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Session 116 - (2005-2006)Printer Friendly
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H 3287 General Bill, By Wilkins, Kirsh, Edge, Rice, Davenport, Barfield, Taylor, Young, Clyburn and Clark
Summary: Medicaid Accountability and Improvement Act
A BILL TO ENACT THE "MEDICAID ACCOUNTABILITY AND IMPROVEMENT ACT" BY AMENDING SECTION 44-6-80, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL REPORT, SO AS TO FURTHER SPECIFY THE CONTENTS OF THIS REPORT, ESPECIALLY WITH REGARD TO THE MEDICAID PROGRAM, AND TO REQUIRE THIS REPORT TO BE SUBMITTED TO CERTAIN COMMITTEES OF THE GENERAL ASSEMBLY; TO ADD SECTION 44-6-110 SO AS TO SPECIFY MEDICAID ELIGIBILITY DETERMINATION CRITERIA THAT THE DEPARTMENT MUST DEVELOP AND TO FURTHER PROVIDE CERTAIN PROCEDURES FOR ADMINISTRATION OF THE MEDICAID PROGRAM; TO ADD SECTION 38-71-270 SO AS TO REQUIRE HEALTH INSURERS TO PROVIDE IDENTIFYING INFORMATION ON ITS INSUREDS SO THAT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES CAN DETERMINE IF MEDICAID RECIPIENTS HAVE OTHER HEALTH COVERAGE; TO ADD ARTICLES 8 AND 9, CHAPTER 6, TITLE 44 SO AS TO PROVIDE PROCEDURES FOR MEDICAID UTILIZATION CONTROL AND CARE MANAGEMENT, INCLUDING THE ESTABLISHMENT OF THE PHARMACY AND THERAPEUTICS COMMITTEE TO MAKE RECOMMENDATIONS, AMONG OTHER THINGS, TO THE DEPARTMENT CONCERNING MEDICATIONS TO BE ON A PREFERRED DRUG LIST AND TO PROVIDE FOR MEDICAID FRAUD AND ABUSE CONTROLS, INCLUDING CONTRACTING WITH THE ATTORNEY GENERAL'S OFFICE FOR ASSISTANCE WITH INVESTIGATIONS, MONITORING BENEFIT USE, AND CONDUCTING AUDITS AND INVESTIGATIONS OF MEDICAID PROVIDERS; TO AMEND SECTION 43-3-65, RELATING TO COUNTIES PROVIDING OFFICE SPACE AND CERTAIN SERVICES FOR COUNTY DEPARTMENTS OF SOCIAL SERVICES, SO AS TO ALSO REQUIRE COUNTIES TO PROVIDE SUCH ASSISTANCE TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES; AND TO REPEAL JOINT RESOLUTION 370 OF 2002, RELATING TO ANNUAL NURSING HOME FRANCHISE FEES.
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Summary: Medicaid Accountability and Improvement Act
A BILL TO ENACT THE "MEDICAID ACCOUNTABILITY AND IMPROVEMENT ACT" BY AMENDING SECTION 44-6-80, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL REPORT, SO AS TO FURTHER SPECIFY THE CONTENTS OF THIS REPORT, ESPECIALLY WITH REGARD TO THE MEDICAID PROGRAM, AND TO REQUIRE THIS REPORT TO BE SUBMITTED TO CERTAIN COMMITTEES OF THE GENERAL ASSEMBLY; TO ADD SECTION 44-6-110 SO AS TO SPECIFY MEDICAID ELIGIBILITY DETERMINATION CRITERIA THAT THE DEPARTMENT MUST DEVELOP AND TO FURTHER PROVIDE CERTAIN PROCEDURES FOR ADMINISTRATION OF THE MEDICAID PROGRAM; TO ADD SECTION 38-71-270 SO AS TO REQUIRE HEALTH INSURERS TO PROVIDE IDENTIFYING INFORMATION ON ITS INSUREDS SO THAT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES CAN DETERMINE IF MEDICAID RECIPIENTS HAVE OTHER HEALTH COVERAGE; TO ADD ARTICLES 8 AND 9, CHAPTER 6, TITLE 44 SO AS TO PROVIDE PROCEDURES FOR MEDICAID UTILIZATION CONTROL AND CARE MANAGEMENT, INCLUDING THE ESTABLISHMENT OF THE PHARMACY AND THERAPEUTICS COMMITTEE TO MAKE RECOMMENDATIONS, AMONG OTHER THINGS, TO THE DEPARTMENT CONCERNING MEDICATIONS TO BE ON A PREFERRED DRUG LIST AND TO PROVIDE FOR MEDICAID FRAUD AND ABUSE CONTROLS, INCLUDING CONTRACTING WITH THE ATTORNEY GENERAL'S OFFICE FOR ASSISTANCE WITH INVESTIGATIONS, MONITORING BENEFIT USE, AND CONDUCTING AUDITS AND INVESTIGATIONS OF MEDICAID PROVIDERS; TO AMEND SECTION 43-3-65, RELATING TO COUNTIES PROVIDING OFFICE SPACE AND CERTAIN SERVICES FOR COUNTY DEPARTMENTS OF SOCIAL SERVICES, SO AS TO ALSO REQUIRE COUNTIES TO PROVIDE SUCH ASSISTANCE TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES; AND TO REPEAL JOINT RESOLUTION 370 OF 2002, RELATING TO ANNUAL NURSING HOME FRANCHISE FEES.
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| 01/12/05 | House | Introduced and read first time HJ-13 |
| 01/12/05 | House | Referred to Committee on Ways and Means HJ-14 |
| 01/26/05 | House | Member(s) request name added as sponsor: Clark |