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Senate Health and Human Services Minutes 2/15/2017 10:00 AM

92nd Legislative Session _ 2017

Committee: Senate Health and Human Services
Wednesday, February 15, 2017

                                            P - Present
                                            E - Excused
                                            A - Absent

Roll Call
P    Greenfield (Brock)
P    Jensen (Phil)
P    Killer
P    Klumb
P    Rusch
P    Tapio, Vice-Chair
P    Soholt, Chair

OTHERS PRESENT: See Original Minutes

The meeting was called to order by Senator Deb Soholt, Chair.

MOTION:    TO APPROVE THE MINUTES OF MONDAY, FEBRUARY 13, 2017

Moved by:    Jensen (Phil)
Second by:    Rusch
Action:    Prevailed by voice vote.

    SB 147: establish a process for periodic review of provider rates for medical assistance to the indigent and to make an appropriation therefor.

Presented by:    Senator Peters
Proponents:    Terrance Dosch, South Dakota Council of Mental Health Centers, Inc.
        Terrance Dosch, South Dakota Council of Substance Abuse Directors, Inc.
        Daniel Cross, Community Support Providers of South Dakota
        Mark Deak, South Dakota Health Care Association
        Justin Smith, South Dakota Association of Youth Care Providers (Handouts: #1)
        Janae Hansen, National Association of Social Workers
        Deb Fischer-Clemens, Avera Health
Opponents:    Lynne Valenti, Department of Social Services (Handouts: #2)
        Darryl Millner, Department of Human Services



MOTION:    AMEND SB 147

147sa

    On the printed bill, delete everything after the enacting clause and insert:

"    Section 1. That the code be amended by adding a NEW SECTION to read:

    The Department of Social Services and the Department of Human Services shall jointly establish a rate-setting methodology for services delivered by community-based health and human services providers to increase transparency in the rate-setting process. Each category of service shall undergo a comprehensive rate modeling analysis at least every five years. The departments may elect to conduct the analysis earlier or on a more frequent basis if warranted by cost report information or other market conditions. Any new service model shall undergo comprehensive rate modeling analysis prior to implementation.

    Section 2. That the code be amended by adding a NEW SECTION to read:

    Rate modeling analysis shall include a review of current cost report data, specific service delivery and staffing requirements, training and fidelity standards associated with related service models, current market factors, and current and impending state and federal policies that may impact the cost of service delivery.

    Section 3. That the code be amended by adding a NEW SECTION to read:

    Rate modeling analyses shall be an inclusive work group process with providers representing each service category under review.

    Section 4. That the code be amended by adding a NEW SECTION to read:

    Rate determination resulting from rate modeling analyses utilizing historical cost report information shall be adjusted in a manner to be applied in a prospective fashion.

    Section 5. That the code be amended by adding a NEW SECTION to read:

    Any rate variance identified through the rate modeling process shall be formulated and included in Department of Social Services and Department of Human Services budget requests for the next fiscal year's budget and be considered for funding on a priority basis. The department shall report any rate variance to the Legislature on an annual basis in conjunction with annual budget hearings.

    Section 6. That the code be amended by adding a NEW SECTION to read:


    This Act applies to all state funded services, including federal funding, Medicaid and block grant fund sources, state general funds, and other funds allocated by the Department of Social Services or the Department of Human Services, that are provided by the following types of community-based providers:

            (1)    Nursing homes;
            (2)    Assisted living facilities;
            (3)    In-home service providers;
            (4)    Group care providers;
            (5)    Psychiatric residential treatment facilities;
            (6)    Substance abuse disorder treatment and prevention providers;
            (7)    Community mental health centers;
            (8)    Intermediate care facilities for co-occurring intellectual and developmental disabilities;
            (9)    Community support providers; and
            (10)    Other types of providers deemed appropriate for inclusion by either the secretary of the Department of Social Services or the secretary of the Department of Human Services.".


Moved by:    Klumb
Second by:    Rusch
Action:    Prevailed by voice vote.

MOTION:    AMEND TITLE OF SB 147

147stb

    On page 1, line 1, of the printed bill, delete everything after "establish a" and insert "rate-setting methodology for services delivered by community-based health and human services providers.".

    On page 1, delete line 2.


Moved by:    Greenfield (Brock)
Second by:    Jensen (Phil)
Action:    Prevailed by voice vote.

MOTION:    REFER SB 147 TO JOINT COMMITTEE ON APPROPRIATIONS AS AMENDED

Moved by:    Greenfield (Brock)
Second by:    Klumb
Action:    Was not acted on.

MOTION:    SUBSTITUTE MOTION DO PASS SB 147 AS AMENDED

Moved by:    Klumb
Second by:    Jensen (Phil)
Action:    Prevailed by roll call vote. (7-0-0-0)

Voting Yes:    Greenfield (Brock), Jensen (Phil), Killer, Klumb, Rusch, Tapio, Soholt

    SB 149: provide certain protections to faith-based or religious child-placement agencies.

Presented by:    Senator Solano (Handouts: #3)
Proponents:    Troy Cumings, self, Grand Rapids, MI
        Renee Eggebraaten, self, Rapid City
        Jim Kinyon, self, Rapid City
        Lisa Gennaro, Concerned Women For America Legislative Action Committee
        Dale Bartscher, Family Heritage Alliance Action (Handouts: #4)
Opponents:    Elizabeth Skarin, ACLU (Handouts: #5)
        Billy Mawling, self, Sioux Falls
        Janae Hansen, National Association of Social Workers

MOTION:    DO PASS SB 149

Moved by:    Jensen (Phil)
Second by:    Tapio
Action:    Prevailed by roll call vote. (5-2-0-0)

Voting Yes:    Greenfield (Brock), Jensen (Phil), Klumb, Rusch, Tapio

Voting No:    Killer, Soholt

MOTION:    ADJOURN

Moved by:    Greenfield (Brock)
Second by:    Klumb
Action:    Prevailed by voice vote.

    

Rena Ortbahn

____________________________

Committee Secretary
Deb Soholt, Chair


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