The bill amends the Social Welfare Act of 1939, specifically section 109, to update the medical services eligible individuals can receive under the act. Key changes include the insertion of provisions for coverage of cranial hair prostheses for individuals under 19 years of age who experience hair loss due to medical conditions or treatments, ensuring that this coverage is not subject to dollar limits, deductibles, or coinsurance provisions that are less favorable than those applied to other prostheses. Additionally, the bill clarifies the definitions of "Title XVIII," "Title XIX," and "Title XX" of the Social Security Act, updating the references to align with current law.
The bill also modifies the reimbursement process for nursing home services, specifying how county maintenance of effort rates are calculated based on updated variable costs and establishing limits on annual increases. It mandates that the Department of Health and Human Services must provide notice and obtain legislative approval for any proposed changes in reimbursement methods that would significantly affect payments. Overall, the amendments aim to enhance the medical services available to eligible individuals while ensuring proper oversight and reimbursement practices.
Statutes affected: Senate Introduced Bill: 400.109