Bill
S 999
Overview: S 999, Relates to reimbursement for early and periodic screening, diagnosis and treatment, REPORTED AND COMMITTED TO FINANCE, Introduced: March 12, 2025Purpose and Intent
Overview: S 999, Relates to reimbursement for early and periodic screening, diagnosis and treatment, REPORTED AND COMMITTED TO FINANCE, Introduced: March 12, 2025
Purpose and Intent: The bill aims to ensure adequate reimbursement for healthcare providers who offer early and periodic screening, diagnosis, and treatment (EPSDT) services to Medicaid beneficiaries. EPSDT is a comprehensive child health program that provides a broad range of preventive, diagnostic, and treatment services for children under 21 enrolled in Medicaid.
Key Provisions:
- Requires state Medicaid programs to reimburse healthcare providers for EPSDT services at rates that are sufficient to enlist enough providers to ensure access to care
- Directs the Secretary of Health and Human Services to establish a minimum reimbursement rate for EPSDT services that accounts for the actual costs of providing high-quality care
Affected Parties and Impacts:
- Medicaid-enrolled children and their families, who will have improved access to comprehensive preventive and treatment services
- Healthcare providers, who will receive adequate reimbursement for delivering EPSDT services
Procedural and Timeline Considerations:
The bill has been reported and committed to the Senate Finance Committee for further consideration. If passed, the new reimbursement requirements would take effect in the next fiscal year after enactment.
Compiled from official sources — confirm details with the bill’s official record.
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