HB 20: "An Act requiring the state medical assistance program to provide services; relating to cost containment of the state medical assistance program; relating to payment for adult dental services; and providing for an effective date."
00 HOUSE BILL NO. 20 01 "An Act requiring the state medical assistance program to provide services; relating to 02 cost containment of the state medical assistance program; relating to payment for adult 03 dental services; and providing for an effective date." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 05 * Section 1. AS 47.07.030(b) is amended to read: 06 (b) In addition to the mandatory services specified in (a) of this section and the 07 services provided under (d) of this section, the department shall [MAY] offer [ONLY] 08 the following optional services: case management services for traumatic or acquired 09 brain injury; case management and nutrition services for pregnant women; personal 10 care services in a recipient's home; emergency hospital services; long-term care 11 noninstitutional services; medical supplies and equipment; advanced practice 12 registered nurse services; clinic services; rehabilitative services for children eligible 13 for services under AS 47.07.063, substance abusers, and emotionally disturbed or 14 chronically mentally ill adults; targeted case management services; inpatient
01 psychiatric facility services for individuals 65 years of age or older and individuals 02 under 21 years of age; psychologists' services; clinical social workers' services; marital 03 and family therapy services; professional counseling services; midwife services; 04 prescribed drugs; physical therapy; occupational therapy; chiropractic services; low- 05 dose mammography screening, as defined in AS 21.42.375(e); hospice care; treatment 06 of speech, hearing, and language disorders; adult dental services; prosthetic devices 07 and eyeglasses; optometrists' services; intermediate care facility services, including 08 intermediate care facility services for persons with intellectual and developmental 09 disabilities; skilled nursing facility services for individuals under 21 years of age; and 10 reasonable transportation to and from the point of medical care. 11 * Sec. 2. AS 47.07.036(b) is amended to read: 12 (b) The department, in implementing this section, may not [SHALL TAKE 13 ALL REASONABLE STEPS TO] implement cost containment measures that [DO 14 NOT] eliminate program eligibility or the scope of services required or authorized 15 under AS 47.07.020 and 47.07.030 [BEFORE IMPLEMENTING COST 16 CONTAINMENT MEASURES UNDER (c) OF THIS SECTION THAT DIRECTLY 17 AFFECT PROGRAM ELIGIBILITY OR COVERAGE OF SERVICES]. The 18 department may take cost containment measures that [TAKEN UNDER THIS 19 SUBSECTION MAY] include new utilization review procedures, changes in provider 20 payment rates, precertification requirements for coverage of services, or [AND] 21 agreements with federal officials under which the federal government will assume 22 responsibility for coverage of some individuals or some services for some individuals 23 through such federal programs as the Indian Health Service or Medicare. 24 * Sec. 3. AS 47.07.067(a) is amended to read: 25 (a) The [SUBJECT TO APPROPRIATION, THE] department shall pay for 26 minimum treatment and for preventative and restorative adult dental services provided 27 under AS 47.07.030(b) and under regulations adopted by the commissioner in 28 conformity with applicable federal requirements and this chapter. Regulations adopted 29 under this section must include the following: 30 (1) [EXCEPT AS PROVIDED IN (d) OF THIS SECTION,] a 31 maximum amount of benefits for preventative and restorative adult dental services of
01 $1,150 for each eligible recipient in a fiscal year; and 02 (2) specification of the scope of coverage for preventative and 03 restorative adult dental services. 04 * Sec. 4. AS 47.07.067(d) is amended to read: 05 (d) The [IF THE DEPARTMENT AUTHORIZES OR APPROVES 06 PAYMENT FOR COMPLETE OR PARTIAL DENTURES FOR AN ELIGIBLE 07 RECIPIENT, THE] department may authorize the payment for complete or partial 08 dentures for an eligible recipient in one fiscal year of the maximum payment amount 09 for not more than two fiscal years. [A RECIPIENT IS NOT ELIGIBLE FOR 10 ADDITIONAL BENEFITS UNDER THIS SECTION FOR A TWO-YEAR 11 PERIOD.] 12 * Sec. 5. AS 47.07.036(c) is repealed. 13 * Sec. 6. AS 47.07.067(b) and 47.07.067(c) are repealed. 14 * Sec. 7. The uncodified law of the State of Alaska is amended by adding a new section to 15 read: 16 MEDICAID STATE PLAN FEDERAL APPROVAL. The commissioner of health 17 and social services shall amend and submit to the United States Department of Health and 18 Human Services for approval the state plan for medical assistance coverage consistent with 19 AS 47.07.030(b), as amended by sec. 1 of this Act, AS 47.07.036, as amended by secs. 2 and 20 5 of this Act, and AS 47.07.067, as amended by secs. 3, 4, and 6 of this Act. 21 * Sec. 8. The uncodified law of the State of Alaska is amended by adding a new section to 22 read: 23 NOTIFICATION. The commissioner of health and social services shall notify the 24 revisor of statutes when the United States Department of Health and Human Services 25 approves or disapproves an amendment to the state plan for medical assistance submitted 26 under sec. 7 of this Act. 27 * Sec. 9. The uncodified law of the State of Alaska is amended by adding a new section to 28 read: 29 CONDITIONAL EFFECT. (a) Section 1 of this Act takes effect only if the United 30 States Department of Health and Human Services approves an amendment to the state plan 31 for medical assistance coverage corresponding to the amendment to AS 47.07.030(b) in sec. 1
01 of this Act before January 1, 2024. 02 (b) Sections 2 and 5 of this Act take effect only if the United States Department of 03 Health and Human Services approves an amendment to the state plan for medical assistance 04 coverage corresponding to the amendments to AS 47.07.036 in secs. 2 and 5 of this Act 05 before January 1, 2024. 06 (c) Sections 3, 4, and 6 of this Act take effect only if the United States Department of 07 Health and Human Services approves an amendment to the state plan for medical assistance 08 coverage corresponding to the amendments to AS 47.07.067 in secs. 3, 4, and 6 of this Act 09 before January 1, 2024. 10 * Sec. 10. (a) If sec. 1 of this Act takes effect, it takes effect on the day after the date the 11 commissioner of health and social services notifies the revisor of statutes of approval of the 12 corresponding amendment to the state plan. 13 (b) If secs. 2 and 5 of this Act take effect, they take effect on the day after the date the 14 commissioner of health and social services notifies the revisor of statutes of approval of the 15 corresponding amendment to the state plan. 16 (c) If secs. 3, 4, and 6 of this Act take effect, they take effect on the day after the date 17 the commissioner of health and social services notifies the revisor of statutes of approval of 18 the corresponding amendment to the state plan.