SB 572 — Medical assistance services; State Board of Medical Assistance Services to include in state plan.

SESSION history | hilite | pdf | print version 18103861D18105090D SENATE BILL NO.

572 Offered(Proposed Januaryby 10,the 2018Senate PrefiledCommittee on Education and Health on January 9,25, 20182018) (Patrons Prior to Substitute--Senators Hanger, Edwards [SB 158], and Barker [SB 282 and 956]) A BILL to amend and reenact § 32.1-325 of the Code of Virginia and to repeal § 30-347 of the Code of Virginia, relating to delivery of medical assistance services.

---------- Patron-- Hanger ---------- Referred to Committee on Education and Health ---------- Be it enacted by the General Assembly of Virginia:

That health care coverage provided pursuant to the first enactment of this act shall include the following:

(i) requirements to increase personal responsibility of recipients for their health care, including a schedule of co-payments that includes incentives for primary care and appropriate treatment of chronic conditions and discourages non-emergency use of hospital emergency departments;

(ii) a requirement that benefits provided to such population closely align with benefits available through commercial health insurance plans;

(iii) incentives for preventive care, including initial primary care visits, wellness activities, healthy behaviors, and job readiness activities;

(iv) incentives to encourage employment for individuals who are unemployed, not attending school as full-time students, not receiving unemployment compensation or social security disability benefits, and not caring for dependent family members under 12 months of age or a disabled family member;

(v) options for the payment of premiums to access available employer-sponsored health care coverage in lieu of coverage through the Commonwealth's program of medical assistance;

(vi) protections for the Commonwealth in the event that federal financial participation is reduced below the amount provided in 42 U.S.C.

§1396d(y)(1);

(vii) provisions that support the development of patient-centered medical homes for recipients of medical assistance services;

(viii) provision for quality of care measures for health care providers providing services to recipients of medical assistance services;

(ix) strengthened efforts to prevent, detect, and punish fraud and abuse;

and (x) special provisions for individuals with mental illness, including substance use disorders, which shall include same-day access to behavioral health services at community services boards and services delivered in collaboration with courts and local correctional facilities to divert offenders into treatment rather than incarceration, provide access to immediate coverage and treatment of those who have been incarcerated upon their release, and utilize supportive housing.

4.

4.5.

That the provisions of the firstfirst, second, and secondthird enactments of this act shall expire on July 1, 2020, unless the waiver described in the third enactment of this act has been approved by the Centers for Medicare and Medicaid Services and implemented by the Secretary of Health and Human Resources.