03/23/2010 03:00 PM House HEALTH & SOCIAL SERVICES

         HB 260-MEDICAID: PREVENTIVE CARE/DISEASE MGT.                                                                      
                                                                                                                                
3:05:52 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON announced that the  first order of business would                                                               
be HOUSE  BILL NO. 260, "An  Act relating to preventive  care and                                                               
disease  management services  for medical  assistance recipients;                                                               
and providing  for an  effective date."   [Before  the committee,                                                               
adopted  as  the  working  draft on  3/11/10,  was  the  proposed                                                               
committee  substitute  (CS)  for  HB  260,  Version  26-LS1128\R,                                                               
Mischel, 2/4/10.]                                                                                                               
                                                                                                                                
3:06:42 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  KELLER, as  the prime  sponsor of  the bill,  explained                                                               
that  HB   260  was  an   authorization  and   encouragement  for                                                               
Department of Health  and Social Services (DHSS) to  get a waiver                                                               
for preventative care services.                                                                                                 
                                                                                                                                
3:07:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON moved  to adopt  Amendment 1,  labeled 26-                                                               
LS1128\R.1, Mischel, 3/18/10, which read:                                                                                       
                                                                                                                                
     Page 2, following line 14:                                                                                                 
          Insert a new subsection to read:                                                                                      
          "(e)  The department shall establish measures                                                                         
     that include  medical, social, and  economic components                                                                    
     for  the  services  provided under  this  section.  The                                                                    
     measures  shall  be  used in  evaluating  outcomes  and                                                                    
     savings  for purposes  of reporting  under (d)  of this                                                                    
     section."                                                                                                                  
                                                                                                                                
CO-CHAIR HERRON objected for discussion.                                                                                        
                                                                                                                                
REPRESENTATIVE SEATON  explained that the amendment  would insert                                                               
a new subsection which he read.                                                                                                 
                                                                                                                                
3:07:54 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  HERRON  stated  that  the   sponsor  was  in  favor  of                                                               
Amendment 1 and he asked if there were any questions.                                                                           
                                                                                                                                
3:08:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON explained  that  the  amendment built  the                                                               
medical,  economic, and  social  components into  the program  to                                                               
help evaluate success in a timelier manner.                                                                                     
                                                                                                                                
3:08:59 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON removed his objection.                                                                                          
                                                                                                                                
There being no further objection, Amendment 1 was adopted.                                                                      
                                                                                                                                
3:09:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON moved to adopt Amendment 2, labeled 26-                                                                   
LS1128\R.2, Mischel, 3/18/10, which read:                                                                                       
                                                                                                                                
     Page 2, line 14, following "outcomes,":                                                                                    
          Insert "costs,"                                                                                                       
                                                                                                                                
CO-CHAIR HERRON objected for discussion.                                                                                        
                                                                                                                                
REPRESENTATIVE SEATON  explained that the amendment  inserted the                                                               
word "costs"  on page 2, line  14 to allow for  this analysis, as                                                               
well.                                                                                                                           
                                                                                                                                
CO-CHAIR HERRON removed his objection.                                                                                          
                                                                                                                                
There being no further objection, Amendment 2 was adopted.                                                                      
                                                                                                                                
3:10:19 PM                                                                                                                    
                                                                                                                                
PAT  LUBY, Advocacy  Director, AARP,  stated  that AARP  strongly                                                               
supported  HB 260.   He  pointed out  that Medicare  had included                                                               
preventive health as  a means for the program to  save money.  He                                                               
noted that HB 260 was a good health and fiscal policy.                                                                          
                                                                                                                                
3:11:13 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON closed public testimony.                                                                                        
                                                                                                                                
REPRESENTATIVE T. WILSON asked if there was any fiscal impact.                                                                  
                                                                                                                                
3:12:12 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 3:12 p.m. to 3:13 p.m.                                                                       
                                                                                                                                
3:13:51 PM                                                                                                                    
                                                                                                                                
CO-CHAIR KELLER offered  his belief that the  federal health care                                                               
reform  bill  could have  a  fiscal  impact  on all  health  care                                                               
legislation  and that  each of  these bills  may need  to be  re-                                                               
addressed at some point in the future.                                                                                          
                                                                                                                                
3:15:55 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CISSNA  reiterated  that  the  sponsor  statement                                                               
focused  on  the  importance  of prevention.    She  stated  that                                                               
studies show that "prevention pays."   She shared that HB 260 was                                                               
"a great  leadership role" and would  get a start on  the federal                                                               
health plan.                                                                                                                    
                                                                                                                                
3:18:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE T.  WILSON asked  if HB  260 could  be implemented                                                               
without increasing the state payroll.                                                                                           
                                                                                                                                
3:18:36 PM                                                                                                                    
                                                                                                                                
BILL  STREUR, Deputy  Commissioner, Office  of the  Commissioner,                                                               
replied that  the position was necessary  for the set up  of cost                                                               
containment issues to put the  program in place, contracting, and                                                               
annual contract maintenance with the provider network.                                                                          
                                                                                                                                
3:19:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  T. WILSON  asked  if the  position was  necessary                                                               
after the initial set up.                                                                                                       
                                                                                                                                
3:19:45 PM                                                                                                                    
                                                                                                                                
MR. STREUR replied  that it was necessary until  the frequency of                                                               
contracts and the number of participating providers was known.                                                                  
                                                                                                                                
3:19:58 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  T. WILSON  asked for  more information  about the                                                               
impact and involvement with the private sector.                                                                                 
                                                                                                                                
3:21:04 PM                                                                                                                    
                                                                                                                                
CO-CHAIR   KELLER  moved   to  report   the  proposed   committee                                                               
substitute  (CS)  for  HB   260,  Version  26-LS1128\R,  Mischel,                                                               
2/4/10,   as   amended,   out  of   committee   with   individual                                                               
recommendations and  the accompanying fiscal notes.   There being                                                               
no objection, CSHB  260 (HSS) was reported from  the House Health                                                               
and Social Services Standing Committee.