2006 Legislation
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HOUSE BILL NO. 849 – Approp, H&W, Medical Assistance

HOUSE BILL NO. 849

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Bill Status



H0849.....................................................by APPROPRIATIONS
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $1,246,284,800 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2007; authorizes
the State Controller to make transfers to the Cooperative Welfare Fund;
reappropriates unexpended and unencumbered fund balances of the Cooperative
Welfare Fund; authorizes expenditure of all receipts collected as
noncognizable funds; limits the number of full-time equivalent positions to
287.5; provides for a contract for a market analysis of certain service
providers; provides for a study regarding parent-directed care for children
with developmental disabilities; directs the allocation of salary savings;
and provides legislative intent regarding the fiscal impact on respite care
services.
                                                                        
03/24    House intro - 1st rdg - to printing
03/27    Rpt prt - to 2nd rdg
03/28    2nd rdg - to 3rd rdg
03/29    3rd rdg - PASSED - 49-19-2
      AYES -- Anderson, Barraclough, Bastian, Bedke, Bell, Bilbao, Black,
      Block, Boe, Bolz, Brackett, Bradford, Cannon, Chadderdon, Collins,
      Deal, Edmunson, Ellsworth, Eskridge, Field(18), Field(23), Garrett,
      Harwood, Henbest, Henderson, Jaquet, Kemp, LeFavour, Martinez,
      Miller, Mitchell, Moyle, Pasley-Stuart, Pence, Raybould, Ring, Ringo,
      Rusche, Sayler, Schaefer, Shepherd(2), Shirley, Skippen, Smith(30),
      Smylie, Snodgrass, Stevenson, Trail, Wills
      NAYS -- Andrus, Barrett, Clark, Crow, Denney, Hart, Lake, Loertscher,
      Mathews, McGeachin, McKague, Nielsen, Nonini, Roberts, Rydalch, Sali,
      Shepherd(8), Smith(24), Wood
      Absent and excused -- Bayer, Mr. Speaker
    Floor Sponsor - Henbest
    Title apvd - to Senate
03/30    Senate intro - 1st rdg - to Fin
    Rpt out - rec d/p - to 2nd rdg
03/31    2nd rdg - to 3rd rdg
04/03    3rd rdg - PASSED - 34-0-1
      AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
      Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
      Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
      Langhorst, Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce,
      Richardson, Schroeder, Stegner, Stennett, Werk, Williams
      NAYS -- None
      Absent and excused -- Sweet
    Floor Sponsor - Keough
    Title apvd - to House
04/03    To enrol
04/04    Rpt enrol - Sp signed - Pres signed - To Governor
04/07    Governor signed
         Session Law Chapter 376
         Effective: 07/01/06

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                 Second Regular Session - 2006
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                                     HOUSE BILL NO. 849
                                                                        
                                BY APPROPRIATIONS COMMITTEE
                                                                        
  1                                        AN ACT
  2    APPROPRIATING MONEYS TO THE DEPARTMENT  OF  HEALTH  AND  WELFARE  FOR  MEDICAL
  3        ASSISTANCE  SERVICES  FOR  FISCAL YEAR 2007; PROVIDING THAT THE STATE CON-
  4        TROLLER SHALL MAKE TRANSFERS FROM THE GENERAL FUND;  REAPPROPRIATING  CER-
  5        TAIN UNEXPENDED AND UNENCUMBERED BALANCES OF MONEY; AUTHORIZING THE EXPEN-
  6        DITURE OF ALL RECEIPTS COLLECTED; LIMITING THE NUMBER OF FULL-TIME EQUIVA-
  7        LENT  POSITIONS; PROVIDING DIRECTION TO CONDUCT A MARKET ANALYSIS; DIRECT-
  8        ING THE DEPARTMENT OF HEALTH AND WELFARE TO STUDY PARENT-DIRECTED SERVICES
  9        FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES; DIRECTING THE ALLOCATION  OF
 10        SALARY  SAVINGS;  AND  PROVIDING  LEGISLATIVE  INTENT REGARDING THE FISCAL
 11        IMPACT ON RESPITE CARE SERVICES.
                                                                        
