SB 407 Indiana Senate · 2022 Regular Session

Medicaid risk based managed care.

Summary
Requires review by the budget committee before a request for proposal for the procurement of a covered population in a risk based managed care program or a capitated managed care program (program) is issued. Sets forth requirements that the office of the secretary (office) must ensure are met before the office may contract with an entity to operate a program. Sets forth provisions that must be included in a contract with an entity to operate the program. Requires the office to do the following: (1) determine all eligibility requirements; and (2) determine the base reimbursement rate structure, methodology, and reimbursement rates that are sufficient to provide an adequate number of providers to provide home and community based services. Requires a managed care organization to contract with any providers that meet specified requirements for the program. Prohibits a managed care organization from delegating or subcontracting specified functions within the program unless certain conditions are met. Requires the office to apply to amend the aged and disabled waiver to ensure that an individual in need of waiver services is authorized for reimbursable services within 72 hours of determining the individual would qualify for Medicaid and the waiver services. Expires the program on July 1, 2027. Requires the office to annually provide the budget committee information concerning the number of Medicaid recipients in certain categories and reimbursement rates for home and community based services. Allows the office of the attorney general to investigate and prosecute complaints concerning employment agencies. Provides that the division of consumer protection is responsible for the investigation of complaints concerning employment agencies.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2022
Committee Review
Feb 2022
Senate Passage
Feb 2022
House Passage
Governor
Introduced Jan 12, 2022 Last action Feb 17, 2022
Floor votes · Senate Feb 1, 2022

How they voted

442
Passed
Total votes 46
Feb 1, 2022
D Democratic10
8 Yea 2 Nay
80% Yea
R Republican36
36 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
4
Committee
5
Amendments
1
Feb 17, 2022
Committee
Referred to the Committee on Ways and Means pursuant to House Rule 127
lower
Feb 17, 2022
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 2, 2022
Committee
Referred to the House
upper
Feb 1, 2022
Upper · Passed
Third reading: passed; Roll Call 189: yeas 47, nays 2
upper
Jan 31, 2022
Amended
Amendment #1 (Messmer) prevailed; voice vote
upper
Jan 27, 2022
Upper · Passed
Committee report: amend do pass, adopted
upper
Jan 20, 2022
Upper · Passed
Committee report: do pass adopted; reassigned to Committee on Appropriations
upper
3 primary · 10 co-sponsors

Sponsors