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Bill

A 1786

Relates to reimbursement for early and periodic screening, diagnosis and treatment

2025 Regular Session Introduced by Rodneyse Bichotte Hermelyn and 22 co-sponsors

Bill A 1786 boosts reimbursement for children's early screening and treatment, ensuring better access to essential healthcare services for families and providers.

REFERRED TO HEALTH
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Bill Summary · A 1786

Summary of Bill A 1786

Bill Information

  • Bill Number: A 1786
  • Title: Relates to reimbursement for early and periodic screening, diagnosis and treatment
  • Status: Referred to Health Committee
  • Introduced: January 14, 2025
  • Classification: Bill

Purpose and Intent

Bill A 1786 aims to enhance the reimbursement framework for early and periodic screening, diagnosis, and treatment (EPSDT) services. The primary intent of this legislation is to ensure that children receive timely and appropriate healthcare services, which are crucial for their development and well-being. By improving reimbursement rates and processes, the bill seeks to encourage healthcare providers to offer these essential services without financial barriers.

Key Provisions

  • Reimbursement Adjustments: The bill proposes adjustments to the reimbursement rates for EPSDT services, ensuring they are adequate to cover the costs incurred by healthcare providers.
  • Expanded Coverage: It may include provisions to expand the types of services covered under EPSDT, thereby increasing access to necessary healthcare for children.
  • Streamlined Processes: The legislation aims to streamline the reimbursement process to reduce administrative burdens on healthcare providers, making it easier for them to offer EPSDT services.

Affected Parties

  • Children and Families: The primary beneficiaries of this bill are children who require early and periodic screenings, diagnosis, and treatment. Families will have improved access to necessary healthcare services.
  • Healthcare Providers: Physicians, clinics, and other healthcare providers who deliver EPSDT services will be directly impacted by changes in reimbursement rates and processes.
  • State Health Programs: The bill may affect state health programs that manage and fund EPSDT services, potentially leading to budgetary adjustments.

Procedural Aspects

  • Current Status: As of January 14, 2025, the bill has been referred to the Health Committee for further consideration.
  • Related Legislation: This bill is related to prior-session bills A 9475 and A 4408, as well as companion bill S 999, which may address similar issues regarding EPSDT services.

Conclusion

Bill A 1786 represents a significant step toward improving healthcare access for children through enhanced reimbursement for essential services. By addressing financial barriers and streamlining processes, the bill aims to foster a healthcare environment where children can receive timely and necessary screenings and treatments. The ongoing legislative process will determine the final provisions and impact of this bill.

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

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