SS SCS HB 286 -- HEALTH CARE PROGRAMS

This bill provides for a proportionate decrease in the federal
reimbursement allowance for Medicaid in each fiscal year in which
the population covered by the Medicaid expansion waiver
decreases.  The Division of Medical Services will increase the
uninsured payments for that fiscal year.  The increased payments
will offset the higher uninsured costs to certain health care
facilities resulting from the more restrictive Medicaid waiver
eligibility criteria, as determined by the Department of Social
Services.

Beginning July 1, 2003, the amount appropriated each fiscal year
to fund Medicaid graduate and enhanced graduate medical education
is not to be less than the amount paid in Fiscal Year 2002.  This
provision will expire 180 days after the end of the fiscal year
if the required appropriation was not paid, unless payments are
adjusted prospectively by the department.  The provision for
graduate and enhanced graduate medical education will expire
September 30, 2005.

The bill modifies the rebate amount for prescription drugs in the
Missouri Senior Rx Program.  For all transactions prior to July
1, 2003, the rebate amount is 15% of the manufacturer's price.
For all transactions on or after July 1, 2003, the rebate amount
is 15% for brand name prescription drugs and 11% for generic
prescription drugs.

The department may, on a quarterly basis, adjust the tax levied
on licensed retail pharmacies providing outpatient prescriptions.
The department may adjust more frequently for individual
providers if their pharmacy sales characteristics change
substantially.  The annual audit by the Department of Insurance
of this tax is repealed.  The provisions relating to this tax
expire June 30, 2005.

Missouri House of Representatives
Last Updated July 25, 2003 at 10:11 am