Bill Text: NJ A3717 | 2014-2015 | Regular Session | Amended
Bill Title: Increases Medicaid reimbursement rates for certain evidence-based behavioral health services; designated as the Mental Health Access Act.*
Spectrum: Partisan Bill (Democrat 7-0)
Status: (Introduced - Dead) 2016-01-07 - Reported out of Assembly Committee, 2nd Reading [A3717 Detail]
Download: New_Jersey-2014-A3717-Amended.html
[First Reprint]
ASSEMBLY, No. 3717
STATE OF NEW JERSEY
216th LEGISLATURE
INTRODUCED SEPTEMBER 22, 2014
Sponsored by:
Assemblywoman VALERIE VAINIERI HUTTLE
District 37 (Bergen)
Assemblyman DANIEL R. BENSON
District 14 (Mercer and Middlesex)
Assemblyman JOSEPH A. LAGANA
District 38 (Bergen and Passaic)
Assemblywoman SHAVONDA E. SUMTER
District 35 (Bergen and Passaic)
Assemblyman RAJ MUKHERJI
District 33 (Hudson)
SYNOPSIS
Increases Medicaid reimbursement rates for certain evidence-based behavioral health services; designated as the Mental Health Access Act.
CURRENT VERSION OF TEXT
As reported by the Assembly Human Services Committee on December 14, 2015, with amendments.
An Act concerning behavioral health services1, designated as the Mental Health Access Act,1 and supplementing Title 30 of the Revised Statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. The reimbursement rate for a behavioral health care service provided to an adult or a child that is billed to the State Medicaid program shall be no less than the market rate for the service, provided the following conditions are met:
(1) The behavioral health care service is evidence-based;
(2) The service is limited to individual or group counseling provided in an outpatient setting; and
(3) The billing provider is a substance abuse treatment facility licensed by the Division of Mental Health and Addiction Services or a health care professional licensed or certified to practice a health care profession pursuant to Title 45 or Title 52 of the Revised Statutes.
b. As used in this section:
"Behavioral health care service" means a procedure or service rendered by a health care provider for the treatment of mental illness, emotional disorders, or drug or alcohol abuse.
"Evidence-based" means an intervention that is included in the National Registry of Evidence-based Programs and Practices published by the federal Substance Abuse and Mental Health Services Administration, or meets other criteria established by the Commissioner of Human Services, in consultation with the Commissioner of Children and Families, for evidence-based treatment.
1"Market rate" means the same rate as reimbursement for such services under the federal Medicare reimbursement schedule.1
"Medicaid" means the Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.).
1"Medicare" means the federal Medicare program established pursuant to Title XVIII of the federal Social Security Act (42 U.S.C.s.1395 et seq.).1
2. The Commissioner of
Human Services shall apply for such State plan amendments or waivers as may be
necessary to implement the provisions of this act and to secure federal
financial participation for State Medicaid expenditures under the federal
Medicaid program.
3. The Commissioner of Human Services and the Commissioner of Children and Families shall adopt rules and regulations pursuant to the "Administrative Procedure Act" P.L.1968, c.410 (C.52:14B-1 et seq.) to effectuate the purposes of this act.
4. This act shall take effect on the first day of the fourth month next following the date of enactment, and shall apply to all services provided on or after the effective date, except that the Commissioner of Human Services and the Commissioner of Children and Families may take any anticipatory administrative action in advance as shall be necessary for the implementation of this act.
