The head of the American Banker's Association is predicting that the U.S. House of Representatives will pass legislation allowing banks to service the business of companies in states where marijuana products are legal: "In an interview on the podcast Engage with Andy Busch that was released on Friday, ABA CEO Rob Nichols said that his group will be actively lobbying for the bipartisan cannabis banking bill in order to provide clarity to financial institutions that currently worry that … [Read more...] about Expected Passage of Marijuana Banking Bill by House
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Trump May Sidestep House to Rein in Spending for Skilled Nursing
Trump appears to continue his drive to implement the block grant approach to decrease costs for skilled nursing through Medicaid, though it is unclear whether he will do it through spending caps or stricter requirements for block grants: Trump sent providers reeling shortly after his inauguration when he made a first run at instituting the block grant approach. Healthcare providers and consumers banded together to beat back the contentious effort. It is believed that this time, … [Read more...] about Trump May Sidestep House to Rein in Spending for Skilled Nursing
Presentation to the House Appropriations
Committee on Article II: Overview of Medicaid Cost Reporting for Long Term Services and Supports ProgramsMedicaid Rate Setting Methodologies •Methodologies vary based on type of service, whether service has a Medicare equivalent, federal law, and available data.• Acute Care (physicians, CORF/ORF, HHA, DME, medical supplies, SHARS, MAC)• Resource-based Fees: equal to Medicare Relative Value Unit (RVU) for the service multiplied by applicable Medicaid conversion factor.• Access-based Fees:• … [Read more...] about Presentation to the House Appropriations
Small House Waivers
The purpose of this letter is to provide further guidance to an applicant for a small house waiver regarding the schematic plan requirement. Provider Letter 14-09, dated June 23, 2014, notified nursing facility Medicaid bed waiver applicants of the amendment to Texas Administrative Code (TAC), Title 40, Part 1, Chapter 19, §19.2322. This amendment requires an applicant for a small house waiver to submit: · schematic building plans with the waiver application; and · final … [Read more...] about Small House Waivers
Enrolled House and Senate Bills
-- The following recently enrolled bills affect certain long term care providers: HB 33: Relating to alternative methods of dispute resolution in certain disputes between the Department of Aging and Disability Services and an assisted living facility licensed by the department. HB 908: Relating to the assessment of an elderly or disabled person's psychological status for purposes of an emergency order authorizing protective services. HB 1358: Relating to procedures for certain audits … [Read more...] about Enrolled House and Senate Bills
House Bills: PPACA, Medicaid
The following recently introduced House bills could affect long term care providers: HB 2276: Relating to notice of residential services available for persons with intellectual disabilities. HB 2288: Relating to the exemption from sales and use taxes of certain health care supplies. HB 2348: Relating to the powers and duties of the Texas Medical Board and the regulation of certain persons licensed by the board. HB 2358: Relating to the regulation of the practice of nursing. HB … [Read more...] about House Bills: PPACA, Medicaid
House and Senate Bills: PPACA, Medicaid
The following recently introduced House and Senate bills could affect long term care providers: HCR 60: Urging the United States Congress to modify the Patient Protection and Affordable Care Act to allow cost-sharing payments and premium tax credits to be made available to the Texas political subdivision health care benefit pools on the same basis as those for health plans participating in the new federal exchange. HCR 64: Requesting the comptroller to conduct a study to determine the … [Read more...] about House and Senate Bills: PPACA, Medicaid
House and Senate Bills: Medical Board, STAR + PLUS
The following recently introduced House and Senate bills could affect long term care providers: HB 1406: Relating to the disclosure of the calculation of out-of-network payments by the issuers of preferred provider benefit plans and by health maintenance organizations. HB 1389: Relating to clinical initiatives to improve the quality of care and cost-effectiveness of the Medicaid program. HB 1389: Relating to clinical initiatives to improve the quality of care and cost-effectiveness of … [Read more...] about House and Senate Bills: Medical Board, STAR + PLUS
House and Senate Bills: STAR + PLUS, PPACA
The following recently introduced House and Senate bills could affect long term care providers: HB 1137: Relating to the use of maximum allowable cost lists under a Medicaid managed care pharmacy benefit plan. HB 1112: Relating to state assistance for certain county health care expenditures. HB 1088: Relating to consumer protection provisions applicable to Medicaid managed care contracts. HB 1066: Relating to a review process for managed care organizations participating in the STAR + … [Read more...] about House and Senate Bills: STAR + PLUS, PPACA
House and Senate Bills: Criminal History, PPACA
The following recently introduced House and Senate bills could affect long term care providers: HB 729: Relating to access to criminal history record information by certain hospitals and other facilities. HB 658: Relating to interest on damages subject to Medicare subrogation. HB 620: Relating to the regulation of certain health care provider network contract arrangements. HB 624: Relating to the payment for services provided by certain types of health care practitioners under … [Read more...] about House and Senate Bills: Criminal History, PPACA