Bill Text: IN SB0015 | 2012 | Regular Session | Engrossed
Bill Title: Brain injury services and Medicaid.
Spectrum: Slight Partisan Bill (Republican 3-1)
Status: (Enrolled - Dead) 2012-03-19 - Signed by the Governor [SB0015 Detail]
Download: Indiana-2012-SB0015-Engrossed.html
Citations Affected: IC 12-15; noncode.
Synopsis: Brain injury services and case management services.
Requires the office of Medicaid policy and planning (OMPP) to apply
to amend the state Medicaid plan to include reimbursement under
Medicaid for brain injury services and neurobehavioral services
provided in Indiana. Requires the state department of health (ISDH) to
license facilities that provide brain injury services and neurobehavioral
services. Establishes an advisory committee to assist OMPP and ISDH.
Requires OMPP to develop a plan for a risk based case management
system for the aged, blind, and disabled pilot program. Requires OMPP
to present the plan to the health finance commission. (The introduced
version of this bill was prepared by the health finance commission.)
Effective: Upon passage; July 1, 2012.
(HOUSE SPONSORS _ BROWN T, BROWN C, KARICKHOFF)
January 4, 2012, read first time and referred to Committee on Health and Provider
Services.
January 12, 2012, amended, reported favorably _ Do Pass.
January 17, 2012, read second time, amended, ordered engrossed.
January 18, 2012, engrossed.
January 23, 2012, read third time, passed. Yeas 49, nays 1.
January 31, 2012, read first time and referred to Committee on Public Health.
February 23, 2012, amended, reported _ Do Pass.
February 28, 2012, read second time, amended, ordered engrossed.
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A BILL FOR AN ACT to amend the Indiana Code concerning
human services.
(1) Before September 1, 2012, apply to the United States Department of Health and Human Services for an amendment to the state Medicaid plan to include reimbursement under Medicaid for brain injury services and neurobehavioral services provided in Indiana.
(2) Provide the state department of health with information necessary for the state department of health to create a licensure category for neurobehavioral rehabilitation facilities and facilities that provide brain injury services.
(b) The state department of health shall license facilities that provide brain injury services and neurobehavioral services and shall consider the information provided by the office under subsection (a)(2).
(c) The office may not implement the Medicaid plan amendment
under subsection (a) until the office files an affidavit with the
governor attesting that the Medicaid plan amendment applied for
under subsection (a) is in effect. The office shall file the affidavit
under this subsection not later than five (5) days after the office is
notified that the Medicaid plan amendment is approved.
(d) If the office receives a plan amendment under this section
from the United States Department of Health and Human Services
and the governor receives the affidavit filed under subsection (c),
the office shall implement the Medicaid plan amendment under
subsection (a) not more than sixty (60) days after the governor
receives the affidavit.
(e) The office may adopt rules under IC 4-22-2 necessary to
implement this section.
(f) The office shall provide the health finance commission
(established by IC 2-5-23-3) with an update on the status and
implementation of this section during the 2012 and 2013 legislative
interims.
(g) The brain injury treatment advisory committee is
established for the purpose of assisting the state department of
health and the office of the secretary of family and social services
with the implementation of this section. The committee consists of
the following members:
(1) The commissioner of the state department of health or the
commissioner's designee, who is the chairperson of the
committee.
(2) The director of the office of Medicaid policy and planning,
or the director's designee.
(3) The director of the division of aging, or the director's
designee.
(4) The director of the rehabilitation services bureau within
the office of the secretary of family and social services, or the
director's designee.
(5) The following members appointed by the governor not
later than May 1, 2012:
(A) One (1) member representing the Brain Injury
Association of Indiana.
(B) Six (6) individuals representing any of the following:
(i) Brain injury service providers.
(ii) Residential care providers.
(iii) Health care providers who have knowledge
concerning brain injuries.
(C) One (1) representative of the rate setting contractor
used by the office of Medicaid policy and planning.
(D) One (1) consumer of brain injury services.
(E) One (1) psychologist licensed under IC 25-33-1 who
specializes in the assessment and treatment of individuals
with a brain injury.
(F) One (1) individual who is a caregiver of a consumer of
brain injury services.
(G) One (1) representative of the Indiana Association of
Area Agencies on Aging.
The office shall staff the committee. The committee shall meet at
least four (4) times at the call of the chairperson. The members of
the committee are not entitled to per diem or reimbursement for
expenses incurred in connection with the members' committee
duties. The committee is abolished July 1, 2013.
SECTION 2. [EFFECTIVE JULY 1, 2012] (a) The office of
Medicaid policy and planning (IC 12-8-6-1) shall develop a plan for
a pilot program to establish a risk based case management system
for aged, blind, and disabled Medicaid recipients.
(b) Before September 29, 2012, the office of Medicaid policy and
planning shall submit the plan developed under subsection (a),
including any proposed legislative changes needed to implement
the plan, to the health finance commission (established by
IC 2-5-23-3).
(c) The health finance commission shall study whether:
(1) the plan developed under subsection (a) should be
implemented; and
(2) legislation should be prepared concerning the plan
developed under this SECTION.
(d) This SECTION expires December 31, 2012.