Print Friendly SENATE BILL NO. 1214 – Approp, H&W, Medical Assistance
SENATE BILL NO. 1214
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S1214............................................................by FINANCE
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $809,515,700 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2002; authorizes
the State Controller to make transfers to the Cooperative Welfare Fund;
reappropriates unexpended and unencumbered fund balances of the Cooperative
Welfare Fund for nonrecurring expenditures; authorizes expenditure of all
receipts collected as noncognizable funds; provides intent regarding the
Children's Health Insurance Program and encourages the Department of Health
and Welfare to implement the recommendations of the Children's Health
Insurance Program Task Force; provides intent regarding state veterans
homes; provides intent regarding transportation services to clients of the
state's Medicaid Program; provides intent regarding private intermediate
care facilities for the mentally retarded; provides intent regarding use of
generic drugs; provides intent regarding rates paid for durable medical
equipment; provides intent with regard to a Request For Proposal for the
Utilization Management Project; provides intent regarding cost-sharing by
Medicaid clients; provides intent regarding day treatment services to
clients with mental illness; and appropriates an additional $112,358,900 to
the Department of Health and Welfare for Medical Services for fiscal year
2001.
03/07 Senate intro - 1st rdg - to printing
03/08 Rpt prt - to Fin
Rpt out - rec d/p - to 2nd rdg
03/09 2nd rdg - to 3rd rdg
03/22 Ret'd to Fin
|||| LEGISLATURE OF THE STATE OF IDAHO ||||
Fifty-sixth Legislature First Regular Session - 2001
IN THE SENATE
SENATE BILL NO. 1214
BY FINANCE COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR FISCAL YEAR 2002; PROVIDING THAT THE STATE CON-
4 TROLLER SHALL MAKE TRANSFERS FROM THE GENERAL FUND; REAPPROPRIATING CER-
5 TAIN UNEXPENDED AND UNENCUMBERED BALANCES OF MONEYS; AUTHORIZING THE
6 EXPENDITURE OF ALL RECEIPTS COLLECTED; EXPRESSING LEGISLATIVE INTENT WITH
7 REGARD TO THE CHILDREN'S HEALTH INSURANCE PROGRAM; EXPRESSING LEGISLATIVE
8 INTENT WITH REGARD TO THE CHILDREN'S HEALTH INSURANCE PROGRAM TASK FORCE
9 RECOMMENDATIONS; EXEMPTING STATE VETERANS HOMES FROM COST LIMITS; EXPRESS-
10 ING LEGISLATIVE INTENT WITH REGARD TO CAPPING TRANSPORTATION RATES AT FIS-
11 CAL YEAR 2000 LEVELS; EXPRESSING LEGISLATIVE INTENT WITH REGARD TO CAPPING
12 THE NUMBER OF BEDS IN MEDICAID FUNDED PRIVATE INTERMEDIATE CARE FACILITIES
13 FOR THE MENTALLY RETARDED; EXPRESSING LEGISLATIVE INTENT WITH REGARD TO
14 CAPPING RATES FOR INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED
15 AT FISCAL YEAR 2000 LEVELS; EXPRESSING LEGISLATIVE INTENT WITH REGARD TO
16 GENERIC DRUGS AND DIRECTING THE DEPARTMENT TO PREPARE AND REPORT ON THE
17 FEASIBILITY OF IMPLEMENTING A MEDICAID PREFERRED DRUG LIST; EXPRESSING
18 LEGISLATIVE INTENT WITH REGARD TO CAPPING RATES FOR DURABLE MEDICAL EQUIP-
19 MENT AT FISCAL YEAR 2000 LEVELS; EXPRESSING LEGISLATIVE INTENT WITH REGARD
20 TO UTILIZATION MANAGEMENT; EXPRESSING LEGISLATIVE INTENT WITH REGARD TO
21 COPAYMENTS AND OTHER COST-SHARING METHODS; EXPRESSING LEGISLATIVE INTENT
22 WITH REGARD TO DAY TREATMENT SERVICES PROVIDED TO CLIENTS WITH MENTAL ILL-
23 NESS; APPROPRIATING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WEL-
