Committee hears bill to require regular cost reporting to assess Medicaid provider rates

Representative David Beatty, sponsor of House Bill 419, told the House Health and Human Services Committee that the bill would create a formal process for reporting revenues and costs for specified Medicaid services so rate adequacy can be assessed at least once every four years. “House bill 4 19 provides a formal process for reporting the revenues and costs incurred for certain Medicaid services so that the adequacy of provider rates can be assessed at least once every 4 years,” Beatty said.

The bill would exclude hospital services paid with cost-based reimbursements and services paid through resource-based relative value scales, such as physician specialty visits, Beatty said. He told the committee the first report would be due Sept. 1, 2026, and that implementation requires a…