6168-S.E AMH CODY BUNC 228


ESSB 6168 - H AMD TO H AMD (H-5090.3/20) 1735

By Representative Cody

ADOPTED 02/28/2020

On page 130, line 36, increase the general fund-state appropriation for fiscal year 2021 by $14,492,000

On page 130, line 38, increase the general fund-federal appropriation by $29,130,000

On page 131, line 18, correct the total.

On page 151, after line 24, insert the following:

"(63) $14,492,000 of the general fundstate appropriation for fiscal year 2021 and $29,130,000 of the general fundfederal appropriation are provided solely to maintain and increase access for primary care services for medicaid-enrolled patients through increased provider rates. Within the amounts provided in this subsection: (a) The authority must raise the state fee-for-service rates for primary care services that are reimbursed solely at the existing medical assistance rates, furnished by a nurse practitioner, naturopath, physician assistant, osteopathic physician assistant, physician, or osteopathic physician, by twenty-five percent except that the state medicaid rate may not exceed the published medicare rate or an equivalent relative value unit rate if a published medicare rate is not available; and (b) the authority must require in contracts with managed care organizations that, beginning in calendar year 2021, they pay no lower than the fee-for-service rate for these codes and managed care capitation rates must be adjusted accordingly. The authority must apply reimbursement rates required under this subsection to payment codes in a manner consistent with the temporary increase in medicaid reimbursement rates under federal rules and guidance in effect on January 1, 2014, implementing the patient protection and affordable care act, except that the authority may not require provider attestations."

EFFECT:   Increases funding for the Health Care Authority to maintain and increase access for primary care services for Medicaid-enrolled patients through increased provider rates.


Increases General Fund - State by $14,492,000.

Increases General Fund - Federal by $29,130,000.

--- END ---