Section 1 Short title
This Act may be cited as the “Reducing Unnecessary Emergency Room Visits under Medicaid Act”.
Reducing Unnecessary Emergency Room Visits under Medicaid Act
A BILL
To amend title XIX of the Social Security Act to reduce unnecessary emergency room visits under the Medicaid program.
Sec. 2 State option to impose higher cost sharing for nonemergency use of emergency room services
in subsection (a)(3), by striking “up to twice the nominal amount” and inserting “up to $25”; and
in subsection (b)(3), by striking “up to twice the nominal amount” and inserting “up to $25”.
State option for alternative premiums and cost sharing— Section 1916A(e)(2) of the Social Security Act (42 U.S.C. 1396o–1(e)(2)) is amended—
in subparagraph (A), by striking “twice the amount determined to be nominal under section 1916” and inserting “the amount specified in paragraph (3) of subsection (a) or (b) (as applicable) of section 1916 with respect to non-emergency services”; and
in subparagraph (B), by striking “a nominal amount (as otherwise determined under section 1916)” and inserting “the amount specified in paragraph (3) of subsection (a) or (b) (as applicable) of section 1916 with respect to non-emergency services”.
Effective date— The amendments made by this section shall apply with respect to items and services furnished on or after October 1, 2017.