86
th Legislative Session _ 2011
Committee: House Health and Human Services
Tuesday, February 22, 2011
P - Present
E - Excused
A - Absent
Roll Call
P Blake
P Haggar
P Hawley
P Hickey
E Iron Cloud III
E Jensen
P Lucas
P Magstadt
P Sly
P Steele
P Stricherz
P Munsterman, Vice-Chair
P Boomgarden, Chair
OTHERS PRESENT: See Original Minutes
The meeting was called to order by Representative Boomgarden, Chair.
MOTION: TO APPROVE THE MINUTES OF THURSDAY, FEBRUARY 17, 2011
Moved by: Lucas
Second by: Hickey
Action: Prevailed by voice vote.
HB 1172: require the issuance of a request for proposals concerning the
administration of the Medicaid program.
Presented by: Representative Scott Munsterman (Handout: 1)
Opponents: Kim Malsam-Rysdon, Department of Social Services
Deb Bowman, Office of the Governor
Sam Wilson, AARP, Sioux Falls
Ken Senger, SD Association of Healthcare Organizations
Deb Fischer Clemens, Avera Health
MOTION: AMEND HB 1172
1172jb
On page 1, line 10, of the printed bill, delete everything after "." and insert "The department
shall report any findings, along with any legislative proposals, to the 2012 Legislature.
Section 2. The Department of Social Services shall issue a request for information concerning
issues related to the delivery models that may be used to meet the needs of exempt Medicaid
participants, children receiving Medicaid, and adults receiving Medicaid including the development
of a benchmark plan with the private sector for those adults receiving Medicaid. The department
shall report any findings, along with any legislative proposals, to the 2012 Legislature.".
On page 1, delete lines 11 to 13, inclusive.
Moved by: Sly
Second by: Magstadt
Action: Prevailed by voice vote.
MOTION: DO PASS HB 1172 AS AMENDED
Moved by: Hickey
Second by: Stricherz
Action: Failed by roll call vote. (5-6-2-0)
Voting Yes: Haggar, Hickey, Steele, Stricherz, Munsterman
Voting No: Blake, Hawley, Lucas, Magstadt, Sly, Boomgarden
Excused: Iron Cloud III, Jensen
MOTION: DEFER HB 1172 TO THE 41
ST LEGISLATIVE DAY
Moved by: Lucas
Second by: Blake
Action: Failed by roll call vote. (6-5-2-0)
Voting Yes: Blake, Hawley, Lucas, Magstadt, Sly, Boomgarden
Voting No: Haggar, Hickey, Steele, Stricherz, Munsterman
Excused: Iron Cloud III, Jensen
MOTION: TO TABLE HB 1172
Moved by: Steele
Second by: Sly
Action: Prevailed by roll call vote. (7-4-2-0)
Voting Yes: Blake, Hawley, Lucas, Magstadt, Sly, Steele, Boomgarden
Voting No: Haggar, Hickey, Stricherz, Munsterman
Excused: Iron Cloud III, Jensen
HB 1134: provide for certain revisions to the medicaid program.
Presented by: Representative Scott Munsterman (Handout: 1)
Proponents: Tom Scheinost, SD Association of Community Based Services
Opponents: Dave Hewett, SD Association of Healthcare Organizations
Terrance Dosch, SD Council of Mental Health Centers
Brett Koenecke, SD State Medical Association
Kitty Kinsman, South Dakota Childrens Care Hospital and School
Paul Knecht, SD Dental Association
Deb Bowman, Office of the Governor
MOTION: AMEND HB 1134
1134jc
On the printed bill, delete everything after the enacting clause and insert:
"Section 1. For fiscal year 2012, each facility's reduction in Medicaid shall be based on the
facility's reimbursement for fiscal year 2010 from Medicaid as follows:
(1) For any facility receiving more than eighty percent reimbursement from Medicaid, no
reduction;
(2) For any facility receiving sixty-six percent to eighty percent reimbursement from
Medicaid, one percent reduction;
(3) For any facility receiving sixty-three percent or more but less than sixty-six percent
reimbursement from Medicaid, one and one half percent reduction;
(4) For any facility receiving sixty-one percent or more but less than sixty-three percent
reimbursement from Medicaid, two percent reduction;
(5) For any facility receiving fifty-nine percent or more but less than sixty-one percent
reimbursement from Medicaid, two and one half percent reduction;
(6) For any facility receiving fifty-seven percent or more but less than fifty-nine percent
reimbursement from Medicaid, three percent reduction;
(7) For any facility receiving fifty-four percent or more but less than fifty-seven percent
reimbursement from Medicaid, five percent reduction;
(8) For any facility receiving fifty-two percent or more but less than fifty-four percent
reimbursement from Medicaid, seven percent reduction;
(9) For any facility receiving forty-nine percent or more but less than fifty-two percent
reimbursement from Medicaid, nine percent reduction;
(10) For any facility receiving forty-four percent or more but less than forty-nine percent
reimbursement from Medicaid, eleven percent reduction;
(11) For any facility receiving less than forty-four percent reimbursement from Medicaid,
thirteen percent reduction.
Section 2. The provider fee schedule for Medicaid shall be based on a percentage of the amount
listed in the Medicare physician fee schedule, the 2011 National Physician Fee Schedule Relative
Value File, if the service is listed. If the service is not listed in the schedule, reimbursement shall be
made according to a model based on reported costs."
Moved by: Stricherz
Second by: Haggar
Action: Prevailed by voice vote.
MOTION: DO PASS HB 1134 AS AMENDED
Moved by: Sly
Second by: Stricherz
Action: Prevailed by roll call vote. (9-2-2-0)
Voting Yes: Haggar, Hawley, Hickey, Magstadt, Sly, Steele, Stricherz, Munsterman, Boomgarden
Voting No: Blake, Lucas
Excused: Iron Cloud III, Jensen
MOTION: ADJOURN
Moved by: Sly
Second by: Steele
Action: Prevailed by voice vote.
Joshua Klumb
____________________________
Committee Secretary
Jamie Boomgarden, Chair
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