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2015 Session

Budget Amendments - HB1400 (Floor Approved)

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Provider Assessment Analysis (language only)

Item 278 #1h

Item 278 #1h

Health and Human Resources
Secretary of Health and Human Resources

Language
Page 238, after line 45, insert:
"C. The Secretary of Health and Human Resources shall undertake an analysis of health care provider assessment options for the existing Medicaid program. The analysis shall consider the following elements in assessing the options:  (i) compliance with applicable federal law and regulations; (ii) whether it is designed to operate in a fashion that is mutually beneficial to the Commonwealth and affected health care organizations; (iii) if it addresses health system challenges in preserving access to essential health care services (e.g. trauma programs, obstetrical care) throughout the Commonwealth; (iv) support of indigent care and graduate medical education costs at private teaching hospitals in the Commonwealth; (v) whether it  advances reforms that are consistent with the goals of improved health care access, lower overall costs and better health for Virginians; and (vi) the extent to which it provides equity in the assessment and funding distribution to affected health care organizations.  In conducting the analysis, the Secretary’s office shall be assisted by the Department of Medical Assistance Services, the Virginia Center for Healthcare Innovation, the Virginia Hospital and Healthcare Association and other potentially affected healthcare provider groups. The Secretary shall report conclusions and findings from the analysis to the Chairmen of the House Appropriations and Senate Finance Committees by November 1, 2015."


Explanation
(This amendment requires the Secretary of Health and Human Resources to conduct an analysis of health care provider assessment options for the existing Medicaid program and report on the conclusions and findings from such analysis to the Chairmen of the money committees by November, 2015. A companion amendment in Item 301 eliminates language requiring a pilot program to implement a hospital provider assessment to adjust Medicaid hospital rates.)