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.