Bill
A 8048
Authorizes enhanced reimbursement for pediatric practices partnering with the HealthySteps program, encouraging participation and boosting funding for affected providers.
Title: Relates to enhanced reimbursement rates for pediatric practices that are partnered with the HealthySteps program
Status and Timeline
- Introduced: April 22, 2025
- Legislative Action: Referred to Health (April 22, 2025)
- Related/Companion: S 7833 (Senate companion)
Sponsor Notes
- Primary Sponsor: Karines Reyes
- Cosponsors: Phil Steck, Yudelka Tapia
- Relationship: The bill has a Senate companion (S 7833), indicating parallel consideration in the Senate.
Purpose and Intent
- The bill seeks to establish or authorize enhanced reimbursement rates for pediatric practices that partner with the HealthySteps program. The aim, as suggested by the title, is to provide higher compensation to eligible practices, presumably to support the delivery of services under HealthySteps and encourage participation by pediatric providers.
Key Provisions (Highlights based on the bill’s title)
- Eligibility for Enhanced Reimbursement: Pediatric practices that participate in or partner with the HealthySteps program would qualify for enhanced reimbursement rates.
- Scope of Reimbursement: The bill indicates a mechanism to improve reimbursement to these practices, though specific rate levels, payment schedules, eligible services, payer types (e.g., Medicaid, private insurers), and administrative requirements are not detailed in the provided information.
- Programmatic Connection: Direct linkage between the HealthySteps program and the reimbursement framework, tying program participation to financial incentives for pediatric providers.
Who Would Be Affected
- Primary Beneficiaries: Pediatric practices that have a formal partnership with the HealthySteps program.
- Potentially Affected Stakeholders: Pediatric patients and families served by participating practices, health insurers (public and private) that reimburse these services, and state health authorities responsible for administering reimbursement policies.
Procedural and Timeline Aspects
- Status: Referred to the Health Committee, indicating the bill will be reviewed by the health policy committee to assess its merits, fiscal impact, and administrative feasibility before moving forward.
- Next Steps: If advanced, the bill would proceed through committee hearings, potential amendments, and floor consideration in the Assembly, followed by potential passage and transmission to the Senate (and ultimately the governor) for final action. Details such as fiscal impact and implementation timeline are not provided in the summary.
Notes
- The text provided does not include specific rate figures, eligibility criteria beyond “employment with HealthySteps,” or implementation timelines. Full text would clarify rate amounts, duration, phased rollout, reporting requirements, and oversight mechanisms.
Compiled from official sources — confirm details with the bill’s official record.
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