Print Friendly SENATE BILL NO. 1490 – Approp, H&W, Medical Assistance
SENATE BILL NO. 1490
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S1490............................................................by FINANCE
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $857,756,500 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2003; 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; provides intent regarding the Children's Health
Insurance Program; provides intent regarding adult dental services;
provides intent regarding the Utilization Management pilot project;
appropriates an additional $11,295,500 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2002; and reduces
the appropriation by $2,136,000 to the Department of Health and Welfare for
Medical Assistance Services for fiscal year 2002.
03/04 Senate intro - 1st rdg - to printing
03/05 Rpt prt - to Fin
Rpt out - rec d/p - to 2nd rdg
03/06 2nd rdg - to 3rd rdg
03/07 3rd rdg - PASSED - 26-8-1
AYES -- Andreason, Boatright, Branch(Bartlett), Brandt, Bunderson,
Burtenshaw, Cameron, Deide, Geddes, Goedde, Hill, Ingram, Ipsen,
Keough, King-Barrutia, Little, Lodge, Richardson, Risch, Sandy, Sims,
Sorensen, Stegner, Thorne, Wheeler, Williams
NAYS -- Darrington, Davis, Dunklin, Frasure, Hawkins, Marley,
Schroeder, Stennett
Absent and excused -- Noh
Floor Sponsor - Boatright
Title apvd - to House
03/08 House intro - 1st rdg - to 2nd rdg
03/11 2nd rdg - to 3rd rdg
Rls susp - PASSED - 36-33-1
AYES -- Barraclough, Bell, Black, Bradford, Bruneel, Crow, Deal,
Field(13), Field(20), Gagner, Gould, Hadley, Hammond, Harwood,
Higgins, Hornbeck, Jaquet, Kellogg, Kendell, Kunz, Lake, Langford,
Mader, Meyer, Montgomery, Pischner, Pomeroy, Ridinger, Sali,
Schaefer, Sellman, Smith(23), Smylie, Stevenson, Wheeler, Mr. Speaker
NAYS -- Aikele, Barrett, Bedke, Bieter, Block, Boe, Bolz, Callister,
Campbell, Clark, Collins, Cuddy, Denney, Ellis, Ellsworth, Eskridge,
Henbest, Jones, Loertscher, Martinez, McKague, Mortensen, Moyle,
Pearce, Raybould, Roberts, Robison, Shepherd, Smith(33), Stone,
Trail, Wood, Young
Absent and excused -- Tilman
Floor Sponsor - Gagner
Title apvd - to Senate
03/12 To enrol
03/13 Rpt enrol - Pres signed
Sp signed
03/14 To Governor
03/26 Governor signed
Session Law Chapter 321
Effective: 03/26/02, Secs 6, 9, and 10
07/01/02, All others
|||| LEGISLATURE OF THE STATE OF IDAHO ||||
Fifty-sixth Legislature Second Regular Session - 2002
IN THE SENATE
SENATE BILL NO. 1490
BY FINANCE COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR FISCAL YEAR 2003; 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 ADULT DENTAL SERVICES; EXPRESSING LEGISLATIVE INTENT
