Bill Text: GA SB443 | 2009-2010 | Regular Session | Comm Sub

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Medicaid Care Management Organization Legislative Oversight Committee; create

Spectrum: Moderate Partisan Bill (Republican 5-1)

Status: (Engrossed - Dead) 2010-04-20 - House Committee Favorably Reported [SB443 Detail]

Download: Georgia-2009-SB443-Comm_Sub.html

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10 LC 36 1605S

The Senate Health and Human Services Committee offered the following substitute to SB 443:

A BILL TO BE ENTITLED
AN ACT

To amend Chapter 21A of Title 33 of the Official Code of Georgia Annotated, relating to the "Medicaid Care Management Organizations Act," so as to create the Medicaid Care Management Organization Legislative Oversight Committee; to provide for its membership, terms, and meetings; to provide for its duties; to provide for cooperation with other agencies; to provide for an annual report; to provide for expenses for members; to provide for an audit; to provide for an effective date; to provide for related matters; to repeal conflicting laws; and for other purposes.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:

SECTION 1.

Chapter 21A of Title 33 of the Official Code of Georgia Annotated, relating to the "Medicaid Care Management Organizations Act," is amended by adding a new Code section to read as follows:

"33-21A-13.

(a) There is created the Medicaid Care Management Organization Legislative Oversight Committee which shall be composed of eight persons: three members of the House of Representatives appointed by the Speaker of the House of Representatives, three members of the Senate appointed by the Lieutenant Governor, and one member of the House of Representatives and one member of the Senate appointed by the Governor. The members of the committee shall be selected within ten days after the convening of the General Assembly in each odd-numbered year and shall serve until their successors are appointed.

(b) The Lieutenant Governor shall appoint a member of the committee to serve as chairperson, and the Speaker of the House of Representatives shall appoint one member to serve as vice chairperson during each odd-numbered year. The Speaker of the House of Representatives shall appoint a member of the committee to serve as chairperson, and the Lieutenant Governor shall appoint one member of the committee to serve as vice chairperson during each even-numbered year. The committee shall meet at least three times each year and, upon the call of the chairperson, at such additional times as deemed necessary by the chairperson.

(c) It shall be the duty of the committee to review and evaluate:

(1) Information relating to consumer complaints involving eligibility determinations;

(2) Information relating to provider complaints involving payment or coverage issues;

(3) Information relating to a care management organization's compliance with contract terms, including timeframes and deadlines;

(4) Information relating to a care management organization's compliance with statutory and regulatory requirements; and

(5) Such other information or reports as deemed necessary by the committee.

(d) The Department of Community Health and the Department of Insurance shall cooperate with the committee and provide such information or reports as requested by the committee for the performance of its functions.

(e) The committee shall make an annual report of its activities and findings to the membership of the General Assembly and the Governor within one week of the convening of each regular session of the General Assembly. The chairperson of the committee shall deliver written executive summaries of such report to the members of the General Assembly prior to the adoption of the General Appropriations Act each year.

(f) The members of the committee shall receive the allowances authorized for legislative members of legislative committees. The funds necessary to pay such allowances shall come from funds appropriated to the House of Representatives and the Senate.

(g) The committee shall be authorized to request that a performance audit of the services provided by care management organizations for Medicaid and PeachCare for Kids be conducted."

SECTION 2.

This Act shall become effective on January 1, 2011.

SECTION 3.

All laws and parts of laws in conflict with this Act are repealed.