24 FARE FOR MEDICAL ASSISTANCE SERVICES FOR FISCAL YEAR 2001; AND DECLARING
25 AN EMERGENCY FOR SECTION 16 OF THIS ACT.
26 Be It Enacted by the Legislature of the State of Idaho:
27 SECTION 1. There is hereby appropriated to the Department of Health and
28 Welfare for Medical Assistance Services the following amounts to be expended
29 according to the designated expense classes from the various funds listed for
30 the period July 1, 2001, through June 30, 2002:
31 FOR
32 FOR FOR TRUSTEE AND
33 PERSONNEL OPERATING BENEFIT
34 COSTS EXPENDITURES PAYMENTS TOTAL
35 MEDICAL ASSISTANCE SERVICES:
36 FROM:
37 General
38 Fund $ 4,775,000 $ 3,147,800 $221,388,600 $229,311,400
39 Medical Assistance
40 Fund 2,500 2,500
41 Liquor Control
42 Fund 639,200 639,200
2
1 FOR
2 FOR FOR TRUSTEE AND
3 PERSONNEL OPERATING BENEFIT
4 COSTS EXPENDITURES PAYMENTS TOTAL
5 Cooperative Welfare
6 Fund
7 (Federal) 6,875,300 10,819,200 538,109,300 555,803,800
8 Cooperative Welfare
9 Fund
10 (Dedicated) 23,758,800 23,758,800
11 TOTAL $11,650,300 $13,967,000 $783,898,400 $809,515,700
12 SECTION 2. As appropriated, the State Controller shall make transfers of
13 the General Fund to the Cooperative Welfare Fund, periodically, as requested
14 by the director of the Department of Health and Welfare and approved by the
15 Board of Examiners.
16 SECTION 3. There is hereby reappropriated to the Department of Health and
17 Welfare for Medical Assistance Services any unexpended and unencumbered bal-
18 ances of the Cooperative Welfare Fund as appropriated for Medical Assistance
19 Services for fiscal year 2001, to be used for nonrecurring expenditures only
20 for the period July 1, 2001, through June 30, 2002. The reappropriation shall
21 be computed by the Department of Health and Welfare from available moneys.
22 SECTION 4. Notwithstanding the provisions of Section 67-3516(2), Idaho
23 Code, the Department of Health and Welfare for Medical Assistance Services is
24 hereby authorized to expend all receipts collected in Medical Assistance Ser-
25 vices as noncognizable funds for the period July 1, 2001, through June 30,
26 2002.
27 SECTION 5. It is the intent of the Idaho Legislature that the federal
28 Title XXI Children's Health Insurance Program, as appropriated in Section 1 of
29 this act, not exceed $4,600,000 in General Fund expenditures for the period
30 July 1, 2001, through June 30, 2002. In addition, the director of the Depart-
31 ment of Health and Welfare is hereby authorized to control program costs by
32 lowering or raising income eligibility criteria in order to stay within bud-
33 get; however, under no circumstance shall the department exceed one hundred
34 fifty percent (150%) of the federal poverty level that is used in determining
35 eligibility without prior legislative approval.
36 SECTION 6. The Idaho Legislature recognizes the work of the Children's
37 Health Insurance Program Task Force appointed by the director of the Depart-
38 ment of Health and Welfare. The department is encouraged to implement the rec-
39 ommendations of the task force to the extent legally possible and to apply for
40 the necessary federal waivers where required in order to provide basic health
41 care coverage for Idaho's uninsured children.
42 SECTION 7. It is the intent of the Idaho Legislature that for the period
43 July 1, 2001, through June 30, 2002, the cost limits described in Section
44 56-102(7) and (11), Idaho Code, shall not apply to state homes for veterans.
