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Bill would delay enteral nutrition rate change, hard-code rates for high-volume pediatric supplies
Summary
House File 2299 would delay a July rate change for specialty pediatric enteral nutrition and hard-code rates for commonly used high-volume supplies to reduce manual billing work; the committee adopted an author amendment and laid the bill over.
Representative Bierman presented House File 2299, which contains two targeted changes intended to help providers that serve medically complex children. The first provision delays a rate change scheduled to take effect July 1 that would be “unworkable for our specialty enteral nutrition formula providers,” the author said, and continues current payment rates while officials and manufacturers work on a pediatric-specific reimbursement methodology. Representative Bierman said the delay is at no state cost.
Camille Zender of Pediatric Home Service testified that pediatric enteral nutrition claims do not meet the claims-volume or provider participation thresholds in the 2023 rate methodology and that PHS has used two prior one‑year extensions. Zender said the bill creates a two‑year extension while stakeholders develop a pediatric-tailored payment approach.
The bill’s second change would hard-code annually the 25 most common products in three categories (feeding tubes and accessories and tracheostomy supplies) so the Department of Human Services can automate claims processing. Zender said Pediatric Home Service submits about 2,000 manufacturer pricing attachments each month and that automating commonly used items could eliminate roughly 20,000 manual claim processes per year.
The committee adopted the A1 author’s amendment and laid HF 2299 over for possible inclusion in the omnibus bill. Members described the bill as improving delivery efficiency and supporting medically complex pediatric patients.
