1358-S2 AMH GRIF BLAC 036

2SHB 1358 - H AMD 133

By Representative Griffey

ADOPTED 03/01/2017

    On page 3, after line 4, insert the following:

    "NEW SECTION. Sec. 3.  (1) The joint legislative audit and review committee shall conduct a cost-effectiveness review, in consultation with the health care authority, of the standards for reimbursement established in section 1 of this act. The review must evaluate the amount paid on behalf of eligible clients under chapter 74.09 RCW by the health care authority to fire departments for health care services that did not require an ambulance transport and the amount that would have been paid had the services been provided in a different care setting.

    (2) The cost-effectiveness review must consider the savings realized by medical assistance programs under chapter 74.09 RCW as a result of fire departments providing health care services and make any recommendations for improving the cost-effectiveness of the standards for reimbursement and reducing the potential for excessive billing or billing for unnecessary services. If the review finds that the standards of reimbursement have not resulted in savings to the state's medical assistance programs, the joint legislative audit and review committee shall recommend the repeal of section 1 of this act.

    (3) The joint legislative audit and review committee shall submit the cost-effectiveness review, including its findings and recommendations, to the fiscal committees and health policy committees of the legislature by December 1, 2021."

    Renumber the remaining section consecutively and correct any internal references accordingly.

    Correct the title.

EFFECT:   Directs the Joint Legislative Audit and Review Committee (JLARC) to conduct a cost-effectiveness review of the standards of reimbursement by December 1, 2021. Requires the review to evaluate the amount of reimbursement to fire departments under the standards and the amount that would have been paid if the health services had been provided in another care setting. Requires the review to consider savings to medical assistance programs from using fire departments to provide these health services and to recommend ways to improve the cost-effectiveness of the standards for reimbursement and reduce the potential for excessive billing or billing for unnecessary services. Directs the JLARC to recommend the repeal of the payment provisions to fire departments if the standards of reimbursement have not resulted in savings to medical assistance programs.

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