West Virginia 2022 Regular Session

West Virginia Senate Bill SB706

Introduced
2/21/22  

Caption

Relating to PEIA reimbursement of inpatient hospital rates

Impact

If enacted, SB706 would significantly impact the financing of healthcare provided through the West Virginia Public Employees Insurance Agency (PEIA). By facilitating an increase in reimbursements for inpatient hospital care, the bill may improve hospital fiscal health and encourage them to accept more patients covered by the PEIA plan. Furthermore, the establishment of the Supplemental Reimbursement Fund mandates the finance board to maintain a reserve fund, potentially leading to better management of state resources and a more stable funding model for public healthcare services.

Summary

Senate Bill 706 seeks to amend the West Virginia Public Employees Insurance Act, specifically focusing on the reimbursement rates for hospitals providing inpatient care to participants in the health plan. The bill outlines the establishment of a Supplemental Reimbursement Fund that will allow for increases in hospital reimbursements to be adjusted to meet or exceed Medicare reimbursement rates. This modification is aimed at ensuring hospitals are fairly compensated for their services, particularly when they provide care at rates lower than those set by Medicare, thereby potentially enhancing the quality of healthcare services available to state employees and their families.

Sentiment

The sentiment surrounding SB706 seems to be generally supportive, particularly among healthcare providers and stakeholders who recognize the importance of adequate compensation for medical facilities. Advocates emphasize that this bill will not only support hospitals but will also lead to better healthcare outcomes for state employees. However, there may be concerns about the long-term sustainability of such funding and the potential implications for the overall state budget, especially if the reserve fund is not adequately maintained or if costs exceed projections.

Contention

While there appears to be broad support for the intent of SB706, some points of contention revolve around the funding mechanisms for the Supplemental Reimbursement Fund. Critics may raise questions about how the fund will be sustained and whether it will unduly burden the state’s financial resources in the future. Additionally, issues related to the management of the fund and the potential for implementation challenges may also be anticipated as discussions progress.

Companion Bills

No companion bills found.

Previously Filed As

WV HB2198

AHCCCS; reimbursement rates; rural hospitals

WV SB1214

Relating to Medicaid reimbursement rates for rural hospitals; declaring an emergency.

WV HB2046

Require hospitals under Certificate of Need to accept PEIA

WV HB2218

Relating to reimbursement rates for inpatient psychiatric services.

WV HB1024

Medicaid reimbursement for children's hospitals.

WV HB2219

Relating to reimbursement rates for hospital obstetric services.

WV HB210

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

WV HB152

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

WV HB469

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

WV HB513

Medicaid; provide increased reimbursement rate for hospitals in counties with high unemployment and doctor shortage.

Similar Bills

WV HB4004

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WV SB738

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WV SB547

Creating Charter Schools Startup Fund

WV HB4905

Removing fees teachers have to pay in order to obtain any teaching license, certification, or additional continuing education credit hours (reporting fee) to the state Board of Education

WV SB845

Relating to National Guard Servicemember's Medical Readiness Act

WV HB4817

Relating to modifying the Charter Schools Startup Fund

VA SB787

Virginia National Guard TRICARE Reimbursement Fund; established.

VA HB1464

An Act to amend and reenact §§ 19.2-165.1, 19.2-368.2, 19.2-368.3, and 19.2-368.11:1 of the Code of Virginia, relating to victims of crime; reimbursement for expenses; work group.