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H0799.....................................................by APPROPRIATIONS APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE SERVICES - Appropriates $492,763,400 to the Department of Health and Welfare for Medical Assistance Services for fiscal year 1999; authorizes the State Controller to make transfers to the Cooperative Welfare Fund as requested and approved; 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 that certain individuals with developmental disabilities be given the option of receiving quality services in settings of their choice under certain conditions; and provides intent that the Title XXI Child Health Insurance Program not exceed $4.2 million in General Fund expenditures for fiscal year 1999. 03/04 House intro - 1st rdg - to printing 03/05 Rpt prt - to 2nd rdg 03/06 2nd rdg - to 3rd rdg 03/09 3rd rdg - PASSED - 59-9-2 AYES -- Barraclough, Bell, Bieter, Black(15), Black(23), Boe, Bruneel, Campbell, Chase, Clark, Crane, Crow, Cuddy, Deal, Ellsworth, Field(20), Gagner, Geddes, Gould, Hadley, Hansen, Henbest, Hornbeck, Jaquet, Jones(9), Jones(20), Judd, Kellogg, Kempton, Kendell, Kjellander, Kunz, Lake, Linford, Mader Marley, Meyer, Miller, Mortensen, Newcomb, Pischner, Pomeroy, Reynolds, Richman, Ridinger, Robison, Sali, Schaefer, Stevenson, Stoicheff, Stubbs, Taylor, Tilman, Tippets, Trail, Watson, Wheeler, Zimmermann, Mr Speaker NAYS -- Alltus, Barrett, Bivens, Callister, Denney, Loertscher, McKague, Stone, Wood Absent and excused -- Field(13), Jones(22) Floor Sponsor - Bell Title apvd - to Senate 03/10 Senate intro - 1st rdg - to Fin 03/11 Rpt out - rec d/p - to 2nd rdg 03/12 2nd rdg - to 3rd rdg 03/18 3rd rdg - PASSED - 26-2-7 AYES--Andreason, Boatright, Bunderson, Burtenshaw, Cameron, Crow, Darrington, Deide, Dunklin, Geddes, Ingram, Ipsen, Keough, King, Lee, McLaughlin, Noh, Parry, Richardson, Risch, Sandy, Sorensen, Sweeney, Thorne, Twiggs, Wheeler NAYS--Schroeder, Whitworth Absent and excused--Branch, Danielson, Frasure, Hansen, Hawkins, Riggs, Stennett Floor Sponsor - Cameron Title apvd - to House 03/19 To enrol - rpt enrol - Sp signed Pres signed - to Governor 03/24 Governor signed Session Law Chapter 346 Effective: 07/01/98
H0799|||| LEGISLATURE OF THE STATE OF IDAHO |||| Fifty-fourth Legislature Second Regular Session - 1998IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 799 BY APPROPRIATIONS COMMITTEE 1 AN ACT 2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL 3 ASSISTANCE SERVICES FOR FISCAL YEAR 1999; 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 IDAHO'S HOME AND COMMUNITY-BASED SERVICES WAIVER; AND EXPRESSING 8 LEGISLATIVE INTENT WITH REGARD TO THE CHILD HEALTH INSURANCE PROGRAM. 9 Be It Enacted by the Legislature of the State of Idaho: 10 SECTION 1. There is hereby appropriated to the Department of Health and 11 Welfare for Medical Assistance Services the following amounts to be expended 12 according to the designated expense classes from the various funds listed for 13 the period July 1, 1998, through June 30, 1999: 14 FOR 15 FOR FOR TRUSTEE AND 16 PERSONNEL OPERATING BENEFIT 17 COSTS EXPENDITURES PAYMENTS TOTAL 18 MEDICAL ASSISTANCE SERVICES: 19 FROM: 20 General Fund $3,011,200 $ 3,460,000 $131,375,000 $137,846,200 21 Medical Assistance 22 Fund 15,000 15,000 23 Liquor Control 24 Fund 650,000 650,000 25 Cooperative Welfare 26 Fund (Federal) 4,714,600 13,805,700 313,531,300 332,051,600 27 Cooperative Welfare 28 Fund (Other) 22,200,600 22,200,600 29 TOTAL $7,725,800 $17,265,700 $467,771,900 $492,763,400 30 SECTION 2. As appropriated, the State Controller shall make transfers of 31 the General Fund to the Cooperative Welfare Fund, periodically, as requested 32 by the Director of the Department of Health and Welfare and approved by the 33 Board of Examiners. 