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S.B. 82

             1     

AMBULATORY SURGICAL CENTERS

             2     
AMENDMENTS

             3     
2008 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Allen M. Christensen

             6     
House Sponsor: ____________

             7      Cosponsors:
             8      Gregory S. Bell
             9      D. Chris Buttars
             10      Gene Davis
             11      Margaret Dayton
             12      Mike Dmitrich
             13      Dan R. EastmanFred J. Fife
Jon J. Greiner
John W. Hickman
Lyle W. Hillyard
Scott K. Jenkins
Peter C. KnudsonMark B. Madsen
Scott D. McCoy
Darin G. Peterson
Dennis E. Stowell
John L. Valentine
Michael G. Waddoups              14     
             15      LONG TITLE
             16      General Description:
             17          This bill amends the Medical Assistance Act to require the state Medicaid program to
             18      contract with ambulatory surgical centers that agree to accept certain reimbursement for
             19      services.
             20      Highlighted Provisions:
             21          This bill:
             22          .    defines terms; and
             23          .    beginning July 1, 2008, requires the state Medicaid program to include an
             24      ambulatory surgical center on its provider panel if the ambulatory surgical center
             25      meets certain requirements.
             26      Monies Appropriated in this Bill:
             27          None
             28      Other Special Clauses:
             29          None


             30      Utah Code Sections Affected:
             31      ENACTS:
             32          26-18-12, Utah Code Annotated 1953
             33     
             34      Be it enacted by the Legislature of the state of Utah:
             35          Section 1. Section 26-18-12 is enacted to read:
             36          26-18-12. Ambulatory surgical centers.
             37          (1) For purposes of this section "ambulatory surgical center" means an ambulatory
             38      surgical facility:
             39          (a) licensed under Chapter 21, Health Care Facility Licensing and Inspection Act;
             40          (b) included on the state Medicaid's fee for service panel; and
             41          (c) willing to accept reimbursement for Medicaid services at a rate no greater than the
             42      reimbursement rates established for the services by the state Medicaid fee schedule.
             43          (2) (a) By July 1, 2008, an ambulatory surgical center shall be permitted to qualify as a
             44      provider eligible for reimbursement for services provided according to the state Medicaid plan.
             45          (b) If the state has contracted with another entity to arrange for the provision of
             46      services for persons in the state's Medicaid program, the state's Medicaid contractee:
             47          (i) shall contract with an ambulatory surgical center that agrees to accept
             48      reimbursement for services at the contracted rate or the Utah State Medicaid fee schedule,
             49      whichever is lower; and
             50          (ii) shall refer patients to all the qualified ambulatory surgical centers.




Legislative Review Note
    as of 12-20-07 11:16 AM


Office of Legislative Research and General Counsel


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