 12    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 13        SECTION 1.  There is hereby appropriated to the Department of  Health  and
 14    Welfare  for  Medical Assistance Services the following amounts to be expended
 15    according to the designated expense classes from  the  listed  funds  for  the
 16    period July 1, 2006, through June 30, 2007:
 17                                                         FOR
 18                     FOR        FOR         FOR      TRUSTEE AND
 19                  PERSONNEL  OPERATING    CAPITAL      BENEFIT
 20                    COSTS   EXPENDITURES  OUTLAY      PAYMENTS      TOTAL
 21    I. MEDICAID ADMINISTRATION AND MEDICAL MANAGEMENT:
 22    FROM:
 23    Economic Recovery
 24     Reserve
 25     Fund        $    57,000 $ 1,042,500  $461,800                 $    1,561,300
 26    General
 27     Fund          5,902,400   6,903,300           $      887,000      13,692,700
 28    Idaho Health
 29     Insurance Access
 30     Card Fund       136,200     152,000                                  288,200
 31    Cooperative Welfare
 32     Fund
 33     (Dedicated)               1,383,800                                1,383,800
 34    Cooperative Welfare
 35     Fund
 36     (Federal)    11,466,300  22,412,900   458,400      2,062,600      36,400,200
 37      TOTAL      $17,561,900 $31,894,500  $920,200 $    2,949,600  $   53,326,200
 38    II. ELDERS:
 39    FROM:
 40    General
 41     Fund                                          $   60,256,900  $   60,256,900
 42    Cooperative Welfare
 43     Fund
 44     (Dedicated)                                        9,677,500       9,677,500
                                                                        
                                           2
                                                                        
  1                                                         FOR
  2                     FOR        FOR         FOR      TRUSTEE AND
  3                  PERSONNEL  OPERATING    CAPITAL      BENEFIT
  4                    COSTS   EXPENDITURES  OUTLAY      PAYMENTS      TOTAL
  5    Cooperative Welfare
  6     Fund
  7     (Federal)                                        127,987,900     127,987,900
  8      TOTAL                                        $  197,922,300  $  197,922,300
  9    III. INDIVIDUALS WITH DISABILITIES:
 10    FROM:
 11    General
 12     Fund                                          $  157,220,900  $  157,220,900
 13    Idaho Health
 14     Insurance Access
 15     Card Fund                                            893,500         893,500
 16    Medical Assistance
 17     Fund                                                   2,500           2,500
 18    Cooperative Welfare
 19     Fund
 20     (Dedicated)                                       32,614,100      32,614,100
 21    Cooperative Welfare
 22     Fund
 23     (Federal)                                        348,389,300     348,389,300
 24      TOTAL                                        $  539,120,300  $  539,120,300
 25    IV. LOW-INCOME CHILDREN AND WORKING-AGE ADULTS:
 26    FROM:
 27    General
 28     Fund                                          $  125,953,100  $  125,953,100
 29    Idaho Health
 30     Insurance Access
 31     Card Fund                                          1,717,400       1,717,400
 32    Cooperative Welfare
 33     Fund
 34     (Dedicated)                                       33,616,400      33,616,400
 35    Cooperative Welfare
 36     Fund
 37     (Federal)                                        294,629,100     294,629,100
 38      TOTAL                                        $  455,916,000  $  455,916,000
                                                                        
 39       GRAND
 40       TOTAL     $17,561,900 $31,894,500  $920,200 $1,195,908,200  $1,246,284,800
                                                                        
 41        SECTION  2.  GENERAL FUND TRANSFERS. As appropriated, the State Controller
 42    shall make transfers from the General Fund to the  Cooperative  Welfare  Fund,
 43    periodically,  as  requested  by  the director of the Department of Health and
 44    Welfare and approved by the Board of Examiners.
                                                                        
 45        SECTION 3.  REAPPROPRIATION OF THE  COOPERATIVE  WELFARE  FUND.  There  is
 46    hereby  reappropriated  to the Department of Health and Welfare any unexpended
 47    and unencumbered balances in the Cooperative Welfare Fund as  appropriated  to
 48    the  Medical  Assistance Services Program for fiscal year 2006, to be used for
 49    trustee and benefit payments for the period July 1,  2006,  through  June  30,
 50    2007.  The  reappropriation  shall be computed by the Department of Health and
 51    Welfare and for budgeting purposes any General Fund portion of the balance  in
 52    the Cooperative Welfare Fund shall be identified as part of the General Fund.
                                                                        
