This bill amends the Social Welfare Act of 1939, specifically section 109, to update the medical services eligible individuals can receive. Key insertions include provisions for medically necessary acute medical detoxification for opioid use disorder and care in a substance use disorder residential treatment facility that is appropriately licensed or exempt from licensure. Additionally, the bill mandates that a clinical laboratory performing a creatinine test must report the glomerular filtration rate (eGFR) as a percentage of kidney function remaining. The bill also clarifies the reimbursement process for county-owned nursing facilities and establishes guidelines for pharmaceutical services and psychiatric care.
Furthermore, the bill introduces new definitions for "Title XVIII," "Title XIX," and "Title XX" of the Social Security Act, updating the references to include recent amendments. It requires the director to notify the public and obtain legislative approval for any proposed changes in reimbursement methods that would significantly affect payments. The enactment of this bill is contingent upon the passage of House Bill No. 5729.
Statutes affected: House Introduced Bill: 400.109