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S1265............................................................by FINANCE
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $550,246,900 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2000; 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 with regard to Idaho's Home and Community-based Services
Waiver; provides intent that the Title XXI Child Health Insurance Program
not exceed $4.2 million in General Fund expenditures for fiscal year 2000;
and provides intent with regard to the Children's Health Insurance Program
Task Force recommendations.
03/05 Senate intro - 1st rdg - to printing
03/08 Rpt prt - to Fin
03/08 Rpt out - rec d/p - to 2nd rdg
03/09 2nd rdg - to 3rd rdg
03/10 3rd rdg - PASSED - 34-0-1
AYES--Andreason, Boatright, Branch, Bunderson, Burtenshaw, Cameron,
Crow, Danielson, Darrington, Davis, Deide, Dunklin, Frasure, Geddes,
Hawkins, Ingram, Ipsen, Keough, King, Lee, McLaughlin, Noh,
Richardson, Riggs, Risch, Sandy, Schroeder, Sorensen, Stegner,
Stennett, Thorne, Twiggs, Wheeler, Whitworth
NAYS--None
Absent and excused--Parry
Floor Sponsor - Boatright
Title apvd - to House
03/11 House intro - 1st rdg - to 2nd rdg
03/12 2nd rdg - to 3rd rdg
03/15 3rd rdg - PASSED - 54-2-14
AYES -- Barraclough, Barrett, Bell, Bieter, Black, Boe, Bruneel,
Campbell, Chase, Clark, Crow, Cuddy, Deal, Denney, Field(13),
Field(20), Geddes, Hadley, Hammond, Hansen(23), Hansen(29), Henbest,
Hornbeck, Jones, Judd, Kellogg, Kendell, Kunz, Limbaugh, Linford,
Loertscher, Marley, Meyer(Duncan), Montgomery, Mortensen, Moyle,
Pischner, Pomeroy, Reynolds, Ridinger, Ringo, Robison, Sali,
Schaefer, Sellman, Smith, Smylie, Stevenson, Stoicheff, Stone,
Taylor, Tilman, Tippets, Williams
NAYS -- Alltus, McKague
Absent and excused -- Callister, Ellsworth, Gagner, Gould, Jaquet,
Kempton, Lake, Mader, Trail, Watson, Wheeler, Wood, Zimmermann,
Mr Speaker
Floor Sponsor - Pomeroy
Title apvd - to Senate
03/16 To enrol - Rpt enrol - Pres signed
03/17 Sp signed
03/18 To Governor
03/23 Governor signed
Session Law Chapter 190
Effective: 07/01/99
S1265|||| LEGISLATURE OF THE STATE OF IDAHO |||| Fifty-fifth Legislature First Regular Session - 1999IN THE SENATE SENATE BILL NO. 1265 BY FINANCE COMMITTEE 1 AN ACT 2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL 3 ASSISTANCE SERVICES FOR FISCAL YEAR 2000; 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; EXPRESSING 8 LEGISLATIVE INTENT WITH REGARD TO THE CHILD HEALTH INSURANCE PROGRAM; AND 9 EXPRESSING LEGISLATIVE INTENT WITH REGARD TO THE CHILDREN'S HEALTH INSUR- 10 ANCE PROGRAM TASK FORCE RECOMMENDATIONS. 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 various funds listed for 15 the period July 1, 1999, through June 30, 2000: 16 FOR 17 FOR FOR TRUSTEE AND 18 PERSONNEL OPERATING BENEFIT 19 COSTS EXPENDITURES PAYMENTS TOTAL 20 MEDICAL ASSISTANCE SERVICES: 21 FROM: 22 General Fund $3,146,900 $ 3,536,600 $149,880,000 $156,563,500 23 Medical Assistance 24 Fund 2,500 2,500 25 Liquor Control 26 Fund 650,000 650,000 27 Cooperative Welfare 28 Fund (Federal) 4,850,300 11,034,000 354,946,000 370,830,300 29 Cooperative Welfare 30 Fund (Other) 22,200,600 22,200,600 31 TOTAL $7,997,200 $14,570,600 $527,679,100 $550,246,900 32 SECTION 2. As appropriated, the State Controller shall make transfers of 33 the General Fund to the Cooperative Welfare Fund, periodically, as requested 34 by the Director of the Department of Health and Welfare and approved by the 35 Board of Examiners. 36 SECTION 3. There is hereby reappropriated to the Department of Health and 37 Welfare for Medical Assistance Services any unexpended and unencumbered bal- 38 ances of the Cooperative Welfare Fund as appropriated for Medical Assistance 39 Services for fiscal year 1999, to be used for nonrecurring expenditures only 40 for the period July 1, 1999, through June 30, 2000. The reappropriation shall 41 be computed by the Department of Health and Welfare from available moneys. 2 1 SECTION 4. Notwithstanding the provisions of Section 67-3516(2), Idaho 2 Code, the Department of Health and Welfare for Medical Assistance Services is 3 hereby authorized to expend all receipts collected in Medical Assistance Ser- 4 vices as noncognizable funds for the period July 1, 1999, through June 30, 5 2000. 