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Panel hears bill to raise MA rates for longer ambulatory heart monitors; sponsor says modest cost may save money
Summary
House File 1935 to increase Medicaid reimbursement for long‑term ambulatory ECG monitors was introduced April 2 and laid over after vendor testimony that the devices improve detection of intermittent arrhythmias and may reduce downstream costs.
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Representative Backer introduced House File 1935, which seeks higher Medicaid (MA) reimbursement rates for a class of long‑term ambulatory electrocardiograms (ECGs) that can monitor heart rhythm for multiple days and are adhesive, mail-back devices.
Why it matters: Witnesses said the longer-monitoring option can detect intermittent arrhythmias that 48‑hour Holter monitors miss, improve patient experience (smaller, waterproof devices that children can wear), reduce repeat testing and nonemergent transportation needs for MA enrollees, and ultimately save money through fewer missed diagnoses.
Testimony: Elizabeth Stoll of Baxter Healthcare described the device, its pen‑like adhesive patch form, mail-back workflow and the benefits for pediatric and Medicaid populations. She estimated the bill’s two‑year gross cost at roughly $300,000 but argued dynamic scoring and avoided repeat testing could generate net savings.
Committee discussion: Representative Liebling and others asked about the committee’s overall budget targets and whether the committee should hear bills that add cost. Chair Backer said leadership and the committee’s cochairs would evaluate priorities and take the proposal to the committee-of-four for placement.
Outcome: The chair laid House File 1935 over for possible inclusion in the omnibus bill.

