|
H.B. No. 0169 |
Medicaid waiver programs-case management system. |
Sponsored By: Representative(s)
Davison, Baker, Barlow, Blevins, Gingery, Halverson, Hutchings, Jaggi and
Piiparinen and Senator(s) Barnard, Cooper, Esquibel,
F., Nutting and Peterson
AN ACT
relating to Medicaid waiver programs; specifying application of a provision
requiring case management system that is free of conflicts of interest;
requiring application for waivers as specified; and providing for an effective
date.
2/12/2014 Bill
Number Assigned
2/13/2014 H
Received for Introduction
2/14/2014 H
Introduced and Referred to H10
ROLL CALL
Ayes:
Representative(s) Baker, Barlow, Berger, Blake, Blevins, Blikre, Brown, Burkhart, Campbell, Cannady,
Coleman, Davison, Eklund, Esquibel,
K., Freeman, Gay, Gingery, Goggles, Halverson, Harshman,
Hunt, Hutchings, Jaggi, Kasperik, Kirkbride, Kroeker,
Krone, Larsen, Lockhart, Loucks, Lubnau, Madden,
McKim, Miller, Moniz, Nicholas, B., Northrup, Patton, Paxton, Petroff, Piiparinen, Reeder, Semlek,
Sommers, Stubson, Teeters, Walters, Watt, Winters,
Zwonitzer, Dn. and Zwonitzer, Dv.
Nays:
Representative(s) Byrd, Connolly, Filer, Greene, Harvey, Mader, Throne and Wilson
Excused:
Representative(s) Greear
Ayes 51 Nays
8 Excused 1 Absent 0 Conflicts
0
2/20/2014 H10
Recommended Do Pass
ROLL CALL
Ayes:
Representative(s) Barlow, Coleman, Harvey, Kasperik, Larsen and Throne
Nays:
Representative(s) Filer, Greene and Wilson
Ayes 6 Nays
3 Excused 0 Absent 0 Conflicts
0
2/20/2014 H
Placed on General File
2/20/2014 H
Passed COW
HB0169H2001.01/ADOPTED (CORRECTED COPY)
Page 1-after line 5 Insert:
"Section 1. W.S.
42‑3‑103 by creating a new subsection (c) is amended to read:
42‑4‑103. Authorized services and
supplies.
(c) For
purposes of implementing Medicaid reform pursuant to 2013 Wyoming Session Laws,
Chapter 117, the department shall apply for any applicable waivers or
permissions to allow exceptions to federal conflict free case management
definitions for geographic areas and shall implement a system using a neutral
third party to ensure that no conflicts exist.".
FILER
HB0169H2001.02/FAILED (CORRECTED COPY)
Page 1-line 1 Delete "repealing" insert
"requiring application for exceptions to federal conflict free case
management requirements as specified;".
Page 1-line 2 Delete entirely.
Page 1-line 3 Delete through "interest;".
Page
1-lines 7 and 8 Delete
entirely. FILER
HB0169H2002/WITHDRAWN
2/21/2014 H
Passed 2nd Reading
HB0169H3001/ADOPTED
Delete
the Filer second reading amendment (HB0169H2001.01/A) entirely and further
amend as follows:
Page 1-line 1 Delete "repealing" insert
"specifying application of a"
Page 1-line 3 After "interest;" insert
"requiring application for waivers as specified;".
Page 1-After line
5 insert:
"Section 1. W.S. 42‑3‑103 is amended to read:
42‑4‑103.
Authorized services and supplies.
(c) For
purposes of implementing Medicaid reform pursuant to 2013 Wyoming Session Laws,
Chapter 117, the department shall apply for any applicable waivers or
permissions to allow exceptions to federal conflict free case management
definitions for rural areas, which to the extent consistent with federal law
shall include the entire state of Wyoming, and shall implement a system using a
neutral third party to ensure no Conflicts
exist.".
Page 1-line 7 Delete "1." insert "2.".
Page 1-line 8 Delete "repealed." insert
"amended to read:".
Page 1-After line
8 insert:
"Section 1.
(a) The department of health shall proceed with a reform and redesign of the Wyoming Medicaid program to include the following elements that were identified by the department in its final report on the Medicaid options study performed pursuant to 2012 Wyoming Laws, Chapter 103:
(iii) Concerning
developmental disability and acquired brain injury services, the department
shall, to the extent practical, implement:
(E) Provide for a
case management system for the waiver programs that is
free of conflicts of interest. The provisions of this
subparagraph shall not be administered to affect any client case manager
relationship existing on or before July 1, 2014 and continuously maintained,
regardless of any conflict of interest.".
Page
1-line 10 Delete "2" insert "3". DAVISON, FILER
HB0169H3002/WITHDRAWN
2/24/2014 H
Passed 3rd Reading
ROLL CALL
Ayes:
Representative(s) Baker, Barlow, Berger, Blake, Blevins, Blikre, Brown, Burkhart, Byrd, Campbell, Cannady, Coleman, Connolly, Davison, Eklund,
Esquibel, K., Filer, Freeman, Gay, Gingery, Goggles,
Halverson, Harshman, Harvey, Hunt, Hutchings, Jaggi,
Kasperik, Kirkbride, Kroeker, Krone, Larsen, Loucks, Lubnau, Madden, Mader,
McKim, Miller, Moniz, Nicholas, B., Northrup, Patton, Paxton, Petroff, Piiparinen, Reeder, Semlek,
Sommers, Stubson, Teeters, Throne, Walters, Watt,
Winters, Zwonitzer, Dn. and Zwonitzer, Dv.