34 SECTION 3. There is hereby reappropriated to the Department of Health and 35 Welfare for Medical Assistance Services any unexpended and unencumbered bal- 36 ances of the Cooperative Welfare Fund as appropriated for Medical Assistance 37 Services for fiscal year 1998, to be used for nonrecurring expenditures only 38 for the period July 1, 1998, through June 30, 1999. The reappropriation shall 39 be computed by the Department of Health and Welfare from available moneys. 40 SECTION 4. Notwithstanding the provisions of Section 67-3516(2), Idaho 41 Code, the Department of Health and Welfare for Medical Assistance Services is 2 1 hereby authorized to expend all receipts collected in Medical Assistance Ser- 2 vices as noncognizable funds for the period July 1, 1998, through June 30, 3 1999. 4 SECTION 5. It is the intent of the Idaho Legislature that individuals 5 with developmental disabilities in Idaho who meet the service need of Interme- 6 diate Care Facilities (ICF-MR) be given the option of receiving quality ser- 7 vices in settings of their choice, if those settings are no more expensive 8 than ICF-MR. To enable individuals to access these services outside of facili- 9 ties, we authorize lifting the cap of 415 imposed on Idaho's home and 10 community-based services (HCBS) waiver. 11 SECTION 6. It is the intent of the Idaho Legislature that the federal 12 Title XXI Child Health Insurance Program, as appropriated in Section 1 of this 13 act, not exceed $4.2 million in General Fund expenditures for the period July 14 1, 1998, through June 30, 1999. In addition, the Director of the Department of 15 Health and Welfare is hereby authorized to control program costs by lowering 16 or raising income eligibility criteria in order to stay within budget; but, 17 under no circumstance shall the department exceed one hundred fifty percent 18 (150%) of the federal poverty level that is used in determining eligibility 19 without prior legislative approval.
STATEMENT OF PURPOSE HB 799 Appropriates moneys to the Department of Health and Welfare for Medical Assistance Services for fiscal year 1999. FISCAL NOTE FTP General Ded/Other Federal Total FY 1998 Original Approp. 162.97 122,568,800 18,845,200 283,289,200 424,703,200 Reappropriation 0.00 0 7,217,200 26,228,300 33,445,500 FY 1998 Supplemental 0.00 (627,400) 0 (2,224,200) (2,851,600) FY 1998 Total Appropriation 162.97 121,941,400 26,062,400 307,293,300 455,297,100 Expenditure Adjustments 2.00 1,874,700 8,629,900 8,670,500 19,175,100 FY 1998 Est. Expenditures 164.97 123,816,100 34,692,300 315,963,800 474,472,200 Base Adjustments 0.00 627,400 (11,826,700) (25,518,800) (36,718,100) FY 1999 Base 164.97 124,443,500 22,865,600 290,445,000 437,754,100 Personnel Cost Rollups 0.00 22,600 0 22,500 45,100 Inflationary Adjustments 0.00 4,837,500 0 10,863,700 15,701,200 Replacement Items 0.00 0 0 0 0 Non-Standard Adjustments 0.00 8,962,500 0 20,110,600 29,073,100 Annualizations 0.00 2,093,900 0 7,741,200 9,835,100 Employee Compensation (CEC) 0.00 177,400 0 177,400 354,800 Fund Shifts 0.00 (2,691,200) 0 2,691,200 0 FY 1999 Maintenance (MCO) 164.97 137,846,200 22,865,600 332,051,600 492,763,400 Enhancements: Division of Medical Assistance 1. HCBS Waiver/ICF-MR Growth 0.00 0 0 0 0 2. Dental Health 0.00 0 0 0 0 FY 1999 Total Appropriation 164.97 137,846,200 22,865,600 332,051,600 492,763,400 Chg From Orig Approp. 2.00 15,277,400 4,020,400 48,762,400 68,060,200 %Chg From Orig Approp. 1.2% 12.5% 21.3% 17.2% 16.0% Contact: Dick Burns Legislative Services Office Budget & Policy Analysis Telephone: 334-4742