COMMITTEE SUBSTITUTE
FOR
H. B. 2422
(By Delegates Perry, Pino and Stemple
)
(Originating in the Committee on Finance)
[February 23, 2007]
A BILL to
amend the Code of West Virginia, 1931, as amended, by
adding thereto a new section, designated §25-1-4; and to amend
said code by adding thereto a new section, designated
§31-20-30, all relating to
reducing the reimbursement provided
by the Regional Jails and the Division of Corrections provided
that the Department of health and Human Services and the
Regional Jail Authority and the Department of Corrections will
effectuate am electronic payment system.
Be it enacted by the Legislature of West Virginia:
That the Code of West Virginia, 1931, as amended, be amended
by adding thereto a new section, designated §25-1-4; and that said
code be amended by adding thereto a new section, designated
§31-20-30, all to read as follows:
CHAPTER 25. DIVISION OF CORRECTIONS.
ARTICLE 1. ORGANIZATION AND INSTITUTIONS AND CORRECTIONS
MANAGEMENT.
§25-1-4. Limitation on reimbursement rate to medical service
providers for services outside division facilities.
(a) Effective the first day of July, two thousand seven, the
division, or its contracted medical provider, may not pay an amount
to an outside provider of a medical service for a person residing
in a correctional facility greater than seventy-three percent of
the billed charges:
Provided, That critical access hospitals shall
be reimbursed at eighty-five percent of the billed charges. This
limitation applies to all medical care services, goods,
prescription drugs and medications provided to a person who is in
the custody of a correctional facility and is provided these
services outside of said correctional facility.
(b) Effective the first day of July, two thousand eight, the
division, or its contracted medical providers, may not pay an
amount to an outside provider of a medical service for a person
residing in a correctional facility greater than the reimbursement
rate applicable to service providers established by legislative
rule of the Bureau for Medical Service within the Department of
Health and Human Resources: Provided, That critical access
hospitals shall be reimbursed at seventy-five percent of the billed
charges. These limitations apply to all medical care services,
goods, prescription drugs and medications provided to a person who
is in the custody of a correctional facility and is provided these
services outside of a correctional facility: Provided, That the
Department of Military Affairs and Public Safety and the Department of Health and Human Resources effectuate an interagency agreement
for the electronic processing and payment of medical services.
CHAPTER 31. CORPORATIONS.
ARTICLE 20. WEST VIRGINIA REGIONAL JAIL AND CORRECTIONAL FACILITY
AUTHORITY.
§31-20-30. Limitation on reimbursement rate to medical service
providers for services outside regional jail
facilities.
(a) Effective the first day of July, two thousand seven, the
authority, or its contracted medical provider, may not pay an
amount to an outside provider of a medical service for a person
residing in a regional jail greater than seventy-three percent of
the billed charges: Provided, That critical access hospitals shall
be reimbursed at eighty-five percent of the billed charges. These
limitations apply to all medical care services, goods, prescription
drugs and medications provided to a person who is in the custody of
a regional jail and is provided these services outside of a
regional jail.
(b) Effective the first day of July, two thousand eight, the
authority, or its contracted medical providers, may not pay an
amount to an outside provider of a medical service for a person
residing in a regional jail greater than the reimbursement rate
applicable to service providers established by legislative rule of
the Bureau for Medical Service within the Department of Health and
Human Resources: Provided, That critical access hospitals shall be reimbursed at seventy-five percent of the billed charges. This
limitation applies to all medical care services, goods,
prescription drugs and medications provided to a person who is in
the custody of a regional jail and is provided these services
outside of a regional jail: Provided, That the Department of
Military Affairs and Public Safety and the Department of Health and
Human Resources effectuate an interagency agreement for the
electronic processing and payment of medical services.
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