FORTY-SECOND LEGISLATURE             SB 198/a
                       SECOND SESSION, 1996
  
  
                                                  February 5, 1996
  
  Mr. President:
  
    Your PUBLIC AFFAIRS COMMITTEE, to whom has been referred
  
                          SENATE BILL 198
  
  has had it under consideration and reports same with recommendation
  that it DO PASS, amended as follows:
  
    1.  On page 1, lines 13 and 14, strike "AUTHORIZING REVISIONS TO
  THE MEDICAID PROGRAM;".
    
    2.  On page 1, line 23, after "program" and before the period
  insert "and seeks appropriate legislative approval for significant
  changes in services, medical benefits or eligibility criteria made to
  the program".
    
    3.  On page 2, between lines 20 and 21, insert the following new
  subsections to read:
    
     "C.  In conducting the review, the department 
  shall analyze the impact to other health services of recommended
  changes to the medicaid program including:
    
        (1)  costs incurred by the state, county indigent funds
  and private insurance providers and policyholders;
        
        (2)  costs of uncompensated care incurred by providers;
        
        (3)  use of emergency care;
        
        (4)  care received by persons affected by proposed
  changes in services, eligibility criteria or the imposition of co-payment requirements;
        
        (5)  care received by special needs populations and
  persons with terminal or progressive illnesses; and
        
        (6)  rural health care infrastructure and provider
  participation in the medicaid program.
     
            D.  The review of the medicaid program by the department
  shall include consideration of options to contain health care costs
  and expand medicaid coverage to persons without health insurance.".
    
    4.  Reletter the succeeding subsections accordingly.
  
    5.  On page 3, line 20, after "assistance" and before the period
  insert, ", taking into account special needs populations and persons
  with terminal illness".
  
    6.  On page 4, line 7, after "program" and before the period
  insert, "or seeking legislative approval for significant changes in
  services, medical benefits or eligibility in the medicaid program".
    
    7.  On page 5, line 6, after "given" insert "no less than".,
  
  and thence referred to the FINANCE COMMITTEE. 
        
                 Respectfully submitted,
  
  
  
                 __________________________________
                 Shannon Robinson, Chairman 
  
  
  
  Adopted_______________________ Not Adopted_______________________
            (Chief Clerk)                          (Chief Clerk)
  
  
                    Date ________________________
  
  
  The roll call vote was  5  For  0  Against
  Yes:  5
  No:     0
  Excused:   Naranjo, E. Jennings, Wiener
  Absent: None
  
  
  S0198PA1                                               .110599.2