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CS/SB 1292: Medicaid

GENERAL BILL by Health Policy ; Bean

Medicaid; Deleting a requirement for the Agency for Health Care Administration to submit an annual report to the Legislature on the operation of the pharmaceutical expense assistance program; revising the method for determining prescribed drug provider reimbursements; requiring the agency to establish certain procedures related to prior authorization requests rather than prior consultation requests; revising the definitions of the terms “medical necessity” and “medically necessary” to provide an exception for behavior analysis services determinations, etc.

Effective Date: 7/1/2021
 Last Action: 4/26/2021 Senate - Laid on Table, companion bill(s) passed, see CS/HB 1057 (Ch. 2021-151) -SJ 720
Bill Text: Web Page | PDF
Senate Committee References:
  1. Health Policy (HP)
  2. Appropriations Subcommittee on Health and Human Services (AHS)
  3. Appropriations (AP)

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  • Bill History

    Date Chamber Action
    2/15/2021 Senate • Filed
    2/24/2021 Senate • Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations -SJ 130
    3/2/2021 Senate • Introduced -SJ 130
    3/19/2021 Senate • On Committee agenda-- Health Policy, 03/24/21, 11:30 am, 412 Knott Building
    3/24/2021 Senate • CS by Health Policy; YEAS 8 NAYS 0 -SJ 313
    3/25/2021 Senate • Pending reference review under Rule 4.7(2) - (Committee Substitute)
    • CS by Health Policy read 1st time -SJ 319
    3/29/2021 Senate • Now in Appropriations Subcommittee on Health and Human Services
    4/5/2021 Senate • On Committee agenda-- Appropriations Subcommittee on Health and Human Services, 04/08/21, 9:00 am, 412 Knott Building
    4/8/2021 Senate • Subcommittee Recommendation: Favorable by Appropriations Subcommittee on Health and Human Services; YEAS 10 NAYS 0 -SJ 408
    • Now in Appropriations
    4/14/2021 Senate • On Committee agenda-- Appropriations, 04/19/21, 10:00 am, 412 Knott Building
    4/19/2021 Senate • Favorable by- Appropriations; YEAS 20 NAYS 0 -SJ 472
    4/20/2021 Senate • Placed on Calendar, on 2nd reading
    4/22/2021 Senate • Placed on Special Order Calendar, 04/26/21 -SJ 721
    4/26/2021 Senate • Read 2nd time -SJ 719
    • Substituted CS/HB 1057 -SJ 720
    • Laid on Table, companion bill(s) passed, see CS/HB 1057 (Ch. 2021-151) -SJ 720

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  • CS/SB 1292, Committee Substitute 1 (Current Bill Version) Posted 3/25/2021 at 12:07 PM

    Bill Text:   Web Page | PDF
    Analyses:   Appropriations Subcommittee on Health and Human Services (Pre-Meeting) 4/7/2021 (pdf)
    Appropriations Subcommittee on Health and Human Services (Post-Meeting) 4/8/2021 (pdf)
    Appropriations (Pre-Meeting) 4/20/2021 (pdf)
    Appropriations (Post-Meeting) 4/20/2021 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1057 (er) Agency for Health Care Administration Finance and Facilities Subcommittee Identical Last Action: 6/23/2021 Chapter No. 2021-151 Track This Bill

    Floor Amendments (1)

    Amendment Sponsor Filed Last Floor Action Format
    716686 - Amendment
    Between lines 70 and 71 insert:     		Farmer 4/23/2021
    2:14 PM     		Senate: Withdrawn
    4/25/2021     		Web Page
    PDF

    Committee Votes (2)

    Date Committee Result
    4/8/2021 9:00 AM Appropriations Subcommittee on Health and Human Services 10 Yeas - 0 Nays
    4/19/2021 10:00 AM Appropriations 20 Yeas - 0 Nays

    Citations - Statutes (8)

    Citation Catchline Location in Bill Location In Bill Help
    402.81 Pharmaceutical expense assistance. Page 2 (pdf)
    409.815 Health benefits coverage; limitations. Page 2 (pdf)
    409.908 Reimbursement of Medicaid providers. Page 3 (pdf)
    409.91195 Medicaid Pharmaceutical and Therapeutics Committee. Page 6 (pdf)
    409.912 Cost-effective purchasing of health care. Page 7 (pdf)
    409.91213 Quarterly progress reports and annual reports. Page 19 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 20 (pdf)
    765.53 Organ Transplant Advisory Council; membership; responsibilities. Page 22 (pdf)

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  • SB 1292, Original Filed Version Posted 2/15/2021 at 2:31 PM

    Bill Text:   Web Page | PDF
    Analyses:   Health Policy (Pre-Meeting) 3/23/2021 (pdf)
    Health Policy (Post-Meeting) 3/24/2021 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1057 (c1) Agency for Health Care Administration Finance and Facilities Subcommittee Similar Last Action: 6/23/2021 Chapter No. 2021-151 Track This Bill

    Committee Amendments (2)

    Amendment Sponsor Filed Last Committee Action Format
    577006 - Amendment
    Between lines 70 and 71 insert:     		Health Policy
    (Jones)     		3/23/2021
    11:28 AM     		Withdrawn
    3/24/2021     		Web Page
    PDF
    385204 - Amendment
    Delete lines 101 - 741 and insert:     		Health Policy
    (Bean)     		3/23/2021
    11:15 AM     		Replaced by Committee Substitute
    3/24/2021     		Web Page
    PDF

    Committee Votes (1)

    Date Committee Result
    3/24/2021 11:30 AM Health Policy 8 Yeas - 0 Nays

    Citations - Statutes (8)

    Citation Catchline Location in Bill Location In Bill Help
    402.81 Pharmaceutical expense assistance. Page 2 (pdf)
    409.815 Health benefits coverage; limitations. Page 2 (pdf)
    409.908 Reimbursement of Medicaid providers. Page 3 (pdf)
    409.91195 Medicaid Pharmaceutical and Therapeutics Committee. Page 10 (pdf)
    409.912 Cost-effective purchasing of health care. Page 11 (pdf)
    409.91213 Quarterly progress reports and annual reports. Page 24 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 24 (pdf)
    765.53 Organ Transplant Advisory Council; membership; responsibilities. Page 26 (pdf)

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