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Bill would bar Medicaid from blocking new provider scopes; committee advances measure
Summary
House Bill 110 would prevent Medicaid policy from effectively vetoing legislative changes to provider scope of practice; the Senate Health and Welfare Committee voted to send HB 110 to the floor with a due-pass recommendation.
Senator Seiderfeld introduced House Bill 110 to the Senate Health and Welfare Committee, saying the bill would ensure the legislature and professional licensing boards — not Medicaid — set provider scope of practice.
"If the legislature creates bridge-year physicians or allows psychologists to do certain services, our expectation is that if Medicaid covers those services for other providers, they will cover the service for the newly authorized provider as well," Seiderfeld said, adding that the bill does not require Medicaid to cover new services but would prevent Medicaid from effectively vetoing legislative scope decisions by choosing not to reimburse newly authorized providers.
Supporters told the committee the bill preserves the legislature’s authority to exclude services from Medicaid when appropriate, continues existing requirements that providers enter written provider agreements with Medicaid and mirrors principles the committee approved in earlier Medicaid rule changes. The Department of Health and Welfare reviewed the draft and expressed no objection.
A motion to send HB 110 to the floor with a due-pass recommendation was made, seconded and approved by the committee.
The bill frames the change as preserving legislative primacy over scope-of-practice determinations while leaving reimbursement decisions and provider agreements under Medicaid authority and existing state procurement and provider rules.
