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MT SB523
Bill
Status
5/23/2025
Primary Sponsor
Christopher Pope
Click for details
AI Summary
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Requires Medicaid contracts with non-physician providers to include mandatory annual cost-of-living adjustment provisions for covered service fees
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Non-physician provider fees must be adjusted at minimum by the consumer price index for similar services from the previous year, as calculated by the U.S. Bureau of Labor Statistics
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Cost-of-living adjustments must be applied every 12 months for the duration of the contract
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Retains existing physician reimbursement formula (conversion factor × relative value unit × policy adjusters) with annual increases tied to the medical care consumer price index
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Effective date: July 1, 2025
Legislative Description
Revise reimbursement for medicaid services
Safety
Last Action
(S) Died in Process
5/23/2025