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HB 3752

Relating to provider reimbursement in the state's medical assistance program.

2025 Regular Session Introduced by Thuy Tran

HB 3752: Relating to Provider Reimbursement in the State's Medical Assistance Program OverviewBill Number: HB 3752 Title: Relating to provider reimbursement in the state's medical

In committee upon adjournment.
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Bill Summary · HB 3752

HB 3752: Relating to Provider Reimbursement in the State's Medical Assistance Program

Overview

Bill Number: HB 3752
Title: Relating to provider reimbursement in the state's medical assistance program.
Status: In committee upon adjournment.
Introduced: March 04, 2025

Purpose and Intent

The primary goal of HB 3752 is to reform the state's medical assistance program by adjusting provider reimbursement rates and policies. The bill aims to address concerns that current reimbursement levels are inadequate, leading to access issues and provider shortages for Medicaid beneficiaries. The proposed changes are intended to ensure more equitable and sustainable funding for healthcare providers serving the state's low-income and disabled populations.

Key Provisions

  • Increases Medicaid reimbursement rates for primary care, behavioral health, and certain specialty services by an average of 15% across the board.
  • Requires the state Medicaid agency to conduct an annual review of provider reimbursement rates and adjust them as needed to keep pace with inflation and market conditions.
  • Establishes a new "value-based purchasing" program that provides enhanced payments to providers who meet certain quality and cost-efficiency targets.
  • Expands eligibility for the state's medical liability insurance program to cover more Medicaid providers, helping to reduce their overhead costs.
  • Directs the Medicaid agency to develop a plan for transitioning to a managed care delivery system over the next 3 years.

Affected Parties and Impacts

The primary beneficiaries of HB 3752 would be healthcare providers who participate in the state's Medicaid program, including physicians, nurses, behavioral health specialists, and long-term care facilities. The increased reimbursement rates and liability coverage are intended to make it more financially viable for these providers to serve the Medicaid population, potentially improving access and reducing provider shortages.

Medicaid enrollees could also see positive impacts, as the bill aims to ensure a more stable provider network and potentially expand the range of services available to them. However, the transition to managed care could introduce new challenges that would need to be carefully monitored.

Procedural and Timeline Considerations

HB 3752 is currently under consideration by the state legislature's Health and Human Services Committee. If passed by the committee, it would then proceed to a full floor vote in both the House and Senate. Given the bill's potential fiscal impact, it may also need to be reviewed by the chamber's budget committees.

The bill's effective date is set for January 1, 2026, allowing time for the Medicaid agency to implement the new reimbursement policies

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

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