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SB25-121

Medicaid Reimbursement for Vagus Nerve Stimulation

Concerning medicaid reimbursement for outpatient procedures related to drug-resistant epilepsy.
Session:
2025 Regular Session
Subject:
Health Care & Health Insurance
Bill Summary

Beginning July 1, 2025, the bill requires the department of health care policy and financing to reimburse acute care hospitals and ambulatory surgery facilities that provide vagus nerve stimulation therapy to members diagnosed with drug-resistant epilepsy at a rate that is equal to 75% of the cost for acquiring the vagus nerve stimulator device, which reimbursement is in addition to and does not supplant the reimbursement for any necessary surgical procedure associated with implanting the device.
(Note: This summary applies to this bill as introduced.)

Status

Introduced
Under Consideration

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Bill Text

Sponsors

Sponsor Type Legislators
Prime Sponsor

Sen. I. Jodeh, Sen. K. Mullica
Rep. L. Gilchrist

Sponsor

Co-sponsor

The effective date for bills enacted without a safety clause is August 6, 2025, if the General Assembly adjourns sine die on May 7, 2025 (unless otherwise specified). Details

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