WeVote
Log In

Bill

Bill

SB 25-084

Medicaid Access to Parenteral Nutrition

2025 Regular Session Introduced by Judy Amabile and 36 co-sponsors

Medicaid must cover parenteral nutrition when medically necessary, ensuring enrollees who cannot feed orally or enterally receive essential IV nutrition and care.

Governor Signed
0
WeVote Research Nonpartisan
Bill Summary · SB 25-084

SB 25-084 — Medicaid Access to Parenteral Nutrition

Status: Governor Signed (2025-05-28)
Introduced: January 23, 2025
Primary Sponsors: Cleave Simpson; Mary Bradfield; Gretchen Rydin; Kyle Mullica (multiple cosponsors listed)

At a glance

SB 25-084, titled "Medicaid Access to Parenteral Nutrition," was enacted by the legislature and signed by the governor on May 28, 2025. The bill’s title indicates its purpose is to change Medicaid policy to improve access to parenteral nutrition (intravenous nutritional support) for eligible Medicaid enrollees.

Purpose and intent

The stated intent (as reflected in the bill title and legislative posture) is to ensure that individuals enrolled in the state Medicaid program who medically require parenteral nutrition can obtain it as a covered service. The policy aim is improving continuity of medically necessary nutrition therapy, reducing barriers to care, and supporting clinical outcomes for patients who cannot use oral or enteral feeding.

Key provisions (summary and likely elements)

The full bill text was not provided with the request; the section below summarizes what this type of bill typically does and what readers should expect to find in the enacted law:

  • Coverage requirement: Directs the Medicaid program to cover parenteral nutrition (PN) when prescribed as medically necessary by a qualified provider.
  • Scope of services: May include coverage for PN solutions, catheter-related supplies, associated durable medical equipment, pharmacy compounding and dispensing, and home infusion services when applicable.
  • Eligibility and medical necessity criteria: Likely establishes clinical criteria and documentation requirements for PN eligibility (e.g., intestinal failure, inability to absorb nutrients enterally).
  • Prior authorization and utilization management: May address prior authorization processes, limits on days’ supply, and appeal rights to reduce administrative barriers.
  • Reimbursement and provider participation: Could set or require the Medicaid agency to determine appropriate reimbursement rates for PN-related services and to credential home infusion or specialty pharmacy providers.
  • Care coordination: May require coordination with managed care organizations (if applicable) and standards for transitions from hospital to home PN.

Because the bill text is not included here, these items are presented as typical provisions found in similar Medicaid-access bills; consult the enacted statute for precise language.

Who is affected

  • Medicaid enrollees who require parenteral nutrition (adults and/or children, depending on statutory language).
  • Providers: hospitals, home infusion companies, specialty pharmacies, clinicians prescribing PN.
  • Medicaid program administrators and managed care plans (if the state uses them), which will implement coverage and payment changes.

Legislative timeline & status

  • Introduced in Senate: 2025-01-23 (assigned to Health & Human Services)
  • Passed both chambers with committee amendments and concurrence votes through May 2025
  • Sent to Governor: 2025-05-15; Signed by Governor: 2025-05-28

Implementation and next steps

The law is enacted; the Medicaid agency (state Department of Health Care Policy & Financing or equivalent) will issue administrative rules, provider bulletins, and fiscal guidance to implement coverage and payment changes. Check the enacted bill text and agency rulemaking notices for effective dates, exact coverage language, prior authorization requirements, and any fiscal impact or appropriation provisions.

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.