45 SECTION 8. It is the intent of the Idaho Legislature that the rates for
46 transportation services provided to clients of the state's Medicaid Program
47 for the period July 1, 2001, through June 30, 2002, shall not exceed the rates
48 in effect in state fiscal year 2000.
3
1 SECTION 9. It is the intent of the Idaho Legislature that the number of
2 beds in private intermediate care facilities for the mentally retarded funded
3 by Medicaid, be capped at four hundred eighty-six (486) beds, including any
4 beds planned or under construction.
5 SECTION 10. Notwithstanding the provisions of Section 56-113, Idaho Code,
6 it is the intent of the Idaho Legislature that for the period July 1, 2001,
7 through June 30, 2002, rates, including special rates, of private intermediate
8 care facilities for the mentally retarded shall not exceed the rates in effect
9 in state fiscal year 2000.
10 SECTION 11. It is the intent of the Idaho Legislature that the Department
11 of Health and Welfare require the use of generic drugs to the extent feasible
12 and allowed by law in the state's Medicaid Program. The department shall
13 develop a process of prior approval when the physician prescribes drugs other
14 than generic. The department is further directed to prepare and report, by
15 January 2002, the feasibility of implementing a Medicaid preferred drug list.
16 SECTION 12. It is the intent of the Idaho Legislature that for the period
17 July 1, 2001, through June 30, 2002, the rates paid for durable medical equip-
18 ment provided to clients of the state's Medicaid Program shall not exceed the
19 rates in effect in state fiscal year 2000.
20 SECTION 13. It is the intent of the Idaho Legislature that the Department
21 of Health and Welfare actively and thoroughly confer with providers and con-
22 currently conduct negotiated rulemaking prior to December 31, 2001. The
23 Department of Health and Welfare shall prepare a Request For Proposal (RFP)
24 for the contract assessment of services needed for the Utilization Management
25 Project (UMP). Of those twenty-two and five-tenths (22.5) full-time equivalent
26 positions authorized for this effort, five (5) positions have been added to
27 accommodate rulemaking and RFP preparation. Any moneys appropriated for this
28 program from prior budget years shall be restricted from expenditure. The
29 Department of Health and Welfare shall come back to the Legislature for the
30 final approval and authorization of the UMP program at the next regular ses-
31 sion of the Idaho Legislature. Any personnel terminated from regional offices
32 should be reinstated to continue historic levels of service until the UMP pro-
33 gram is approved by the Legislature.
34 SECTION 14. It is the intent of the Idaho Legislature that clients par-
35 ticipating in the state's Medicaid Program share a portion of the cost of pro-
36 viding services to the extent allowed by law. The Idaho Legislature authorizes
37 the Department of Health and Welfare to implement reasonable copayments and
38 other cost-sharing methods as allowed by law. Providers will retain all
39 copayments collected, and the Department of Health and Welfare will not reduce
40 provider reimbursement rates by the amount of the copayments. The Department
41 of Health and Welfare is further directed to prepare and report, by January
42 2002, its progress in implementing a cost-sharing program.
43 SECTION 15. It is the intent of the Idaho Legislature that day treatment
44 services provided to clients with mental illness through the state's Medicaid
45 Program shall be limited to aiding in the transition from acute care to lesser
46 levels of care and to stabilization as a means of preventing hospitalization.
47 Such transition and stabilization services shall include a planned program of
48 three (3) hours per day of group therapy, one (1) hour per day of individual
49 therapy, at least two (2) psychiatric visits every six (6) days, and meaning-
4
1 ful group recreational activities, and may also include socialization and
2 skills training. The modification of day treatment services shall be phased in
3 by January 1, 2002.
4 SECTION 16. In addition to the appropriation made in Section 1, Chapter
5 409, Laws of 2000, there is hereby appropriated to the Department of Health
6 and Welfare for Medical Assistance Services the following amounts to be
7 expended according to the designated expense class from the listed funds for
8 the period July 1, 2000, through June 30, 2001.
