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2006 SESSION

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HB 758 Medical assistance services; State Plan amendment or application for certain waiver.

Introduced by: Phillip A. Hamilton | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Medical Assistance Services; State Plan amendment or application for waiver.  Requires the Department of Medical Assistance Services (DMAS) to convene a Medicaid Revitalization Committee to prepare recommendations for a State Plan amendment or an application for a waiver, including but not limited to a research and demonstration project waiver pursuant to Section 1115 of Title XIX of the Social Security Act, as amended, to reform and revitalize Virginia's Medicaid program. The recommendations shall include fundamental elements to move toward greater emphasis on the state's role in purchasing healthcare services, leveraging the forces of the marketplace to customize services to meet the needs of Virginia's various Medicaid populations, enhancing personal responsibility and empowering individuals to manage their healthcare, bridging public and private coverage, and containing the growth of Medicaid expenditures in the Commonwealth. By May 15, 2007, DMAS shall prepare, submit, and seek approval of any required State Plan amendments or waiver authority. Enactment clauses require emergency regulations upon obtaining approval of the waiver and authorize DMAS to use electronic media, when in compliance with the Administrative Process Act, in the regulatory process.  The provisions of the bill are subject to an appropriation of funds in the general appropriation act.

SUMMARY AS PASSED HOUSE:

Medical Assistance Services; State Plan amendment or application for waiver.  Requires the Department of Medical Assistance Services (DMAS) to convene a Medicaid Revitalization Committee to prepare recommendations for a State Plan amendment or an application for a waiver, including but not limited to a research and demonstration project waiver pursuant to Section III5 of Title XIX of the Social Security Act, as amended, to reform and revitalize Virginia's Medicaid program. The recommendations shall include fundamental elements to move toward greater emphasis on the state's role in purchasing healthcare services, leveraging the forces of the marketplace to customize services to meet the needs of Virginia's various Medicaid populations, enhancing personal responsibility and empowering individuals to manage their healthcare, bridging public and private coverage, and containing the growth of Medicaid expenditures in the Commonwealth. By May 15, 2007, DMAS shall prepare, submit, and seek approval of any required State Plan amendments or waiver authority. Enactment clauses require emergency regulations upon obtaining approval of the waiver and authorize DMAS to use electronic media, when in compliance with the Administrative Process Act, in the regulatory process.

SUMMARY AS INTRODUCED:

Medical Assistance Services; certain waiver application required.  Requires the Department of Medical Assistance Services (DMAS) to prepare, submit, and seek approval of an application for a research and demonstration project waiver pursuant to Section 1115 of Title XIX of the Social Security Act, as amended, to reform Virginia's Medicaid program that must include fundamental elements to move toward greater emphasis on the state's role in purchasing healthcare services, leveraging the forces of the marketplace to customize services to meet the needs of Virginia's various Medicaid populations, enhancing personal responsibility and empowering individuals to manage their healthcare, bridging public and private coverage, and containing the growth of Medicaid expenditures in the Commonwealth. The waiver must include enhanced benefits accounts (healthcare savings accounts), disease management programs, risk-adjusted premiums, employer-sponsored insurance options, managed care enrollment of all recipients currently in the fee-for-service program, and implementation of electronic funds transfer technology and electronic benefits cards. Enactment clauses require emergency regulations upon obtaining approval of the waiver and authorize DMAS to use electronic media, when in compliance with the Administrative Process Act, in the regulatory process.