                                           3
                                                                        
  1        SECTION 4.  EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
  2    sions  of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
  3    is hereby authorized to expend all receipts collected on behalf of the Medical
  4    Assistance Services Division, as noncognizable funds for the  period  July  1,
  5    2006, through June 30, 2007.
                                                                        
  6        SECTION  5.  FULL-TIME  EQUIVALENT  POSITIONS.  In accordance with Section
  7    67-3519, Idaho Code, the Department of Health and  Welfare  is  authorized  no
  8    more  than  two hundred eighty-seven and five-tenths (287.5) full-time equiva-
  9    lent positions for the Medical Assistance Services Program during  the  period
 10    July  1,  2006, through June 30, 2007. Transfers of full-time equivalent posi-
 11    tions between appropriated programs within the department are  authorized  and
 12    shall  be  reported in the budget prepared for the next fiscal year. Any full-
 13    time equivalent positions in excess of the Department of Health and  Welfare's
 14    total  cap may be authorized only by the Governor and promptly reported to the
 15    Joint Finance-Appropriations Committee.
                                                                        
 16        SECTION 6.  MARKET ANALYSIS. The Department of Health  and  Welfare  shall
 17    contract  for  independent  actuarial services to conduct a market analysis of
 18    service providers referred to in Chapter 86, Laws of 2005. Beginning  July  1,
 19    2006, the Department of Health and Welfare is authorized to increase the rates
 20    paid  to  providers  of developmental disability services for certain services
 21    not to exceed 1.9% for fiscal year 2007. These services include  developmental
 22    therapy  evaluation,  developmental  therapy  for groups and individuals, sup-
 23    ported  living   for   groups   and   individuals,   comprehensive   community
 24    support/daily, and community-based services/daily.
                                                                        
 25        SECTION  7.  PARENT-DIRECTED  SERVICES  FOR  CHILDREN.  The  Department of
 26    Health and Welfare shall enter into discussions with the Council  on  Develop-
 27    mental  Disabilities,  parents  and guardians, and other stakeholders to study
 28    the feasibility of providing parent-directed and  guardian-directed  care  for
 29    children  with developmental disabilities similar to the effort made on behalf
 30    of adults with developmental disabilities for self-determination. The  Depart-
 31    ment  of  Health  and  Welfare shall report the results of their review to the
 32    Legislature during the next legislative session along with recommendations for
 33    further legislative action if appropriate.
                                                                        
 34        SECTION 8.  SALARY SAVINGS. The Department of Health and Welfare is hereby
 35    directed to allocate salary savings, based  on  performance,  to  provide  for
 36    employee  salary  needs before other operational budget priorities are consid-
 37    ered. Where applicable, employees whose salaries are  below  the  midpoint  of
 38    their  pay  grade or occupational groups with significant turnover rates shall
 39    be considered first in the order of salary savings distributions.
                                                                        
 40        SECTION 9.  CAP ON RESPITE CARE SERVICES. It is the intent of the Legisla-
 41    ture that the fiscal impact of Senate Bill No. 1390, As Amended, as enacted by
 42    the  Second  Regular  Session  of  the  Fifty-eighth  Idaho  Legislature,  for
 43    caregiver support shall be revenue neutral. The  level  of  services  provided
 44    under  the category of Nursing Facilities and for the Aged and Disabled Waiver
 45    shall not exceed $201,695,000 in total funds as forecasted by  the  Department
 46    of  Health  and  Welfare in their fiscal year 2007 budget submission. Services
 47    for caregiver support shall be capped if the Department determines that  these
 48    services  cannot  be  provided throughout the fiscal year 2007 at a level that
 49    does not exceed the forecast.

Statement of Purpose / Fiscal Impact


Statement of Purpose
RS16286

This is the fiscal year 2007 Appropriation to the Department of Health and Welfare for Medical Assistance Services. The Medical Assistance Services Division (Medicaid) has four budgeted programs: 1) Medicaid Administration & Medical Management, 2) Elders,

3) Individuals with Disabilities, and 4) Low-Income Children & Working-Age Adults.

