Print Friendly HOUSE BILL NO. 625<br />
– Approp, H&W, Medical Assistance
HOUSE BILL NO. 625
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H0625.....................................................by APPROPRIATIONS
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $1,407,245,800 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2009; 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 certain receipts collected as
noncognizable funds; limits the number of full-time equivalent positions to
290; and authorizes a transfer of certain funds appropriated for trustee
and benefit payments.
03/11 House intro - 1st rdg - to printing
03/12 Rpt prt - to 2nd rdg
03/13 2nd rdg - to 3rd rdg
Rls susp - PASSED - 61-0-9
AYES -- Anderson, Andrus, Barrett, Bayer, Bedke, Bell, Block, Bock,
Boe, Bolz, Bowers, Brackett, Bradford, Chadderdon, Chavez, Chew,
Collins, Crane, Durst, Eskridge, Hagedorn, Hart, Harwood, Henderson,
Jaquet, Killen, King, Kren, Lake, LeFavour, Loertscher, Luker,
Marriott, Mathews, McGeachin, Mortimer, Moyle, Nielsen,
Pasley-Stuart, Pence, Raybould, Ringo, Roberts, Ruchti, Rusche,
Sayler, Shepherd(02), Shepherd(08), Shirley, Shively, Smith(30),
Smith(24), Snodgrass, Stevenson, Thayn, Thomas, Trail, Vander Woude,
Wood(27), Wood(35), Mr. Speaker
NAYS -- None
Absent and excused -- Bilbao, Black, Clark, Henbest, Labrador,
Nonini, Patrick, Schaefer, Wills
Floor Sponsor - Wood(27)
Title apvd - to Senate
03/13 Senate intro - 1st rdg - to Fin
03/17 Rpt out - rec d/p - to 2nd rdg
03/18 2nd rdg - to 3rd rdg
03/19 3rd rdg - PASSED - 31-0-4
AYES -- Bair, Bastian, Bilyeu, Broadsword, Cameron, Coiner, Corder,
Darrington, Davis, Fulcher, Geddes, Goedde, Hammond, Heinrich, Hill,
Jorgenson, Kelly, Keough, Langhorst, Little, Lodge,
Malepeai(Sagness), McGee, McKague, McKenzie, Pearce, Richardson,
Siddoway, Stegner, Stennett, Werk
NAYS -- None
Absent and excused -- Andreason, Burkett, Gannon, Schroeder
Floor Sponsor - Broadsword
Title apvd - to House
03/20 To enrol - Rpt enrol - Sp/Pres signed
03/21 To Governor
03/25 Governor signed
Session Law Chapter 268
Effective: 07/01/08
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature Second Regular Session - 2008
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 625
BY APPROPRIATIONS COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR FISCAL YEAR 2009; PROVIDING THAT THE STATE CON-
