OLR Bill Analysis

sSB 236

AN ACT CONCERNING REIMBURSEMENT OF EMERGENCY ROOM PHYSICIANS FOR TREATMENT OF MEDICAID RECIPIENTS.

SUMMARY:

The law requires the Department of Social Services commissioner to calculate annually and pay hospitals a “reasonable” rate for emergency room (ER) services provided to Medicaid beneficiaries. This bill requires him to set a separate and distinct rate for ER physicians who:

1. provide professional services to Medicaid beneficiaries in the ER, including services provided on the same day a beneficiary is hospitalized and

2. the hospital does not pay a salary or percentage of fees it collects.

The bill requires the commissioner to pay the rates for the ER physicians and hospitals separately.

EFFECTIVE DATE: July 1, 2012

COMMITTEE ACTION

Human Services Committee

Joint Favorable Substitute

Yea

17

Nay

0

(03/13/2012)