Nays:
Representative(s) Greear, Greene and Wilson
Excused:
Representative(s) Lockhart
Ayes 56 Nays
3 Excused 1 Absent 0 Conflicts
0
2/25/2014 S
Received for Introduction
2/25/2014 S
Introduced and Referred to S10
2/28/2014 S10
Recommended Do Pass
ROLL CALL
Ayes:
Senator(s) Anderson, JL S28, Craft, Nutting and Peterson
Nays:
Senator(s) Scott
Ayes 4 Nays
1 Excused 0 Absent 0 Conflicts
0
2/28/2014 S
Placed on General File
HB0169SW001/ADOPTED (CORRECTED COPY) (TO ENGROSSED COPY)
Page 1-line 1 Delete "specifying".
Page 1-line 2 Delete.
Page 1-line 3 Delete through "interest;".
Page 2-line 1 Delete "shall" insert "may".
Page 2-line 3 After "for" insert "frontier
and".
Page 2-line 4 After "law" insert ","
and delete balance of line.
Page 2-line 5 Delete through "and".
Page 2-line 6 After "exist." insert "Consistent with federal law, the department may phase in the
independent case management system.".
Page 2-lines 8 through 24 Delete and renumber.
Page 3-lines 2 through 8 Delete.
Page 3-line 10 Delete "3" insert "2".
PETERSON, CRAFT, SCOTT
3/3/2014 S
Passed COW
3/4/2014 S
Passed 2nd Reading
HB0169S3001.01/ADOPTED (CORRECTED COPY) (TO ENGROSSED COPY)
Page 2-line 6 After "exist." and after the Peterson, et al.,
Committee of the Whole Amendment (HB0169SW001/AE) to this line, insert "In negotiating a waiver pursuant to this subsection, the
department shall, to the extent practicable and approved by the center for
Medicare and Medicaid services:
(i) Allow
an individual or agency to provide case management and direct services to
discrete clients if the services are provided under conflict free
circumstances;
(ii) When
implementing updated case manager educational standards, provide for a three
(3) year transition period and allow credit for prior case manager experience.".
ROTHFUSS, CRAFT, MEIER, VON FLATERN
HB0169S3001.02/FAILED (CORRECTED COPY) (TO ENGROSSED COPY)
Page 1-line 4 After "specified;" insert
"requiring a report;".
Page 2-after line 6 Insert and renumber:
"Section 2. The
department of health, behavioral health division, shall report to the joint
labor, health and social services interim committee on the implementation of
the Medicaid waiver case management programs as prescribed in W.S. 42‑4‑103(c)
no later than September 1, 2014 The report shall include metrics,
performance measures and other evaluative standards deemed appropriate for
securing waiver flexibility.". ROTHFUSS, CRAFT, MEIER, VON FLATERN
HB0169S3002/FAILED (TO ENGROSSED COPY)
Page 2-line 6 In the Rothfuss,
et al., third reading amendment (HB0169S3001/AE) to this line, after paragraph
(ii) created by that amendment, insert and renumber:
"(iii) Provide for the continuation of any current
individual case manager relationship, with conflict free third party
supervision or designated representative as required;
(iv) Provide
flexibility for small providers, family providers, rural providers and
individual case managers, subject to conflict free third party supervision or
designated representative.". ROTHFUSS,
CRAFT, MEIER, VON FLATERN
3/5/2014 S
Passed 3rd Reading
ROLL CALL
Ayes:
Senator(s) Anderson, JL S28, Barnard, Bebout, Case, Christensen, Coe,
Cooper, Craft, Dockstader, Driskill, Emerich, Esquibel, F., Hastert,
Hines, Johnson, Landen, Meier, Nicholas, P., Nutting, Perkins, Peterson, Ross, Rothfuss, Schiffer, Scott and Von Flatern
Nays:
Senator(s) Anderson, JD S02, Burns, Geis and Hicks.
Ayes 26 Nays
4 Excused 0 Absent 0 Conflicts
0
3/5/2014 H
Received for Concurrence
3/5/2014 H
Did Concur
ROLL CALL
Ayes:
Representative(s) Barlow, Berger, Blake, Blevins, Blikre,
Brown, Burkhart, Byrd, Campbell, Cannady, Coleman,
Connolly, Davison, Eklund, Esquibel,
K., Filer, Freeman, Gay, Gingery, Goggles, Greear, Harshman,
Harvey, Hunt, Hutchings, Jaggi, Kasperik, Kirkbride, Kroeker,
Krone, Larsen, Lockhart, Loucks, Madden, Mader, Miller, Moniz, Nicholas, B., Northrup, Patton,
Paxton, Petroff, Piiparinen, Reeder, Semlek, Sommers, Stubson,
Teeters, Throne, Walters, Watt, Wilson, Winters, Zwonitzer, Dn. and Zwonitzer, Dv.
Nays:
Representative(s) Greene, Halverson, Lubnau and McKim
Excused:
Representative(s) Baker
Ayes 55 Nays
4 Excused 1 Absent 0 Conflicts
0
3/5/2014 Assigned
Number HEA No. 0058
3/6/2014 H
Speaker Signed HEA No. 0058
3/6/2014 S
President Signed HEA No. 0058
3/7/2014 Governor
Signed HEA No. 0058
3/7/2014 Assigned
Chapter Number
Chapter
No. 0045 Session
Laws of Wyoming 2014