The bill amends the Social Welfare Act of 1939, specifically section 109, to update the medical services eligible individuals can receive. Key changes include the insertion of language that clarifies the minimum period of inpatient hospital service must be the necessary duration for proper care, replacing the previous term "shall" with "must." Additionally, the bill specifies that physician services can be provided in various settings, including the physician's office or the individual's home, and mandates that reasonable charges for these services must not exceed those paid under Title XVIII of the Social Security Act.

Furthermore, the bill introduces new provisions regarding nursing home services, including a detailed framework for calculating county maintenance of effort rates based on updated variable costs. It also extends the deadline for certain reimbursement rates from 2025 to 2030 and stipulates that the maintenance of effort rate cannot increase by more than $1.00 per patient day each year. Other medical services, such as pharmaceutical services, psychiatric care, and mental health screenings, are also included under the updated provisions, ensuring a comprehensive approach to healthcare for eligible individuals.

Statutes affected:
House Introduced Bill: 400.109