OLR Bill Analysis
AN ACT CONCERNING REIMBURSEMENT OF EMERGENCY ROOM PHYSICIANS FOR TREATMENT OF MEDICAID RECIPIENTS.
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
Human Services Committee
Joint Favorable Substitute