HB 3388 – Texas
Introduced: 2019 Status: Inactive / Dead
Relating to the reimbursement of prescription drugs under Medicaid and the child health plan program.
HB 4122 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Health insurance; prohibition on network providers; definitions; exemptions; effective date.
HB 467 – Hawaii
Introduced: 2019 Status: Inactive / Dead
Changes the kupuna caregivers program allocation cap from $70 per day to $350 per week. Appropriates funds for the continued implementation of the kupuna caregivers program.
HB 666 – Hawaii
Introduced: 2019 Status: Inactive / Dead
Hawaii Comprehensive Healthcare Act: Establishes a comprehensive healthcare task force to study and report on specified major issues relating to healthcare. Appropriates funds for the purposes of the task force.
HB 846 (see companion SB 482) – Maryland
Introduced: 2019 Status: Inactive / Dead
Requiring the Maryland Department of Health, subject to certain limitations, to provide reimbursement for certain medically necessary and appropriate behavioral health services to managed care organizations; requiring managed care organizations, rather than a certain delivery …
HB 939 – Texas
Introduced: 2021 Status: Inactive / Dead
Relating to required access to care and provider network provisions in a contract between the Health and Human Services Commission and a Medicaid managed care organization.
HF 135 – Iowa
Introduced: 2019 Status: Inactive / Dead
A bill for an act relating to long-term services and supports and certain capitation rates under the Medicaid program, and including effective date provisions.
HF 3585 (see companion bill SF 3565) – Minnesota
Introduced: 2022 Status: Inactive / Dead
Establishing a medical assistance capitation payment withhold related to verification of coverage. The commissioner shall withhold five percent of managed care plan payments under this section and county-based purchasing plan payments under section 256B.692 for …
HF 4440 – Minnesota
Introduced: 2020 Status: Inactive / Dead
Capitation payments provided to managed care plans and county-based purchasing plans withholding authorized.
HF 4705 (see companion bill SF 1094) – Minnesota
Introduced: 2021 Status: Inactive / Dead
Reimbursement rate for services delivered by telemedicine reduction; capitation rate for services delivered by telemedicine modification
HJ 680 – Virginia
Introduced: 2019 Status: Inactive / Dead
DMAS; provider service network capitation model for Medicaid, report: Requests the Department of Medical Assistance Services to study the costs and benefits of implementing a full provider service network capitation model for Medicaid.
Idaho Code Ann. § 41-3928. Incentives to withhold care prohibited: Managed Care Reform Act – Idaho
Status: Enacted Year Enacted: 1997
No managed care organization shall offer a provider and no contract between a managed care organization and a provider shall contain any incentive plan that includes a specific payment made, in any type or form, …
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Idaho Code Ann. §§ 56-260 through 266: Medicaid Cost Containment and Health Care Improvement Act – Idaho
Status: Enacted Year Enacted: 2011
Directs the Department of Health and Welfare to present a plan for Medicaid managed care geared towards high-cost populations to sixty-first Idaho legislature (2011). The plan is to include, among other things, improved coordination of …
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Ind. Code § 27-13-34-10. Powers of limited service health maintenance organization: Limited Service Health Maintenance Organizations – Indiana
Status: Enacted Year Enacted: 1994
Subject to subsection (b), the powers of a limited service health maintenance organization include the following.
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Ind. Code §§ 12-15-11.5-0.5 through 12-15-11.5-2: Lake County Disproportionate Share Hospitals – Indiana
Status: Enacted Year Enacted: 2000
The office’s managed care organization shall regard a hospital as a contracted provider in the office’s managed care program, which provides a capitated prepayment managed care system, for the provision of medical services to each …
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Ind. Code §§ 12-15-37-1 through 12-15-37-6: Medicaid Demonstration Projects – Indiana
Status: Enacted Year Enacted: 1995
Statutes authorize the office to seek waivers from the Department of Health and Human Services to establish a demonstration project with the goal being to provide a more cost effective means of providing health care …
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