SB455: relative to Medicaid reimbursement rates for prosthetic and orthotic devices.

CHAPTER 356

SB 455-FN - FINAL VERSION

03/07/2024 0831s

23May2024... 1958h

06/13/2024 2353EBA

2024 SESSION

24-3071

05/10

SENATE BILL 455-FN

AN ACT relative to Medicaid reimbursement rates for prosthetic and orthotic devices.

SPONSORS: Sen. Prentiss, Dist 5; Sen. Fenton, Dist 10; Sen. Watters, Dist 4; Sen. Altschiller, Dist 24; Sen. Perkins Kwoka, Dist 21; Sen. Whitley, Dist 15; Sen. Innis, Dist 7; Sen. Soucy, Dist 18; Sen. Carson, Dist 14; Sen. D'Allesandro, Dist 20; Sen. Chandley, Dist 11; Rep. Hakken-Phillips, Graf. 12; Rep. Morse, Graf. 9; Rep. J. Murphy, Graf. 12; Rep. Palmer, Sull. 2

COMMITTEE: Health and Human Services

AMENDED ANALYSIS

This bill directs the department of health and human services to establish a reimbursement rate for prosthetic and orthotic devices under Medicaid that is equal to no less than 90 percent of the rate under Medicare and makes an appropriation to the department for this purpose. The bill also directs the legislative oversight committee on health and human services to study the issue.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

03/07/2024 0831s

23May2024... 1958h

06/13/2024 2353EBA 24-3071

05/10

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Twenty Four

AN ACT relative to Medicaid reimbursement rates for prosthetic and orthotic devices.

Be it Enacted by the Senate and House of Representatives in General Court convened:

356:1 Medicaid Reimbursement Rate for Prosthetic and Orthotic Devices. The commissioner of department of health and human services shall take all available measures to increase the reimbursement rate for prosthetic and orthotic devices under Medicaid so that it is equal to no less than 90 percent of the reimbursement rate under Medicare as of January 1, 2024. On or before November 1, 2024, the commissioner shall provide a report of such actions to the oversight committee on health and human services, established in RSA 126-A:13. The report shall include the current reimbursement rates for prosthetic and orthotic devices under each program and address any remaining disparity.

356:2 Oversight Committee on Health and Human Services; Review of Medicaid Reimbursement Rates. The oversight committee on health and human services established in RSA 126-A:13 shall undertake an annual review of Medicaid reimbursement rates for prosthetic and orthotic devices, determine the adequacy of such rates given the usual and customary cost of such devices, and identify ways to establish equal reimbursement rates for prosthetic and orthotic devices under Medicare and Medicaid.

356:3 Appropriation; Department of Health and Human Services; Medicaid Reimbursement Rates for Prosthetic and Orthotic Devices. For the biennium ending June 30, 2025, the sum of $620,000 is appropriated to the department of health and human services for the purpose of establishing a Medicaid reimbursement rate for prosthetic and orthotic devices equal to no less than 90 percent of the Medicare reimbursement rate for prosthetic and orthotic devices under Medicare as of January 1, 2024. The department may accept and expend available federal funds without fiscal committee approval. The governor is authorized to draw a warrant for the general fund share of said sum out of any money in the treasury not otherwise appropriated.

356:4 Effective Date. This act shall take effect July 1, 2024.

Approved: August 02, 2024

Effective Date: July 01, 2024