2025 Regular Session - Day 21 - HB 695, Rep. Adam Bowling

thank you Mr Speaker House Bill 695 is amended by the committee substitute um what we are doing is we just passed a bill on the house floor uh that is the Medicaid oversight Advisory Board uh we see that as a bill that will govern Medicaid moving forward so think longterm think moving forward House Bill 9 Medicaid oversight and Advisory Board that's how we can wrap our hands around Medicaid and better manage it and make policy decisions as a through that board um as I mentioned before roughly one out of three kuckian is currently enrolled in Medicaid or CAD ship it's the second largest general fund unit within our state budget and the growth we are seeing currently is at a rate that's just not sustainable we're starting to see some pressure points so all we are trying to do with House Bill 695 is just stabilize the program hold it where it is today let's get house spill 9 Medicaid oversight and advisor board set up so we can start running Medicaid issues through that bill we can have the executive branch legislative branch uh outside parties come to the table and make better decisions moving forward in the meantime until we get that set up that gets on its feet and functioning over the next 12 18 months uh let's stabilize the program let's hold things where they are um and and let's try to move forward um sections one through three of this bill I will run through the sections really quick there's 15 sections uh it limits the cabinet's authority to make changes to the Medicaid Program on new waivers state plan amendments and coverage expansions again not growing stay where we are uh section four authorizes the cabinet to move forward with an 11:15 Community engagement waiver and report back on progress section five creates the Kentucky Medicaid pharmaceutical rebate fund section six requires the cabinet to inform lrc of waiver applic ations waiver amendments waiver renewals or state plan Amendment applications again let us know what's going on over over there report back give us a heads up um when we start going through some of those section seven requires quarterly reporting requirements to interim committees and the office of budget review again transparency better information better data report back um Section 8 requires record retention for not less than 7 years section nine limit certain billing codes to no more than 1 hour per day and no more than 100 hours in a calendar year section 10 requires the cabinet to report barriers of implementation on any Medicaid related bills within 7even days following a standing committee's report that a bill should pass again if something we do a bill that we pass in the house or starts moving forward in the house um if there's an unintended consequence that we don't see let us know about it when we're in session so that we can address it um section 11 directs the cabinet Duran State prior authorizations for Behavioral Health as as they existed on January 1st of 2020 section 12 requires the cabinet to procure new Medicaid MCO contracts with an effective date no later than January 1st 2027 section 13 requires all Managed Care organizations to collaborate on the development of a shared scorecard for behavioral health and substance use disorder treatment service services and providers again this is to bring more trans trans Arcy to the process uh to those individuals that are seeking those these services and also between the mcos and the providers so there can be an open communication between them section 14 uh clarifies that programs funded funded under our current uh budget Bill language House Bill 6 and House Bill one from 2024 session serves as authorization to continue those programs in their current form again we're not trying to cut anything we are trying to stabilize not add new things uh section 13 is an emergency Clause so this becomes effective uh immediately if there are no questions Mr Speaker I move for passage of House Bill 695 as amended by house committee substitute one