SB 926 — Emergency Dept. Care Management Grant Program and Fund; established & created, report, sunset date.

SESSION ENGROSSEDHOUSE 23101557DSUBSTITUTE 23106778D SENATE BILL NO.

926 SenateAMENDMENT AmendmentsIN inTHE [NATURE ]OF -A JanuarySUBSTITUTE 26,(Proposed 2023by Prefiledthe JanuaryHouse 6,Committee 2023on Health, Welfare and Institutions on February 14, 2023) (Patron Prior to Substitute––Senator Favola) A BILL to amend the Code of Virginia by adding in Title 32.1 a chapter numbered 19.1, consisting of sections numbered 32.1-372.1, 32.1-372.2, and 32.1-372.3, relating to Emergency Department Care Management Grant Program and Fund;

rep––––––––––report.and Patron32.1-372.3, Priorrelating to Engrossment––SenatorEmergency FavolaDepartment ––––––––––Care E Referred to Committee on Education and Health N –––––––––– Be it enacted by the General Assembly of Virginia:

G 1.

That the Code of Virginia is amended by adding in Title 32.1 a chapter numbered 19.1, R consisting of sections numbered 32.1-372.1, 32.1-372.2, and 32.1-372.3, as follows:

O § 32.1-372.1.

SH A.

The Emergency Department Care Management Grant Program is hereby established to provide S grants to eligible hospitals that provide care management and medical services to frequent users of hospital emergency departments.

(ii) support emergency department casDcase management staff;

(iv) identifyand socialpayers determinantsto ofdevelop healtha andplan barriersfor tocommunity care;

(v)and facilitate(vi) collaborationimprove withthe providersability andof payerspatients to developmanageiders atheir plancare forin communitythe care;community.

andE (vi)B. improve the ability of patients to manage their care in the community.

B.The Department shall evaluate the effectiveness of the Emergency Department Care Management Grant Program in achieving the purposes set forth in subsection A.

The DepartmentCommissioner shall evaluatereport the effectiveness of the Emergency Department Care Management Department's findings to the General Assembly and the Joint Commission on Health Care by October 1,e1, 2027.

S §There 32.1-372.2.is hereby created in the state treasury a special nonreverting fund to be known as theU Emergency Department Care Management Grant Fund, referred to in this section as "the Fund." The Fund shall be established on the books of the Comptroller.

EmergencyAll Departmentfunds Careappropriated Managementfor Grantsuch purpose and any gifts, donations, grants, bequests, and other funds received on its behalf shall be paid inSo the state treasury and credited to the Fund.

BInterest Thereearned ison herebymoneys created in the stateFund treasuryshall aremain specialin nonrevertingthe fundFuTd toand befiscal knownyear asshall the2not Emergencyrevert Department Care Management Grant Fund, referred to inthe thisgeneral sectionfund asbut "the Fund." TheE Fund shall beremain establishedin on the booksFund. of the Comptroller.

AllMoneys fundsin appropriatedthe forFund suchshall purposebe andused anysolely gifts,for donations,the grants,purposes bequests,of andthe otherEmergency fundsDepartment receivedCare onManagement itsGrant behalfProgram shallset beI paid36 intoforth thein state§ treasury32.1-372.1. and credited to the Fund.

InterestExpenditures earnedand ondisbursements moneysfrom in the Fund shall remainbe inmade by the FundState andT 3537 beTreasurer creditedon towarrants it.issued by the Comptroller upon written request signed by the Commissioner or / 38 his designee.

AnyU moneys39 remaining in the Fund, including interest thereon, at the end of each 37 be used solely for the purposes of the Emergency Department Care Management Grant Program setFund shall 38 forth in § 32.1-372.1.32.1-372.3.

Expenditures and disbursements from the Fund shall be made by the State 39 Treasurer on warrants issued by the Comptroller upon written request signed by the Commissioner or his designee.

§ 32.1-372.3.

A.T Management Grant Program as it deems necessary and appropriate.

[Such Theguidelines Department shall issueinclude guidelines(E) foran theapplication administrationprocess, of(ii) thecriteria Emergencyfor Departmentawarding Caregrants, Management(iii) Granta Programprocess asfor itthe deemsdisbursement necessaryof grants, and appropriate.(iv) limits on grant amounts.

SuchB. guidelines The Administrative Process Act (§ 2.2-4000 et seq.) shall not apply to the development of guidelines for the Emergency Department Care Management Grant Fund.

The Department's Office of Licensure and Certification shall Program, which ] shall include (i) an application process, (ii) criteria for awarding grants, (iii) a process for the disbursement of grants, and (iv) limits on grant amounts.

[ The process for development of guidelines shall include (a) the use of an advisory committee composed of interested parties, (b) a minimum 60-day public comment period on draft guidelines followed by a public hearing, (c) written responses to all comments received, and (d) notice of the availability of draft guidelines and final guidelines to all who request such notice.

] B.

1.

Grants may be awarded to hospitals for a period of four years or less;

and management, (ii) estimate the number of patients that will meet the criteria for care management eachf care year, (iii) identify strategies the hospital will use to coordinate with payers and community providers, SB926E 2 of 2 (iv) identify strategies the hospital will employ to utilize the Emergency Department Care Coordination Program established in § 32.1-372, and (v) identify methods and metrics the hospital will use to evaluate and ensure its satisfaction of the purposes set forth in § 32.1-372.1.

[Grant Thatapplicants shall (i) explain the provisionsmethods ofthat thiswill actbe shallused notto becomeidentify effectivepatients unlessin anneed appropriationof effectuatingcare management, (ii) estimate the purposesnumber of thispatients actthat iswill includedmeet inthe acriteria generalfor appropriationcare actmanagement passedeach year, (iii) identify strategies the hospital will use to coordinate with payers and community pSoviders, (iv) identify strategies the hospital will employ to utilize the Emergency Department Care Coordination Program established in 2023§ by32.1-372, and (v) identify methods and metrics the Generalhospital Assemblywill thatuse becomest6 law.evaluate and ensure its satisfaction of the purposes set forth in § 32.1-372.1.

3.H 2.

] That the provisions of this act shall expire on July 1, 2028.