HOUSE OF REPRESENTATIVES

H.B. NO.

2449

TWENTY-SIXTH LEGISLATURE, 2012

 

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO MEDICAID.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


SECTION 1.  The legislature finds that the valuation of damages that a Medicaid recipient incurs can be vague.  Recipients have argued that the value is actually the amount that a provider charges, which is usually significantly more than the actual amount that Medicaid has paid on a recipient's behalf.  The result is that recipients claim that the settlement amount they received is a small percentage of what the damages are and often argue that the Medicaid lien should be reduced by the same percentage.  These situations significantly reduce the amount of money that is recovered for reimbursing the Department of Human Services for its lien.

The purpose of this Act is to define, for the limited purpose of reimbursing Medicaid for benefits paid out, the term "value of damages" as the total amount that a Medicaid recipient receives from a settlement or what a court or jury awards to the Medicaid recipient.

SECTION 2.  Section 346-1, Hawaii Revised Statutes, is amended by adding a new definition to be appropriately inserted and to read as follows:

""Value of damages" for the limited purpose of reimbursing Medicaid for benefits paid out means the total amount that a Medicaid recipient receives from a settlement or what a court or jury awards to the Medicaid recipient."

     SECTION 3.  New statutory material is underscored.

     SECTION 4.  This Act shall take effect upon its approval.

 

INTRODUCED BY:

_____________________________

 

BY REQUEST


 


 

Report Title:

Medicaid; Reimbursements

 

Description:

Amends section 346-1, Hawaii Revised Statutes, to define, for the limited purpose of reimbursing Medicaid for benefits paid out, the term "value of damages" as the total amount that a Medicaid recipient receives from a settlement or what a court or jury awards to the Medicaid recipient.

 

 

 

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