HOUSE CONCURRENT RESOLUTION NO. 48

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Bill Status



HCR048.....................................................by STATE AFFAIRS
MEDICAID MENTAL HEALTH SERVICES - Stating findings of the Legislature;
encouraging the Department of Health and Welfare to eliminate partial care
services for low-income children and adults without serious mental health
disorders; encouraging the Department of Health and Welfare to limit
Medicaid mental health benefits for low-income children without serious
emotional disturbance and working-age adults without severe and persistent
mental illness; encouraging the Department of Health and Welfare to
establish a health risk assessment for certain individuals; encouraging the
Department of Health and Welfare to continue the provision of intensive
mental health treatment benefits to certain individuals; encouraging the
Department of Health and Welfare to explore modifications of mental health
benefits for individuals with disabilities or special health needs; and
requesting a report to the Legislature.
                                                                        
02/22    House intro - 1st rdg - to printing
02/23    Rpt prt - to Health/Wel
03/13    Rpt out - rec d/p - to 2nd rdg
03/14    2nd rdg - to 3rd rdg
03/15    3rd rdg - ADOPTED - 57-5-8
      AYES -- Anderson, Andrus, Barraclough, Bastian, Bayer, Bedke, Bell,
      Bilbao, Black, Block, Boe, Bolz, Brackett, Bradford, Cannon,
      Chadderdon, Collins, Deal, Denney, Edmunson, Eskridge, Field(18),
      Garrett, Hart, Harwood, Henbest, Henderson, Jaquet, Kemp, Lake,
      Martinez, Mathews, McGeachin, McKague, Miller, Mitchell, Moyle,
      Nonini, Pasley-Stuart, Pence, Raybould, Ringo, Roberts, Rusche,
      Rydalch, Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen,
      Smith(30), Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wood
      NAYS -- Barrett, LeFavour, Loertscher, Nielsen, Sali
      Absent and excused -- Clark, Crow, Ellsworth, Field(23), Ring,
      Sayler, Wills, Mr. Speaker
    Floor Sponsor - Skippen
    Title apvd - To Senate
03/16    Senate intro - 1st rdg - to Health/Wel
03/22    Rpt out - rec d/p - to 10th Ord
03/24    10th Ord - ADOPTED - voice vote
    Floor Sponsor - Coiner
    Title apvd - to House
03/27    To enrol
03/28    Rpt enrol - Sp signed
03/29    Pres signed - To Secretary of State

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                             HOUSE CONCURRENT RESOLUTION NO. 48
                                                                        
                                 BY STATE AFFAIRS COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND ENCOURAGING THE DEPARTMENT  OF  HEALTH
  3        AND WELFARE TO ELIMINATE PARTIAL CARE SERVICES FOR LOW-INCOME CHILDREN AND
  4        ADULTS  WITHOUT SERIOUS MENTAL HEALTH DISORDERS AND TO LIMIT MEDICAID MEN-
  5        TAL HEALTH BENEFITS FOR LOW-INCOME CHILDREN WITHOUT SERIOUS EMOTIONAL DIS-
  6        TURBANCE AND WORKING-AGE ADULTS WITHOUT SEVERE AND PERSISTENT MENTAL  ILL-
  7        NESS,  ENCOURAGING  THE ESTABLISHMENT OF A HEALTH RISK ASSESSMENT FOR CER-
  8        TAIN INDIVIDUALS, ENCOURAGING CONTINUING THE PROVISION OF INTENSIVE MENTAL
  9        HEALTH TREATMENT BENEFITS FOR CERTAIN  INDIVIDUALS, ENCOURAGING THE EXPLO-
 10        RATION OF MODIFICATIONS OF MENTAL HEALTH  BENEFITS  FOR  INDIVIDUALS  WITH
 11        DISABILITIES OR SPECIAL HEALTH NEEDS AND REQUESTING A REPORT TO THE LEGIS-
 12        LATURE.
                                                                        
 13    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
 14        WHEREAS,  the  Medicaid  Program in the state of Idaho is unsustainable in
 15    its current form and should be reformed  so  that  eligibility,  benefits  and
 16    delivery systems match client health needs; and
 17        WHEREAS,  the  United  States Congress has indicated its support for addi-
 18    tional flexibility in state management of Medicaid Programs  as  evidenced  by
 19    the  Medicaid-related  provisions in the Deficit Reduction Omnibus Reconcilia-
 20    tion Act of 2005; and
 21        WHEREAS, the First Regular Session of the Fifty-eighth  Idaho  Legislature
 22    directed the Department of Health and Welfare to develop appropriate levels of
 23    mental  health services to meet client needs, which may include limiting hours
 24    of service; and
 25        WHEREAS, Idaho has existing systems of care for children with serious emo-
 26    tional disturbances and adults with severe and persistent mental illness  that
 27    should be supported by Medicaid through design of appropriate benefits.
 28        NOW,  THEREFORE,  BE IT RESOLVED by the members of the Second Regular Ses-
 29    sion of the Fifty-eighth Idaho Legislature, the House of  Representatives  and
 30    the  Senate  concurring  therein,  that  the Legislature of the State of Idaho
 31    encourages the Department of Health and Welfare to eliminate partial care ser-
 32    vices for low-income children and adults without serious mental health  disor-
 33    ders, and to limit the Medicaid mental health benefits for low-income children
 34    without  serious  emotional  disturbance and working-age adults without severe
 35    and persistent mental illness to twenty-six hours per year of outpatient  men-
 36    tal  health  therapy  services  and  to  ten days per year of inpatient mental
 37    health care.
 38        BE IT FURTHER RESOLVED that the Legislature encourages the  Department  of
 39    Health  and  Welfare to establish a health risk assessment that provides mean-
 40    ingful diagnostic information about whether  Medicaid-eligible  children  have
 41    serious  emotional  disturbances  and  whether  Medicaid-eligible  adults have
 42    severe and persistent mental illness.
 43        BE IT FURTHER RESOLVED that the Legislature encourages the  Department  of
 44    Health and Welfare to continue the provision of intensive mental health treat-
                                                                        
                                           2
                                                                        
  1    ment  benefits,  without  regard  to  the  limitations  set  forth  above, for
  2    Medicaid-eligible children diagnosed as having serious emotional  disturbances
  3    and  Medicaid-eligible adults diagnosed as having severe and persistent mental
  4    illness.
  5        BE IT FURTHER RESOLVED that the Legislature encourages the  Department  of
  6    Health and Welfare to continue to explore modifications of mental health bene-
  7    fits  for individuals with disabilities or special health needs in order to be
  8    consistent with best clinical practices.
  9        BE IT FURTHER RESOLVED that  the  Department  of  Health  and  Welfare  is
 10    requested  to  report the results of such benefit changes to the First Regular
 11    Session of the Fifty-ninth Idaho Legislature along  with  recommendations  for
 12    any further legislative actions.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE

                             RS 16132

This House Concurrent Resolution requests that the Legislature
encourage the Department of Health and Welfare to match mental
health benefits to client needs to ensure that resources are
directed to those Idahoans who most need Medicaid services.  The
resolution provides for specific benefits limitations for
Medicaid clients who do not need intensive mental health
treatment services currently provided under the Idaho Medicaid
program.

                          FISCAL NOTE
                                
 The implementation of these benefit limitations will result in
 savings to the General Fund of $3,000,000 in fiscal year 2007.
                                
                                
                                
                                

Contact
Name: Representative Kathy Skippen 
Phone: (208) 332-1000



STATEMENT OF PURPOSE/FISCAL NOTE                        HCR 48