H.B. 337

1

ACCESS TO CHILDRENS HEALTH
2 INSURANCE PROGRAM
3 2008 GENERAL SESSION
4 STATE OF UTAH
5 Chief Sponsor: Paul Ray
6 Senate Sponsor: ____________
7
8 LONG TITLE
9 General Description:
10 This bill amends the Medical Assistance Act to require the Children's Health Insurance
11 Program to contract with ambulatory surgical centers that agree to accept the Children's
12 Health Insurance Program fee schedule reimbursement for services.
13 Highlighted Provisions:
14 This bill:
15 . defines terms; and
16 . beginning July 1, 2008, requires the Children's Health Insurance Program to include
17 an ambulatory surgical center on its provider panel if the ambulatory surgical center
18 meets certain requirements.
19 Monies Appropriated in this Bill:
20 None
21 Other Special Clauses:
22 None
23 Utah Code Sections Affected:
24 ENACTS:
25 26-18-12, Utah Code Annotated 1953
26
27 Be it enacted by the Legislature of the state of Utah:

28 Section 1. Section 26-18-12 is enacted to read:
29 26-18-12. Ambulatory surgical centers.
30 (1) For purposes of this section, "ambulatory surgical center" means an ambulatory
31 surgical facility:
32 (a) licensed under Chapter 21, Health Care Facility Licensing and Inspection Act;
33 (b) included on the state Medicaid's fee for service panel; and
34 (c) willing to accept reimbursement for the Children's Health Insurance Program
35 services at a rate no greater than the reimbursement rates established for the services by the
36 Children's Health Insurance Program fee schedule.
37 (2) (a) By July 1, 2008, an ambulatory surgical center shall be permitted to qualify as a
38 provider eligible for reimbursement for services provided according to the Children's Health
39 Insurance Program.
40 (b) If the state has contracted with another entity to arrange for the provision of
41 services for children in the Children's Health Insurance Program, the Children's Health
42 Insurance Program contractee:
43 (i) shall contract with an ambulatory surgical center that agrees to accept
44 reimbursement for services at the contracted rate or the State's Children's Health Insurance
45 Program fee schedule, whichever is lower; and
46 (ii) shall refer patients to all the qualified ambulatory surgical centers.




Legislative Review Note
as of 1-15-08 11:23 AM

Office of Legislative Research and General Counsel