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HB 176: "An Act relating to medical assistance reimbursement for ground emergency medical transportation services; and providing for an effective date."

00                             HOUSE BILL NO. 176                                                                          
01 "An Act relating to medical assistance reimbursement for ground emergency medical                                       
02 transportation services; and providing for an effective date."                                                          
03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
04    * Section 1. AS 47.07 is amended by adding a new section to read:                                                  
05 Sec. 47.07.085. Supplemental reimbursement for ground emergency                                                       
06 medical transportation services. (a) The department shall develop a program to                                        
07 provide supplemental reimbursement to eligible ground emergency medical                                                 
08 transportation service providers for the cost of providing services to medical assistance                               
09 recipients. The amount of the supplemental reimbursement must be equal to the                                           
10 amount of federal financial participation that the department receives as                                               
11 reimbursement for the provider's cost for the ground emergency medical transportation                                   
12 services, less any administrative expenses. Under the program, the department shall                                     
13 use intergovernmental transfers, or certified public expenditures, or both, for the                                     
14 nonfederal share of ground emergency medical transportation services that are eligible                                  
01       for federal financial participation under the medical assistance program.                                         
02 (b)  The amount a provider receives in supplemental reimbursements under the                                            
03 program, when combined with the amount the provider receives from all other                                             
04 sources, including medical assistance reimbursement under the state plan, may not                                       
05 exceed the provider's actual cost for providing ground emergency medical                                                
06       transportation services to medical assistance recipients.                                                         
07            (c)  A ground emergency medical transportation service provider is eligible to                               
08       participate in the program if the provider                                                                        
09                 (1)  is enrolled with the department as a medical assistance provider;                                  
10 (2)  voluntarily enters into an agreement with the department to                                                        
11       participate in the program;                                                                                       
12 (3)  is owned or operated by the state, a political subdivision of the                                                  
13       state, or a federally recognized tribe or tribal organization;                                                    
14 (4)  charges for ground emergency medical transportation services on a                                                  
15       fee-for-service or other federally permissible basis; and                                                         
16 (5)  certifies that the provider's expenditures for ground emergency                                                    
17       medical transportation services qualify for federal financial participation.                                      
18 (d)  The department may charge an administrative fee to a provider who                                                  
19 participates in the program to cover the department's costs for administering the                                       
20 program. The administrative fee may not exceed 20 percent of a provider's cost for                                      
21       providing ground emergency medical transportation services.                                                       
22 (e)  If the United States Department of Health and Human Services revokes                                               
23 approval of the program, the department shall provide notice to the legislature. The                                    
24 department shall submit written notice to the secretary of the senate and the chief clerk                               
25 of the house of representatives as early as possible after the United States Department                                 
26       of Health and Human Services expresses its intent to revoke approval of the program.                              
27            (f)  Supplemental reimbursement payments are subject to appropriation.                                       
28            (g)  In this section,                                                                                        
29 (1)  "program" means the supplemental reimbursement program                                                             
30       developed by the department under this section;                                                                   
31 (2)  "provider" means an eligible ground emergency medical                                                              
01       transportation service provider;                                                                                  
02                 (3)  "state plan" means the state plan for medical assistance coverage                                  
03       developed under AS 47.07.040.                                                                                   
04    * Sec. 2. The uncodified law of the State of Alaska is amended by adding a new section to                          
05 read:                                                                                                                   
06 MEDICAID STATE PLAN AMENDMENT; NOTICE TO REVISOR OF                                                                     
07 STATUTES. The Department of Health and Social Services shall amend and submit for                                       
08 federal approval a state plan for medical assistance reimbursement consistent with this Act.                            
09 The commissioner of health and social services shall certify to the revisor of statutes if all of                       
10 the provisions of AS 47.07.085, enacted by sec. 1 of this Act, are approved by the United                               
11 States Department of Health and Human Services.                                                                         
12    * Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to                          
13 read:                                                                                                                   
14 CONDITIONAL EFFECT. AS 47.07.085, enacted by sec. 1 of this Act, takes effect                                           
15 only if the commissioner of health and social services certifies to the revisor of statutes under                       
16 sec. 2 of this Act, on or before November 1, 2018, that all of the provisions added by                                  
17 AS 47.07.085 have been approved by the United States Department of Health and Human                                     
18 Services.                                                                                                               
19    * Sec. 4. If AS 47.07.085, enacted by sec. 1 of this Act, takes effect, it takes effect on the                     
20 day after the date the commissioner of health and social services makes a certification to the                          
21 revisor of statutes under sec. 2 of this Act.