Payment for Medicaid physician services.
Sponsored By: Tyler Johnson (Republican)
Failed
Summary
Requires the office of Medicaid policy and planning (office) or a managed care organization to promptly cover physician services rendered in a hospital emergency department by a physician who has entered into a provider agreement with the office or managed care organization, without limiting what constitutes an emergency medical condition. Specifies considerations that must be made in determining whether the prudent layperson standard has been met. Prohibits any delay in or denial of compensation to the physician unless the cause of the delay or denial is specifically provided for in: (1) the Medicaid managed care law; (2) an administrative rule adopted under the Medicaid managed care law; (3) the federal administrative rules on Medicaid managed care; or (4) the provider agreement. Prohibits a managed care organization from denying an emergency services claim solely because the claim code is not listed on the autopay list.
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Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Tyler Johnson
Republican • Senate
Cosponsors
Justin Busch
Republican • Senate
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
Committee report: amend do pass adopted; reassigned to Committee on Appropriations
2/6/2025SenateSenator Busch added as second author
2/6/2025SenateFirst reading: referred to Committee on Health and Provider Services
1/13/2025SenateAuthored by Senator Johnson T
1/13/2025Senate
Bill Text
Introduced Senate Bill (S)
Senate Bill (S)
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