Bill Text: WV HB2176 | 2025 | Regular Session | Introduced
Bill Title: Relating to a biennial capitation rate review to be conducted by the Bureau of Medical Services
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced) 2025-02-12 - To House Health and Human Resources [HB2176 Detail]
Download: West_Virginia-2025-HB2176-Introduced.html
WEST VIRGINIA LEGISLATURE
2025 REGULAR SESSION
FISCAL NOTE
House Bill 2176
By Delegate Worrell
[Introduced ; referred
to the Committee on ]
A BILL to amend the code of West Virginia, 1931, as amended, by adding thereto a new section, designated §9-5-34; and to repeal §16B-12-3 of said code; relating to a biennial capitation rate review to be conducted by the Bureau of Medical Services.
Be it enacted by the Legislature of West Virginia:
CHAPTER 9. HUMAN SERVICES.
Article 5. Miscellaneous provisions.
§9-5-34. Biennial capitation rate review.
(a) The Bureau of Medical Services shall conduct a biennial study reviewing the adequacy and appropriateness of the reimbursement rates to providers in the IDDW, ADW, personal care services and TBI Program. The bureau shall include a recommendation for any adjustment deemed appropriate, including, but not limited to, annual inflationary costs, costs arising from amendments to existing contracts, costs relating to recruiting and retaining personnel, and any other costs necessitating additional payments to IDDW, ADW, personal care services and TBI providers. The bureau may require, and contracted providers shall provide financial data to the bureau to assist in the study. Without limiting the generality of the foregoing in conducting this study, the bureau shall review and compare equivalent programs both in and out of state in order to determine appropriate rates.
(b) Upon completion of the study, the bureau shall provide the report to the Joint Committee of Finance beginning July 1, 2027, and biennially thereafter, on its findings, conclusions, and recommendations, together with drafts of any legislation necessary to effectuate its recommendations.
CHAPTER 16B. INspector General.
Article 12. regulation of behavioral health.
§16B-12-3. Annual capitation rate review.
[Repealed.]
NOTE: The purpose of this bill is to require the Bureau of Medical Services to conduct a biennial capitation rate review.
Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.
