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House approves cost‑reporting process for certain Medicaid providers; first report due 2026
Summary
House members recommended House Bill 419 do pass; the bill would require standardized cost reporting for certain Medicaid providers, fund implementation with a $1.2 million appropriation (half state general fund, half federal match), and repeal an existing reporting statute referenced in the debate.
The Committee of the Whole recommended House Bill 419 do pass. Representative Beatty told members the bill would create a formal cost‑reporting process for certain Medicaid services so the legislature could assess provider rate adequacy at least once every four years. Excluded services include hospital services reimbursed on a cost basis and services reimbursed by resource‑based relative value scales.
Representative Beatty said the first report would be due Sept. 1, 2026, and implementing the reporting system would require an appropriation of $1.2 million, split roughly half from the state general fund and half from a federal match. The bill, he said, provides a rational basis for future legislative rate‑adjustment requests and repeals an existing reporting statute cited in debate.
Representative Gillette framed the bill as a measured, fiscally prudent way to prevent future “spikes” in provider reimbursement needs and to ensure continuity in essential services for people who rely on Medicaid‑funded home and in‑home care.
The committee recommendation to pass was recorded and House Bill 419 passed second reading in committee; the majority leader later moved to rerefer House Bill 419 to the Appropriations Committee for fiscal review on the floor, and that motion was entered without objection.
Discussion points included which provider types would be covered, the timing of the first report (09/01/2026), and the anticipated cost of $1.2 million to stand up the reporting process.
