Bill Text: HI SB397 | 2023 | Regular Session | Introduced
Bill Title: Relating To Professional Medicaid Services.
Spectrum: Partisan Bill (Democrat 6-0)
Status: (Engrossed - Dead) 2023-04-28 - Conference Committee Meeting will reconvene on Friday, 04-28-23 at 04:40pm in Conference Room 329. [SB397 Detail]
Download: Hawaii-2023-SB397-Introduced.html
THE SENATE |
S.B. NO. |
397 |
THIRTY-SECOND LEGISLATURE, 2023 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
Relating to professional medicaid services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that nearly one third
of Hawaii’s residents and half of all keiki are enrolled in medicaid. Since the start of the coronavirus disease
2019 pandemic in March 2020, medicaid enrollment has increased forty per cent. However, timely access to providers can prove
difficult, especially in rural areas where health care providers are in short
supply. In 2022, the State had a shortfall of more
than seven hundred fifty full-time physicians and nearly four thousand
nonphysician, patient-facing health care workers, such as nurses, technicians,
and patient service representatives.
The legislature further finds that due to
the significant number of Hawaii residents receiving medicaid coverage, health
care providers often receive less reimbursement from medicaid than from
medicare or commercial insurances for the same service. While some providers are reimbursed at cost or
at the same rates as medicare -- such as critical access hospitals, community
health centers, and providers who perform certain services -- most individual health
care professionals, such as physicians, psychiatrists, psychologists, and
advanced practice registered nurses, are not.
Lesser reimbursements contribute to the challenges providers face in
sustaining practices, leading some health care providers to limit or refuse to
accept medicaid patients. Investing in medicaid
by matching reimbursement levels to those of medicare would allow more health
care providers to accept medicaid patients, improving access to care.
Therefore, the purpose of this Act is to
appropriate funds to increase medicaid reimbursements to eligible health care
professionals to match the current medicare fee schedule.
SECTION 2. There is appropriated out of the general revenues of the State of Hawaii the sum of $30,000,000 or so much thereof as may be necessary for fiscal year 2023-2024 and the same sum or so much thereof as may be necessary for fiscal year 2024-2025 to increase medicaid payments to eligible health care professionals in the State up to one hundred per cent of the current medicare rates.
The sums appropriated shall be expended by the department of human services for the purposes of this Act.
SECTION 3. The appropriations made by this Act shall not lapse at the end of the fiscal year for which the appropriation is made; provided that all moneys from the appropriation unencumbered as of June 30, 2025, shall lapse as of that date.
SECTION 4. This Act shall take effect on July 1, 2023.
INTRODUCED BY: |
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Report Title:
Medicaid; Reimbursements; Medicare; Appropriation
Description:
Appropriates
funds to increase Medicaid payments to eligible health care
professionals in the State up to one hundred per cent of the current Medicare
rates.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.