9 FOR:
10 Trustee and Benefit Payments $112,358,900
11 FROM:
12 General Fund $ 33,057,800
13 Cooperative Welfare Fund (Dedicated) 1,960,400
14 Cooperative Welfare Fund (Federal) 77,340,700
15 TOTAL $112,358,900
16 SECTION 17. An emergency existing therefor, which emergency is hereby
17 declared to exist, Section 16 of this act shall be in full force and effect on
18 and after passage and approval.
| Statement of Purpose |
| RS10399C1 |
This bill appropriates $809,515,700 to the Department of Health and Welfare for Medical Assistance Services for fiscal year 2002. Of this amount, $229,311,400 is from the General Fund, $24,400,500 is from dedicated funds, and $555,803,800 is from matching federal funds. In addition, the bill includes a supplemental appropriation of $112,358,900 for fiscal year 2001. Of this amount, $33,057,800 is from the General Fund, $1,960,400 is from dedicated funds, and $77,340,700 is from matching federal funds.
 
| FY 2001 Original Appropriation |
174.92 |
171,888,300 |
22,853,100 |
412,268,600 |
607,010,000 |
| Reappropriations |
0.00 |
0 |
42,300 |
0 |
42,300 |
| Division of Medical Assistance |
|
|
|
|
|
| 1. Benefit Payments – Supplemental |
0.00 |
33,057,800 |
1,960,400 |
77,340,700 |
112,358,900 |
| Recover Gain Sharing (Neg Supp) |
0.00 |
(109,000) |
0 |
(156,800) |
(265,800) |
| FY 2001 Total Appropriation |
174.92 |
204,837,100 |
24,855,800 |
489,452,500 |
719,145,400 |
| Expenditure Adjustments |
10.48 |
12,500 |
0 |
61,300 |
73,800 |
| FY 2001 Estimated Expenditures |
185.40 |
204,849,600 |
24,855,800 |
489,513,800 |
719,219,200 |
| Base Adjustments |
0.00 |
(102,000) |
(42,300) |
(374,800) |
(519,100) |
| Other Base Adjustments |
5.00 |
109,000 |
0 |
156,800 |
265,800 |
| FY 2002 Base |
190.40 |
204,856,600 |
24,813,500 |
489,295,800 |
718,965,900 |
| Personnel Cost Rollups |
0.00 |
9,800 |
0 |
14,100 |
23,900 |
| Inflationary Adjustments |
0.00 |
3,343,900 |
430,600 |
8,351,600 |
12,126,100 |
| Replacement Items |
0.00 |
0 |
0 |
0 |
0 |
| Nonstandard Adjustments |
0.00 |
21,472,300 |
2,868,600 |
50,728,200 |
75,069,100 |
| Change in Employee Compensation |
0.00 |
191,800 |
0 |
275,500 |
467,300 |
| Fund Shifts |
0.00 |
(1,397,100) |
(3,712,200) |
5,109,300 |
0 |
| FY 2002 Program Maintenance |
190.40 |
228,477,300 |
24,400,500 |
553,774,500 |
806,652,300 |
| Enhancements |
|
|
|
|
|
| Division of Medical Assistance |
|
|
|
|
|
| 1. Surveyor Positions |
0.00 |
0 |
0 |
0 |
0 |
| 2. Personal Needs Allowance Increase |
0.00 |
107,400 |
0 |
253,900 |
361,300 |
| 3. Capital Request – Additional Items |
0.00 |
0 |
0 |
0 |
0 |
| 4. Seriously Emotionally Disturbed Children |
0.00 |
726,700 |
0 |
1,775,400 |
2,502,100 |
| FY 2002 Total |
190.40 |
229,311,400 |
24,400,500 |
555,803,800 |
809,515,700 |
| Chg from FY 2001 Orig Approp |
15.48 |
57,423,100 |
1,547,400 |
143,535,200 |
202,505,700 |
| % Chg from FY 2001 Orig Approp. |
8.8% |
33.4% |
6.8% |
34.8% |
33.4% |
Contact: Dick Burns 334-4742
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. S1214 |