payment model changes or revenue and fiscal impact transitions;
(VII) Accountability reforms;
(VIII) Documentation and records reforms; and
(IX) Policy development.".
Page 6-line 1 Delete "(D)" insert "(E)". DAVISON
SF0060HW002/ADOPTED (TO ENGROSSED COPY)
Page 5-line 4 Delete "serve" insert "optimize the services provided to current clients and to extend appropriate services to".
Page 5-line 14 Delete "serve" insert "optimize the services provided to current clients and to extend appropriate services to".
Page 5-line 19 After "needs" insert "in consultation with the clients' guardians, and as appropriate, current case managers and providers". DAVISON
SF0060HW003/ADOPTED (TO ENGROSSED COPY)
Page 5-line 4 Delete "all".
Page 5-line 14 Delete "all". DAVISON
SF0060HW004/WITHDRAWN
2/21/2013 H Passed CoW
SF0060H2001/FAILED (TO ENGROSSED COPY)
Page 3-line 4 After "amendments" insert "but shall not implement those plan amendments without further legislative approval". KROEKER
SF0060H2002/FAILED (TO ENGROSSED COPY)
Page 1-Above line 1 In the catch title, after "reform" insert "and expansion".
Page 1-line 1 After "program;" insert "providing for expansion of coverage to low income persons as specified;".
Page 1-line 5 Delete "an appropriation" insert "appropriations".
Page 1-After line 8 Insert:
"Section 1. W.S. 42‑4‑104 by creating a new subsection (f) is amended to read:
42‑4‑104. Powers and duties of department of health; state Medicaid agent appointed by governor.
(f) The department shall provide for all persons described under section 1902(a)(10)(A)(i)(VIII) of the Social Security Act, 42 U.S.C. § 1396a(a)(10)(A)(i)(VIII), to be eligible for services under this chapter beginning January 1, 2014. However, this subsection shall not apply if the federal medical assistance percentage, pursuant to 42 U.S.C. § 1396d(y), is less than ninety percent (90%).".
Page 1-line 10 Delete "1" insert "2".
Page 6-line 19 Delete "2" insert "3".
Page 6-line 21 Delete "3" insert "4".
Page 7-line 3 After "to" insert "section 2 of".
Page 7-After line 10 Insert:
"(c) There is appropriated one hundred fifty-six million seven hundred thousand ($156,700,000.00) in federal funds to the department of health. This appropriation shall be for the period beginning with the effective date of this act and ending June 30, 2015. This appropriation shall only be expended for the purpose of Medicaid expansion as provided in section 1 of this act. Notwithstanding any other provision of law, this appropriation shall not be transferred or expended for any other purpose and any unexpended, unobligated funds remaining from this appropriation shall revert as provided by law on June 30, 2015.".
Renumber as necessary. ZWONITZER, DN., FILER
ROLL CALL
Ayes: Representative(s) Blake, Byrd, Connolly, Esquibel, K., Filer, Freeman, Goggles, Greene, Petroff, Throne and Zwonitzer, Dn.
Nays: Representative(s) Baker, Barlow, Berger, Blevins, Blikre, Brown, Burkhart, Campbell, Cannady, Eklund, Gay, Gingery, Greear, Halverson, Harshman, Harvey, Hunt, Hutchings, Jaggi, Kasperik, Kirkbride, Kroeker, Krone, Larsen, Lockhart, Loucks, Lubnau, Madden, McKim, Miller, Moniz, Nicholas, B., Northrup, Patton, Paxton, Piiparinen, Reeder, Semlek, Sommers, Stubson, Teeters, Wallis, Walters, Watt, Wilson, Winters and Zwonitzer, Dv.
Excused: Representative(s) Davison
Conflicts: Representative(s) Coleman
Ayes 11 Nays 47 Excused 1 Absent 0 Conflicts 1
SF0060H2003/FAILED (TO ENGROSSED COPY)
Delete the first Davison committee of the whole amendment (SF0060HW001/AE) entirely.
Further amend the engrossed copy as follows:
Page 6-After line 3 After the first standing committee amendment (SF0060HS001/AE) to this line, insert:
"(c) Before any program changes are implemented, the department shall assist current providers with the transition to the new models of care by developing and distributing educational materials regarding, but not limited to:
(i) Use of incentives;
(ii) Changes in payment models and reimbursement;
(iii) Restructuring of the waiver programs;
(iv) Transitioning clients to different levels of services;
(v) Establishing networks of coordinated care; and
(vi) Changes in assessment procedures.".
