Medicaid Provider Amendments

Total appropriations increased from $40,140,800 to $42,778,300, with the General Fund portion rising from $15,888,300 to $16,888,300.

The specific allocation for raising Medicaid provider rates for private duty nursing was increased from $1,925,900 to $2,000,000.

The allocation for raising rates for New Choices Waiver providers was increased from $2,000,000 to $3,000,000.

The allocation for raising rates for Division of Services for People with Disabilities providers was increased from $3,000,000 to $4,000,000.

The allocation for raising rates for nursing homes and intermediate care facilities was increased from $3,000,000 to $4,000,000.

The allocation for raising rates for home health providers was increased from $1,962,400 to $2,000,000.

The allocation for raising rates for personal care providers was increased from $1,837,300 to $2,000,000.

A timestamp line ('3-2-26 11:23 AM') was removed from the end of the document.

Added a specific appropriation of $40,140,800 for the Medicaid provider quality measures and incentive payment program, broken down between the General Fund and various sources.

Corrected a typo in Subsection (4)(b)(iii) changing the word 'inventive payments' to 'incentive payments' to accurately describe the financial mechanism.

Changed the definition of 'incentive payment' to explicitly specify it is a 'one-time' fee-for-services payment, clarifying that these are not recurring payments.

Corrected a typo in the annual reporting requirement, changing the word 'inventive' to 'incentive' to accurately describe the analysis of payment impacts.

Removed a provision that allowed the department to use up to 2% of appropriations for administrative costs, eliminating a specific budgetary allowance for program management.

Adjusted formatting and removed duplicate header text and timestamps from the previous draft to create a clean legislative text.

Removed the $42.7 million in direct appropriations from the General Fund and various sources, replacing them with a provision to appropriate interest earned on the Medicaid ACA Fund for incentive payments and administrative costs.

Added explicit authority for the state agency to use remaining funds in the Medicaid ACA Fund for incentive payments and the closed-loop referral system described in the bill.

Corrected a reference in the Medicaid ACA Fund composition from a sales tax described in Subsection 59-12-103(11) to Subsection 59-12-103(6) and adjusted effective dates for superseded sections.

Changed the effective date for the bill from May 6, 2026, to February 17, 2026 (the date of the substitute), and updated the repeal date for a superseded section from July 1, 2026, to July 1, 2034.

Reformatted the text of Section 26B-3-143 to improve clarity and structure, specifically renumbering subsections within Section (3).

Added a new mandate requiring the Department to report to the Rules Review and General Oversight Committee regarding any rules established under the quality measures section.

Updated the effective date of the bill from March 3, 2026, to May 6, 2026.

The document structure was converted from a list of specific line edits into a full bill format including a title page, long title summary, and official enactment clauses.

Formatting markers used to indicate deletions and insertions (such as arrows and bracketed text) were removed to create a clean, final version of the statute.

Page headers and footers were standardized to reflect the official '5th Sub. S.B. 288' designation and the date of the amendment.

The document header was changed from 'Senate Amendments' to 'Senate Floor Amendments', and page numbers were updated from '-1-' to '-2-' to reflect the new version of the text.

Line references for specific sections (e.g., lines 201-206e) were updated to match the new text layout, changing references from 'Line 201 through 206e' to 'Line 71 through 85' for the quality measures section.

The text block containing the 30-day contract amendment notice and waiver exceptions was repositioned and renumbered but retained its original substantive content without changes to the policy rules.

Added a new subsection (5) allowing the Division of Services for People with Disabilities to waive the 30-day notice requirement for contract amendments if a contractor requests a change, a service rate is increased, or in response to a natural disaster or public health emergency.

Modified the text of Subsection (4) to clarify the timing and conditions for notifying providers of contract amendments.

Reformatted the due process procedures section to align with the new waiver structure.

Added a specific appropriation of $42,778,300 for fiscal year 2027 to fund incentive payments and operational costs.

Expanded the definition of 'Medicaid provider' to explicitly include entities reimbursed through managed care or fee-for-service arrangements.

Changed the reporting body for quality measure evaluations from the Social Services Appropriations Subcommittee to the Rules Review and General Oversight Committee.

Clarified that incentive payments are limited to provider types specifically selected and prioritized by the Legislature.

Adjusted the deadline for the department's annual report on provider evaluations from January 31 to October 31.