6 SECTION 5. Section 5, Chapter 346, Laws of 1998, authorized lifting the 7 cap imposed on Idaho's Home and Community-Based Services (HCBS) waiver. This 8 authorization was predicated on HCBS services being no more expensive than 9 services in an Intermediate Care Facility for the Mentally Retarded (ICF/MR) 10 setting. Because HCBS services per individual have been proven to be less 11 expensive than ICF/MR services and because there is a list of eligible indi- 12 viduals waiting to receive these services, the Department of Health and Wel- 13 fare is directed to provide those qualified individuals with waivered ser- 14 vices. In addition, the Legislature directs the department to utilize appro- 15 priate HCBS services first before considering the placement of an individual 16 in an ICF/MR setting. The department is further directed to provide the Joint 17 Finance-Appropriations Committee with a periodic report on its progress 18 towards implementing this directive. 19 SECTION 6. It is the intent of the Idaho Legislature that the federal 20 Title XXI Child Health Insurance Program, as appropriated in Section 1 of this 21 act, not exceed $4.2 million in General Fund expenditures for the period July 22 1, 1999, through June 30, 2000. In addition, the Director of the Department of 23 Health and Welfare is hereby authorized to control program costs by lowering 24 or raising income eligibility criteria in order to stay within budget; but, 25 under no circumstance shall the department exceed one hundred fifty percent 26 (150%) of the federal poverty level that is used in determining eligibility 27 without prior legislative approval. 28 SECTION 7. The Idaho Legislature recognizes the work of the Children's 29 Health Insurance Program Task Force appointed by the director of the Depart- 30 ment of Health and Welfare. The department is encouraged to implement the rec- 31 ommendations of the task force to the extent legally possible and to apply for 32 the necessary federal waivers where required in order to provide basic health 33 care coverage for Idaho's uninsured children.
STATEMENT OF PURPOSE
SB1265
Appropriates moneys to the Department of Health and Welfare for Medical Assistance
Services for fiscal year 2000 in the amount of $156,563,500 in General Funds and
$393,683,400 in Non-General Funds for a total of $550,246,900.
FISCAL NOTE
FTP General Ded/Other Federal Total
FY 1999 Original Approp. 164.97 137,846,200 22,865,600 332,051,600 492,763,400
Reappropriation 0.00 0 12,273,600 35,110,500 47,384,100
FY 1999 Supplemental 0.00 3,978,400 0 9,188,500 13,166,900
FY 1999 Total Appropriation 164.97 137,846,200 35,139,200 361,642,300 534,627,700
Expenditure Adjustments (2.90) (56,400) 0 (4,663,700) (4,720,100)
FY 1999 Est. Expenditures 162.07 137,789,800 35,139,200 356,978,600 529,907,600
Base Adjustments 0.00 0 (850,000) (7,650,000) (8,500,000)
FY 2000 Base 162.07 137,789,800 34,289,200 349,328,600 521,407,600
Personnel Cost Rollups 0.00 0 0 0 0
Inflationary Adjustments 0.00 4,244,100 0 9,835,400 14,079,500
Replacement Items 0.00 0 0 0 0
Non-Standard Adjustments 0.00 3,351,800 0 7,799,600 11,151,400
Annualizations 0.00 0 0 0 0
Employee Compensation (CEC) 0.00 111,800 0 111,800 223,600
Fund Shifts 0.00 10,047,500 (11,436,100) 1,376,100 (12,500)
FY 2000 Maintenance (MCO) 162.07 155,545,000 22,853,100 368,451,500 546,849,600
Enhancements:
Division of Medical Assistance
1. Medicaid HCBS Waiver 0.00 0 0 0 0
2. Dental Reimbursement 0.00 668,500 0 1,559,800 2,228,300
3. DDA Reimbursement 0.00 350,000 0 819,000 1,169,000
Adjustment
FY 2000 Total Appropriation 162.07 156,563,500 22,853,100 370,830,300 550,246,900
Chg From Orig Approp. (2.90) 18,717,300 (12,500) 38,778,700 57,483,500
%Chg From Orig Approp. (1.8%) 13.6% (0.1%) 11.7% 11.7%
The appropriation for Medical Assistance includes the base amount plus $14.1 million to
provide a 2.5% increase to those providers whose reimbursement rates are not set in Idaho
Code, $11.2 million to cover increased hospital and drug costs and to fund those
providers whose reimbursements are set in Idaho Code, $223,600 to cover CEC, $2.2 million
to increase dental reimbursement, and $1.2 million to adjust rates for developmental
disability services. Also included in this appropriation is a fund shift of $11.4
million to General and Federal funding sources for continued program support.
Section 5 directs the department to provide waivered services to those individuals who
qualify for such services, and to utilize appropriate home and community-based services
(HCBS) first before considering the placement of an individual in an intermediate care
facility for the mentally retarded (ICF-MR).
Section 6 caps General Funds for the Title XXI Children's Health Insurance Program at
$4.2 million and caps eligibility at 150% of the federal poverty level.
Section 7 encourages the department to implement the recommendations of the Children's
Health Insurance Program Task Force to the extent legally possible and to apply for
federal waivers where required.
Contact: Dick Burns 334-4742
Legislative Services Office
Budget & Policy Analysis