Renumber as necessary. WILSON
2/22/2013 H Passed 2nd Reading
SF0060H3001/WITHDRAWN
2/25/2013 H Passed 3rd Reading
ROLL CALL
Ayes: Representative(s) Baker, Barlow, Berger, Blake, Blevins, Blikre, Brown, Burkhart, Byrd, Campbell, Cannady, Connolly, Eklund, Esquibel, K., Filer, Freeman, Gingery, Goggles, Greear, Greene, Harshman, Harvey, Hunt, Hutchings, Kasperik, Kirkbride, Krone, Larsen, Lockhart, Loucks, Lubnau, Madden, Moniz, Nicholas, B., Northrup, Patton, Paxton, Petroff, Semlek, Sommers, Stubson, Teeters, Throne, Wallis, Walters, Wilson, Winters, Zwonitzer, Dn. and Zwonitzer, Dv.
Nays: Representative(s) Davison, Gay, Halverson, Jaggi, Kroeker, McKim, Miller, Piiparinen, Reeder and Watt
Conflicts: Representative(s) Coleman
Ayes 49 Nays 10 Excused 0 Absent 0 Conflicts 1
2/25/2013 S Received for Concurrence
2/26/2013 S Did Not Concur
ROLL CALL
Nays: Senator(s) Anderson, JD S02, Anderson, JL S28, Barnard, Bebout, Burns, Case, Christensen, Coe, Cooper, Craft, Dockstader, Driskill, Emerich, Esquibel, F., Geis, Hastert, Hicks, Hines, Johnson, Landen, Meier, Nicholas, P., Nutting, Perkins, Peterson, Ross, Rothfuss, Schiffer, Scott and Von Flatern
Ayes 0 Nays 30 Excused 0 Absent 0 Conflicts 0
2/26/2013 S Appointed JCC01 Members:
Senator(s) Scott, Anderson, J.L. S28, Craft
2/26/2013 H Appointed JCC01 Members:
Representative(s) Harvey, Davison, Larsen
2/27/2013 S Adopted SF0060JC01
SF0060JC01/A ADOPTED (TO ENGROSSED COPY)
Adopt the following House amendments:
SF0060HS001/ACE
SF0060HS002/AE
SF0060HW002/AE
SF0060HW003/AE
Delete the following House amendments:
SF0060HW001/AE
Further amend the ENGROSSED COPY as follows:
Page 5-after line 23 Insert:
"(D) The department shall develop a plan to determine the needs of individual clients, placement options and continuum of care that recognizes change of need and change of circumstances over time.".
Page 6-line 1 Delete "(D)" insert "(E)".
SCOTT, ANDERSON, J.L., CRAFT, HARVEY, DAVISON, LARSEN
ROLL CALL
Ayes: Senator(s) Anderson, JD S02, Anderson, JL S28, Barnard, Bebout, Burns, Christensen, Coe, Cooper, Craft, Dockstader, Driskill, Emerich, Esquibel, F., Geis, Hastert, Hicks, Hines, Johnson, Landen, Meier, Nicholas, P., Nutting, Perkins, Peterson, Ross, Rothfuss, Schiffer, Scott and Von Flatern
Nays: Senator(s) Case
Ayes 29 Nays 1 Excused 0 Absent 0 Conflicts 0
2/27/2013 H Adopted SF0060JC01
SF0060JC01/AA ADOPTED (TO ENGROSSED COPY)
Adopt the following House amendments:
SF0060HS001/ACE
SF0060HS002/AE
SF0060HW002/AE
SF0060HW003/AE
Delete the following House amendments:
SF0060HW001/AE
Further amend the ENGROSSED COPY as follows:
Page 5-after line 23 Insert:
"(D) The department shall develop a plan to determine the needs of individual clients, placement options and continuum of care that recognizes change of need and change of circumstances over time.".
Page 6-line 1 Delete "(D)" insert "(E)".
SCOTT, ANDERSON, J.L., CRAFT, HARVEY, DAVISON, LARSEN
ROLL CALL
Ayes: Representative(s) Baker, Barlow, Berger, Blevins, Blikre, Brown, Burkhart, Campbell, Cannady, Connolly, Davison, Eklund, Esquibel, K., Filer, Freeman, Gay, Gingery, Greear, Greene, Halverson, Harshman, Harvey, Hunt, Hutchings, Jaggi, Kasperik, Kirkbride, Krone, Lockhart, Loucks, Lubnau, Madden, McKim, Miller, Moniz, Nicholas, B., Northrup, Paxton, Petroff, Piiparinen, Reeder, Semlek, Sommers, Stubson, Teeters, Throne, Wallis, Walters, Watt, Wilson, Winters, Zwonitzer, Dn. and Zwonitzer, Dv.
Nays: Representative(s) Blake, Byrd, Goggles and Kroeker
Excused: Representative(s) Larsen and Patton
Conflicts: Representative(s) Coleman
Ayes 53 Nays 4 Excused 2 Absent 0 Conflicts 1
2/27/2013 Assigned Number SEA No. 0082
2/27/2013 S President Signed SEA No. 0082
2/27/2013 H Speaker Signed SEA No. 0082
3/1/2013 Governor Signed SEA No. 0082
3/1/2013 Assigned Chapter Number
Chapter No. 0117 Session Laws of Wyoming 2013