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| SPONSOR: | Jennings | DATE TYPED: | 5/7/99 | HB | |||
| SHORT TITLE: | Medicaid Reimbursement | SB | 3 | ||||
| ANALYST: | Burris | ||||||
| Recurring
or Non-Rec |
Fund
Affected | ||||
| FY99 | FY2000 | FY99 | FY2000 | ||
| ($1,200.0)* | Rec | GF | |||
(Parenthesis ( ) Indicate Expenditure Decreases)
| Subsequent
Years Impact |
Recurring
or Non-Rec |
Fund
Affected | ||
| FY99 | FY2000 | |||
| ($3,438.6)* | Rec | FF | ||
(Parenthesis ( ) Indicate Revenue Decreases)
* The estimated cost to implement this legislation is $1,200 in general fund, matched by $3,438.6 in
federal funds. The fiscal impact is negative because the legislation does not contain an appropriation.
Duplicates HB22
SOURCES OF INFORMATION
LFC Files
SUMMARY
Synopsis of Bill
Senate Bill 3 amends Section 27-2-12-3 NMSA 1978 to require payments to physicians providing services under the managed care system to be not less than the rate paid for Medicare Part B services. The bill also stipulates the physician reimbursement rate shall include a minimum two dollar per member per month management fee for physicians who serve as primary care providers.
Senate Bill 3 will increase the reimbursement rates paid to physicians under the managed care system. However, House Bills 9 and 10 and Senate Bills 15 and 16 do not include appropriations to fund this increase. No appropriation is included in this bill, thus it is likely its passage will create a deficit in the Medicaid Payments division.
FISCAL IMPLICATIONS
The estimated cost to implement this legislation is $1,200.0 in general fund. The federal fund match will be approximately $3,438.6.
CONFLICT/DUPLICATION/COMPANIONSHIP/RELATIONSHIP
This bill duplicates House Bill 22.
OTHER SUBSTANTIVE ISSUES
LFC staff has been informed that physician reimbursement rates for Medicaid providers have not been increased since 1977.
POSSIBLE QUESTIONS
1. If sufficient revenue is not available to fund physician reimbursement rate increases, is it possible to postpone implementation of this legislation until July 2000?
RLB/njw:gm