Senate Bill 946 Summary

• Adds definition of "medical treatment" to exclude nonmedical products and services (transportation, vehicle modifications, food, housing, durable medical equipment, medications, attendant care, case management, guardianship services) from payment rate limitations.

• Establishes tiered Medicare-based reimbursement rates for medical treatment and rehabilitative occupational training: 200% of Medicare (2021-2022), declining to 190% (2023+) for general providers, with higher rates (230%-220%) for qualifying providers with substantial indigent caseloads or freestanding rehabilitation facilities.

• Creates enhanced reimbursement of 250% of Medicare for providers with 30% or more indigent volume, with director certification required annually using specific Medicaid disproportionate share methodology.

• Limits trauma center reimbursement to 240% of Medicare (2021-2022) declining to 230% (2023+) for emergency stabilization services before patient transfer.

• Specifies that Medicare payment amount changes after June 11, 2019 apply to allowed reimbursement amounts, but cannot exceed charges averaged on January 1, 2019, with annual Consumer Price Index adjustments thereafter.