4 TROLLER SHALL MAKE TRANSFERS FROM THE GENERAL FUND; REAPPROPRIATING CER-
5 TAIN UNEXPENDED AND UNENCUMBERED BALANCES OF MONEYS FOR PROVIDER PAYMENTS;
6 REAPPROPRIATING CERTAIN UNEXPENDED AND UNENCUMBERED BALANCES FOR CERTAIN
7 PROJECTS IN THE MEDICAID ADMINISTRATION AND MEDICAL MANAGEMENT PROGRAM;
8 AUTHORIZING THE EXPENDITURE OF ALL RECEIPTS COLLECTED; LIMITING THE NUMBER
9 OF FULL-TIME EQUIVALENT POSITIONS; AND AUTHORIZING A TRANSFER OF CERTAIN
10 MONEYS APPROPRIATED FOR TRUSTEE AND BENEFIT PAYMENTS.
11 Be It Enacted by the Legislature of the State of Idaho:
12 SECTION 1. There is hereby appropriated to the Department of Health and
13 Welfare for Medical Assistance Services the following amounts to be expended
14 according to the designated expense classes from the listed funds for the
15 period July 1, 2008, through June 30, 2009:
16 FOR
17 FOR FOR FOR TRUSTEE AND
18 PERSONNEL OPERATING CAPITAL BENEFIT
19 COSTS EXPENDITURES OUTLAY PAYMENTS TOTAL
20 I. MEDICAID ADMINISTRATION AND MEDICAL MANAGEMENT:
21 FROM:
22 General
23 Fund $ 7,169,600 $ 9,881,600 $ 31,800 $ 1,311,000 $ 18,394,000
24 Idaho Health
25 Insurance Access
26 Card Fund 152,000 152,000
27 Cooperative Welfare
28 Fund
29 (Dedicated) 3,383,800 3,383,800
30 Cooperative Welfare
31 Fund
32 (Federal) 12,358,700 31,240,200 91,800 1,638,600 45,329,300
33 TOTAL $19,528,300 $44,657,600 $123,600 $ 2,949,600 $ 67,259,100
34 II. DUAL ELIGIBLE INDIVIDUALS:
35 FROM:
36 General
37 Fund $ 116,503,400 $ 116,503,400
38 Cooperative Welfare
39 Fund
40 (Dedicated) 11,470,000 11,470,000
41 Cooperative Welfare
42 Fund
43 (Federal) 276,325,700 276,325,700
44 TOTAL $ 404,299,100 $ 404,299,100
2
1 FOR
2 FOR FOR FOR TRUSTEE AND
3 PERSONNEL OPERATING CAPITAL BENEFIT
4 COSTS EXPENDITURES OUTLAY PAYMENTS TOTAL
5 III. INDIVIDUALS WITH DISABILITIES:
6 FROM:
7 General
8 Fund $ 172,551,400 $ 172,551,400
9 Idaho Health
10 Insurance Access
11 Card Fund 876,900 876,900
12 Medical Assistance
13 Fund 2,500 2,500
14 Cooperative Welfare
15 Fund
16 (Dedicated) 40,803,500 40,803,500
17 Cooperative Welfare
18 Fund
19 (Federal) 354,090,700 354,090,700
20 TOTAL $ 568,325,000 $ 568,325,000
21 IV. LOW-INCOME CHILDREN AND WORKING-AGE ADULTS:
22 FROM:
23 General
24 Fund $ 95,044,000 $ 95,044,000
25 Idaho Health
26 Insurance Access
27 Card Fund 2,484,600 2,484,600
28 Cooperative Welfare
29 Fund
30 (Dedicated) 39,842,700 39,842,700
31 Cooperative Welfare
32 Fund
33 (Federal) 229,991,300 229,991,300
34 TOTAL $ 367,362,600 $ 367,362,600
35 GRAND
36 TOTAL $19,528,300 $44,657,600 $123,600 $1,342,936,300 $1,407,245,800
37 SECTION 2. GENERAL FUND TRANSFERS. As appropriated, the State Controller
38 shall make transfers from the General Fund to the Cooperative Welfare Fund,
39 periodically, as requested by the director of the Department of Health and
40 Welfare and approved by the Board of Examiners.
41 SECTION 3. REAPPROPRIATION OF THE COOPERATIVE WELFARE FUND. There is
42 hereby reappropriated to the Department of Health and Welfare any unexpended
43 and unencumbered balances in the Cooperative Welfare Fund as appropriated to
44 the Dual Eligible Individuals Program, Individuals with Disabilities Program,
45 and the Low-Income Children and Working-Age Adults Program for provider pay-
46 ments for fiscal year 2008, to be used for trustee and benefit payments for
47 the period July 1, 2008, through June 30, 2009. The reappropriation shall be
48 computed by the Department of Health and Welfare, and for budgeting purposes
49 any General Fund portion of the balance in the Cooperative Welfare Fund shall
50 be identified as part of the General Fund.
51 SECTION 4. REAPPROPRIATION OF THE COOPERATIVE WELFARE FUND. There is
3
1 hereby reappropriated to the Department of Health and Welfare any unexpended
2 and unencumbered balances in the Cooperative Welfare Fund as originally appro-
3 priated to the Medicaid Administration and Medical Management Program for fis-
4 cal year 2008, for the following purposes: to continue to develop the Medicaid
5 Management Information System (MMIS); and to continue the efforts of the
6 Health Quality Planning Commission and the distribution of health technology
7 grants for the period July 1, 2008, through June 30, 2009. The reappropriation
8 shall be computed by the Department of Health and Welfare, and for budgeting
9 purposes any General Fund portion of the balance in the Cooperative Welfare
10 Fund shall be identified as part of the General Fund.
11 SECTION 5. EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
12 sions of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
13 is hereby authorized to expend all receipts collected on behalf of the Dual
14 Eligible Individuals Program, Individuals with Disabilities Program, and the
15 Low-Income Children and Working-Age Adults Program, as noncognizable funds for
16 the period July 1, 2008, through June 30, 2009.
17 SECTION 6. FULL-TIME EQUIVALENT POSITIONS. In accordance with Section
18 67-3519, Idaho Code, the Department of Health and Welfare is authorized no
19 more than two hundred ninety (290) full-time equivalent positions for the Med-
20 ical Assistance Services Program during the period July 1, 2008, through June
21 30, 2009. Transfers of full-time equivalent positions between appropriated
22 programs within the department are authorized and shall be reported in the
23 budget prepared for the next fiscal year. Any full-time equivalent positions
24 in excess of the Department of Health and Welfare's total cap may be author-
25 ized only by the Governor and promptly reported to the Joint Finance-
26 Appropriations Committee.
27 SECTION 7. TRUSTEE AND BENEFIT PAYMENTS. Notwithstanding the provisions
28 of Section 67-3511, Idaho Code, funding provided for provider payments in the
29 Trustee and Benefit Payments Expenditure Object Code in the budgeted Medical
30 Assistance Services may be transferred in excess of ten percent (10%) between
31 the Dual Eligible Individuals Program, Individuals with Disabilities Program,
32 and Low-Income Children and Working-Age Adults Program, but shall not be
33 transferred to any other budgeted programs or objects within the Department of
34 Health and Welfare during fiscal year 2009.
| Statement of Purpose |
| RS17244 |
This is the FY 2009 appropriation for Medical Assistance Services Division also commonly referred to as Medicaid. This budgeted division is comprised of four programs: Medicaid Administration and Medical Management, Dual Eligible Individuals, Individuals with Disabilities, and Low-Income Children and Working-Age Adults.