&nbsp

Fiscal Note
FTP  Gen  Ded  Fed  Total 


FY 2006 Original Appropriation 271.00  331,274,200  77,978,600  779,439,700  1,188,692,500 
Reappropriations 0.00  3,465,400  3,465,400 
HB 395 One-time 1% Salary Increase 0.00  49,800  700  90,000  140,500 
 2. Medicare Part D Impact 0.00  (3,571,700)  (4,432,300)  (24,195,300)  (32,199,300) 
 5. Medicaid Mgmt Info System (MMIS) 0.00 
Omnibus CEC Supplemental 0.00  59,300  109,800  169,100 


FY 2006 Total Appropriation 271.00  331,277,000  73,547,000  755,444,200  1,160,268,200 
Non-Cognizable Funds and Transfers (1.00)  72,200  10,551,300  11,324,900  21,948,400 


FY 2006 Estimated Expenditures 270.00  331,349,200  84,098,300  766,769,100  1,182,216,600 
Removal of One-Time Expenditures 0.00  (3,742,100)  (10,742,900)  (12,184,600)  (26,669,600) 
Base Adjustments 0.00  650,000  (650,000) 


FY 2007 Base 270.00  328,257,100  72,705,400  754,584,500  1,155,547,000 
Benefit Costs 0.00  (52,700)  (97,900)  (150,600) 
Inflationary Adjustments 0.00  144,600  269,400  414,000 
Replacement Items 0.00  23,900  20,500  44,400 
Statewide Cost Allocation 0.00  (700)  (2,100)  (2,800) 
Annualizations 0.00  1,842,600  (16,093,600)  (24,373,600)  (38,624,600) 
Change in Employee Compensation 0.00 
Nondiscretionary Adjustments 0.00  28,415,600  19,962,600  68,781,300  117,159,500 


FY 2007 Program Maintenance 270.00  358,606,500  76,598,300  799,182,100  1,234,386,900 



Enhancements          
Medical Assistance Services          
 1. Market Pay Rate Adjustment 0.00 
 2. Healthy Mothers/Healthy Babies 0.00 
 3. CHIP-Elimination of Asset Criteria 0.00  777,900  1,762,200  2,540,100 
 4. CHIP-Remove “Uninsured” Rqrmnt 0.00  553,700  1,260,700  1,814,400 
 5. Neonatal Care Management 0.00 
 6. Medicaid Estate Recovery 0.00  (150,000)  500,000  (350,000) 
 7. HCR51 Selective Contracting 0.50  (189,000)  1,300  (525,400)  (713,100) 
 8. HB663 Prevention Srvs/Risk Assess 1.00  2,054,000  90,100  7,328,700  9,472,800 
 9. HB738 Invest in Health Info Tech 0.00  200,000  300,000  500,000 
 10. Health Info & Home Health Technology 0.00  70,000  70,000 
 11. HCR49 Medicaid Drugs/Medicare D 0.00  (15,000)  (35,000)  (50,000) 
 12. HCR52 Long-Term Care Counseling 3.00  (79,500)  7,800  (305,500)  (377,200) 
 13. Portability of Assessments 0.00  70,500  70,500 
 14. Public Reporting & Consumer Info 0.00  70,000  70,000 
 15. HCR50 & HB663 Cost Sharing 2.00  (473,000)  1,765,600  (1,172,000)  120,600 
 16. Healthy Schools/Healthy Daycares 0.00 
 17. HCR48 Appropriate Mental Hlth Benefits 0.00  (3,000,000)  (7,000,000)  (10,000,000) 
 18. SB1417 Premium Assistance Option 0.00  (135,000)  (315,000)  (450,000) 
 19. Pay for Performance 0.00  583,500  1,361,000  1,944,500 
 20. Asset Transfer Restriction 0.00  (21,000)  (49,000)  (70,000) 
 21. Market Analysis for DD Services 0.00  150,000  150,000  300,000 
 22. HB 664 Workers with Disabilities 3.00  232,900  27,000  424,000  683,900 
 23. HCR53 Medicare for Medicaid Clients 0.00  (640,800)  (2,099,800)  (2,740,600) 
 24. Medicaid Mgmt Info System 8.00  1,433,000  7,279,000  8,712,000 


FY 2007 Total 287.50  357,123,600  81,754,700  807,406,500  1,246,284,800 
Chg from FY 2006 Orig Approp 16.50  25,849,400  3,776,100  27,966,800  57,592,300 
% Chg from FY 2006 Orig Approp. 6.1%  7.8%  4.8%  3.6%  4.8% 

Contact: Cathy Holland-Smith 334-4731

Legislative Services Office, Budget & Policy Analysis

Statement of Purpose/Fiscal Note Bill No. H849