Stumbo expects Beshear to veto his managed care bill but says governor vows changes

04/02/2013 07:22 AM

The Health and Family Services Cabinet raised concerns about the effects on it from the House speaker’s managed care regulation bill that passed in the final days of the legislation session.

And House Speaker Greg Stumbo said that likely means the governor will veto the bill, which is meant to solve ongoing billing and payment disputes between managed care companies and the doctors, hospitals and other providers who serve Medicaid patients.

“I don’t know whether he’s going to veto it or not … My gut feeling would be that he will,” Stumbo told reporters last week after the 2013 session ended.

A spokeswoman for the governor told Pure Politics that the governor is still reviewing bills. He has until the end of the week to decide.

Stumbo’s bill, House Bill 5, would set up an administrative review panel to handle disputes and levy fines against managed care companies for improperly withholding payments or changing the rules for billing to avoid or delay paying providers.

Perhaps more importantly, Stumbo said the cabinet’s concerns about the changes potentially costing the state more money is an inherent admission that the managed care companies — and by extension the state that hired the companies — are withholding money from the providers who were legitimately serving Medicaid patients.

And he said Gov. Steve Beshear personally vowed to “crack the whip” to make sure the billing problems stop. Here’s what he said:


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