Medicaid; extending certain termination dates; establishing certain reimbursement rates for multistate contracts; effective date.

The deadline for establishing minimum reimbursement rates was extended from July 1, 2027, to July 1, 2028.

The bill title was changed from relating to the 'state Medicaid program' to relating to 'poor persons'.

The document header was updated to indicate this is the 'House of Representatives - Floor Version' rather than the 'Committee Substitute'.

The summary description of the bill's purpose was shortened, removing references to 'promulgation of certain rules' and 'defining terms'.

The deadline for the Health Care Authority to establish minimum reimbursement rates was extended from July 1, 2027, to July 1, 2028.

The bill title was changed to refer to the 'state Medicaid program' instead of 'poor persons,' clarifying the specific legislative intent.

The document status was updated from 'Committee Substitute' to 'Engrossed Committee Substitute,' reflecting the bill's progression through the legislative process.

The deadline for establishing minimum reimbursement rates was extended from July 1, 2027, to July 1, 2028.

New requirements were added to mandate that capitation rates be risk-adjusted and include a portion tied to quality and outcomes measures.

The Authority is now required to report the percentage of health care expenses spent on primary care services.

A new process was established for the Authority to recover funds or assess penalties on contractors that fail to meet medical loss ratio standards.

The document format changed from a final enacted version to a committee substitute draft, including updated headers, page numbers, and committee amendment markings.

The deadline for establishing minimum reimbursement rates was extended from July 1, 2027, to July 1, 2028.

New subsections were added to establish incentive payments for non-hospital providers, protect rural health clinic funding levels, and ensure psychologist reimbursement covers testing and assessment services.

New provisions require the Authority to specify a time frame for contracted entities to enter into value-based contracts and establish a process for recovering funds from entities that fail to meet medical loss ratio standards.

The deadline for the Authority to establish minimum reimbursement rates was extended from July 1, 2027, to July 1, 2028.

The bill title and scope were updated to explicitly mention establishing rates for multistate contracts and authorizing the promulgation of certain rules.

The bill title was changed from 'relating to poor persons' to 'relating to the state Medicaid program' to better reflect the content.

The original 'Enrolled' header and associated formatting were removed and replaced with 'Engrossed Senate Amendment' headers.

The deadline for establishing minimum reimbursement rates was extended from July 1, 2027, to July 1, 2028.

A new provision requires contracted entities to spend at least 11% of their total health care expenses on primary care services by the end of the fourth year of their contract.

The bill text was updated to reflect final Senate approval, adding 'and Rosino of the Senate' to the sponsor list.