Below is the relevant legislation related to parity that has been introduced during the current or recently adjourned legislative session. State parity legislation passed in any state since 2008 is usually designed to increase compliance with the federal law and to strengthen state laws.
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Regular session: Convened 1/30/2019
Will adjourn: 7/12/2019
Governor’s Deadline: 8/10/2019
Primary Focus: Medicaid
Title/Description: Expands Medicaid coverage to include ambulance transports of individuals in behavioral health crisis
Sponsor: Senator Krawiec (R)
Status: Passed Senate; Died in House committee
Summary: S383/H477 requires the Department of Health and Human Services to design a plan to expand Medicaid coverage to include ambulance transport of Medicaid recipients in behavioral health crisis to behavioral health clinics or other appropriate treatment settings. The plan must include that reimbursement is contingent upon the EMS system’s ability to demonstrate that EMS providers have received appropriate education in caring for individuals in behavioral health crisis and that the EMS System has at least one partnership with a receiving facility. Additionally, the plan must include, among other information: a requirement for the EMS System Plan to include a report on patient experiences and outcomes; a proposed reimbursement methodology; whether the department intends to add the coverage or will need additional appropriations to do so; and an analysis of the financial impact of adding this coverage, including any anticipated costs to the Medicaid program.
Primary Focus: Parity: General
Title/Description: Establishes a workgroup to consider requirements imposed upon mental health, intellectual/developmental disability, and substance use disorder providers
Citation: H 631
Sponsor: Representative Stone (R)
Status: Passed House; Died in Senate committee
Summary: H631 requires the Department of Health and Human Services to establish a workgroup to consider current administrative requirements imposed upon mental health, intellectual/developmental disability, and substance use disorder providers and how best to integrate these requirements with similar administrative requirements for physical health providers to avoid duplication and enhance efficiency. Categories of requirement include documentation, claims processing, reporting, etc. During the examination, the workgroup must identify the federal or State entity that created each requirement and consider any requirement that is not federally mandated, exceeds what is required for physical health, does not add value to the delivery of behavioral health services, and/or is unable to be incorporated into standard electronic health records or does not align with meaningful use of electronic health records.
The workgroup must provide to the Joint Legislative Oversight Committee on Health and Human Services, the Joint Legislative Oversight Committee a report that details their findings and recommendations regarding whether a requirement should remain, be eliminated, or redesigned Medicaid and NC Health Choice, and the Fiscal Research Division.
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