Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

The deadline for completing preparation for service reprocurement was moved from January 1, 2026, to July 1, 2026.

The authority must now consult with the Department of Health and develop a base model for crisis service delivery that applies to every region, regardless of population size.

New requirements mandate quarterly planning with the Department of Commerce and Health to adjust rates and budgets for new or closed facilities before changes occur.

Behavioral health administrators must develop electronic data-sharing standards with managed care organizations by January 1, 2026, to improve care coordination.

A new requirement mandates a statewide operational plan for serving American Indians and Alaska Natives by January 1, 2027, coordinated with tribal governments.

Managed care organizations are now required to negotiate reimbursement structures with behavioral health administrators for services at crisis facilities, rather than just submitting costs.

The crisis hotline requirement now explicitly includes tribal and Indian health care provider services and must align with the 988 system.

New provisions allow for technical assistance and a 12-month grace period if behavioral health administrators fail to meet delegation standards, with termination of delegation if compliance is not achieved.

The previous incentive payment for counties that adopted fully integrated purchasing by January 1, 2016, was removed as that date has passed.

Deleted the requirement for the state to conduct a comprehensive funding analysis by January 1, 2026, to determine financial needs for both Medicaid and non-Medicaid populations.

Added a new section stating that if specific funding is not provided by June 30, 2025, in the omnibus appropriations act, the entire act becomes null and void.

Changed the deadline for preparing for service reprocurement from an undefined timeframe to a specific date of January 1, 2026, while removing the requirement to include non-Medicaid populations in the strategic plan.

Updated the bill header to reflect a change in committee assignment from Health Care & Wellness to Appropriations and changed the bill number from H-1549.1 to H-1816.1.

The bill title was updated from 'House Bill' to 'Substitute House Bill' and the bill number was changed from H-1083.1 to H-1549.1, with the first reading date moved from February 4, 2025, to February 21, 2025.

The initial reprocurement process was removed and replaced with a requirement for the authority to adopt a strategic plan by July 1, 2026, which must include stakeholder input and specific considerations for tribal health care providers and network adequacy.

The definition of required crisis services was updated to include 'in-home and in-community crisis stabilization services' and 'behavioral health agency facility-based crisis services,' while removing specific examples like 'walk-in centers' and 'peer-run crisis services' to allow for broader service delivery models.

Tribes and Indian health care providers were added as required partners in the transition plan, outreach campaigns, and contract development to ensure seamless coordination and no disruption to tribal health services.

The funding analysis requirement was expanded to explicitly include non-Medicaid populations (those with private insurance or no insurance) to ensure the system can support all individuals regardless of insurance status.

The annual reporting requirement was updated to include 'fee-for-service providers' alongside behavioral health administrative services organizations, broadening the scope of entities that must report on service utilization and effectiveness.