.
 
| FY 2008 Original Appropriation |
278.50 |
376,384,400 |
90,961,200 |
826,352,400 |
1,293,698,000 |
| Reappropriation |
0.00 |
10,757,900 |
0 |
0 |
10,757,900 |
| Medical Assistance Services |
|
|
|
|
|
| 1. CMS Audit |
0.00 |
221,700 |
0 |
(228,700) |
(7,000) |
| 2. Idaho Health Data Exchange |
0.00 |
350,000 |
0 |
0 |
350,000 |
| 3. Multi-State Purchasing Pool |
0.00 |
0 |
2,000,000 |
0 |
2,000,000 |
| 8. Receipts Authority |
0.00 |
0 |
313,500 |
0 |
313,500 |
| 9. Department Personnel Costs Transfer |
0.00 |
0 |
0 |
0 |
0 |
| Rescissions |
0.00 |
(17,379,500) |
(1,000,000) |
0 |
(18,379,500) |
| FY 2008 Total Appropriation |
278.50 |
370,334,500 |
92,274,700 |
826,123,700 |
1,288,732,900 |
| Non-Cognizable Funds and Transfers |
(3.50) |
(44,300) |
0 |
8,826,200 |
8,781,900 |
| Expenditure Adjustments |
0.00 |
(849,500) |
0 |
0 |
(849,500) |
| FY 2008 Estimated Expenditures |
275.00 |
369,440,700 |
92,274,700 |
834,949,900 |
1,296,665,300 |
| Removal of One-Time Expenditures |
(8.00) |
(963,500) |
0 |
(7,670,500) |
(8,634,000) |
| Base Adjustments |
0.00 |
0 |
(70,800) |
0 |
(70,800) |
| FY 2009 Base |
267.00 |
368,477,200 |
92,203,900 |
827,279,400 |
1,287,960,500 |
| Benefit Costs |
0.00 |
181,800 |
0 |
308,800 |
490,600 |
| Inflationary Adjustments |
0.00 |
7,900 |
0 |
7,900 |
15,800 |
| Replacement Items |
0.00 |
24,300 |
0 |
24,300 |
48,600 |
| Statewide Cost Allocation |
0.00 |
1,900 |
0 |
4,600 |
6,500 |
| Change in Employee Compensation |
0.00 |
189,300 |
0 |
287,700 |
477,000 |
| Nondiscretionary Adjustments |
0.00 |
29,667,100 |
6,812,100 |
61,173,500 |
97,652,700 |
| FY 2009 Program Maintenance |
267.00 |
398,549,500 |
99,016,000 |
889,086,200 |
1,386,651,700 |
| Line Items |
|
|
|
|
|
| Medical Assistance Services |
|
|
|
|
|
| 1. MMIS Reprocurement |
8.00 |
3,261,500 |
0 |
16,119,000 |
19,380,500 |
| 2. Implement HCBS Rate Methodology |
0.00 |
0 |
0 |
0 |
0 |
| 3. Transfer PSR Unit to Medicaid |
15.00 |
481,800 |
0 |
481,800 |
963,600 |
| 4. Title XIX Family Planning Expansion |
0.00 |
0 |
0 |
0 |
0 |
| 5. Actuarial Work (CMS Requirement) |
0.00 |
50,000 |
0 |
50,000 |
100,000 |
| 6. Idaho Health Data Exchange |
0.00 |
150,000 |
0 |
0 |
150,000 |
| 7. RALF Rate Increase |
0.00 |
0 |
0 |
0 |
0 |
| 8. Physician Substance Abuse Screening |
0.00 |
0 |
0 |
0 |
0 |
| 9. Replace RMS Database |
0.00 |
0 |
0 |
0 |
0 |
| FY 2009 Total |
290.00 |
402,492,800 |
99,016,000 |
905,737,000 |
1,407,245,800 |
| Chg from FY 2008 Orig Approp |
11.50 |
26,108,400 |
8,054,800 |
79,384,600 |
113,547,800 |
| % Chg from FY 2008 Orig Approp. |
4.1% |
6.9% |
8.9% |
9.6% |
8.8% |
Contact: Amy Castro 334-4745
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. H625 |