9 WITH REGARD TO THE UTILIZATION MANAGEMENT PILOT PROJECT; EXPRESSING LEGIS-
10 LATIVE INTENT WITH REGARD TO SALARY SAVINGS; APPROPRIATING ADDITIONAL
11 MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL ASSISTANCE SER-
12 VICES FOR FISCAL YEAR 2002; REDUCING THE FISCAL YEAR 2002 APPROPRIATION TO
13 THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL ASSISTANCE SERVICES; AND
14 DECLARING AN EMERGENCY FOR SECTIONS 6, 9 AND 10 OF THIS ACT.
15 Be It Enacted by the Legislature of the State of Idaho:
16 SECTION 1. There is hereby appropriated to the Department of Health and
17 Welfare for Medical Assistance Services the following amounts to be expended
18 according to the designated expense classes from the various funds listed for
19 the period July 1, 2002, through June 30, 2003:
20 FOR
21 FOR FOR TRUSTEE AND
22 PERSONNEL OPERATING BENEFIT
23 COSTS EXPENDITURES PAYMENTS TOTAL
24 MEDICAL ASSISTANCE SERVICES:
25 FROM:
26 General
27 Fund $ 4,869,100 $ 6,644,900 $228,785,400 $240,299,400
28 Medical Assistance
29 Fund 2,500 2,500
30 Liquor Control
31 Fund 639,200 639,200
32 Cooperative Welfare
33 Fund
34 (Federal) 7,127,400 18,147,900 565,370,800 590,646,100
35 Cooperative Welfare
36 Fund
37 (Dedicated) 26,169,300 26,169,300
38 TOTAL $11,996,500 $24,792,800 $820,967,200 $857,756,500
39 SECTION 2. As appropriated, the State Controller shall make transfers of
40 the General Fund to the Cooperative Welfare Fund, periodically, as requested
41 by the director of the Department of Health and Welfare and approved by the
42 Board of Examiners.
2
1 SECTION 3. There is hereby reappropriated to the Department of Health and
2 Welfare any unexpended and unencumbered balances in the Cooperative Welfare
3 Fund as appropriated for fiscal year 2002, to be used for nonrecurring expen-
4 ditures only for the period July 1, 2002, through June 30, 2003. The reappro-
5 priation shall be computed by the Department of Health and Welfare from avail-
6 able moneys.
7 SECTION 4. Notwithstanding the provisions of Section 67-3516(2), Idaho
8 Code, the Department of Health and Welfare is hereby authorized to expend all
9 receipts collected as noncognizable funds for the period July 1, 2002, through
10 June 30, 2003.
11 SECTION 5. It is the intent of the Idaho Legislature that the federal
12 Title XXI Children's Health Insurance Program, as appropriated in Section 1 of
13 this act, not exceed $3,800,000 in General Fund expenditures for the period
14 July 1, 2002, through June 30, 2003. In addition, the director of the Depart-
15 ment of Health and Welfare is hereby authorized to control program costs by
16 lowering or raising income eligibility criteria in order to stay within bud-
17 get; however, under no circumstance shall the department exceed one hundred
18 fifty percent (150%) of the federal poverty level that is used in determining
19 eligibility without prior legislative approval.
20 SECTION 6. It is the intent of the Idaho Legislature that, notwithstand-
21 ing Section 56-209d(4)(c), Idaho Code, adult dental services covered by the
22 state's Title XIX Medicaid program shall be limited to emergency services
23 only.
24 SECTION 7. It is hereby declared to be the intent of the Idaho Legisla-
25 ture that the Utilization Management Pilot Project underway in Region II be
26 continued as a pilot project for the remainder of fiscal year 2002, and not be
27 expanded beyond the existing region. It is further legislative intent that, in
28 the interim, the department implement by rule a requirement that all plans for
29 delivery of developmental disability and mental health services of every kind,
30 except emergency services in all areas of the state not within the utilization
31 management pilot, must be preauthorized by the department. The department will
32 have no authorization to enter into an IAP contract or develop a utilization
33 management automated system. A written report shall be presented at the fall
34 meeting of the Joint Finance-Appropriations Committee on the Utilization Man-
35 agement Pilot Project.
36 SECTION 8. Notwithstanding the provisions of Section 67-3511(1), Idaho
37 Code, it is hereby declared to be the intent of the Idaho Legislature that the
38 appropriation for personnel costs, as contained in Section 1 of this act,
39 shall be utilized only for personnel costs for the period July 1, 2002,
40 through March 1, 2003, which the Legislature intends will result in salary
41 savings. It is further legislative intent that carryover funds from fiscal
42 year 2002 shall be available for nonrecurring expenditures other than salaries
43 during fiscal year 2003. It is further legislative intent that in January
44 2003, the department shall make a written report to the Joint Finance-
45 Appropriations Committee regarding its salary savings and expenditures for
46 operating expenses and capital outlay during the first half of fiscal year
47 2003. Salary savings during fiscal year 2003 will be available to the depart-
48 ment for object transfers for the purposes set out in Section 67-3511(1),
49 Idaho Code, only upon consent of the Joint Finance-Appropriations Committee
50 during the First Regular Session of the Fifty-seventh Idaho Legislature.
3
1 SECTION 9. In addition to the appropriation made in Section 1, Chapter
2 368, Laws of 2001, there is hereby appropriated to the Department of Health
3 and Welfare for Medical Assistance Services the following amounts to be
4 expended according to the designated expense classes from the listed funds for
5 the period July 1, 2001, through June 30, 2002:
6 FOR:
7 Personnel Costs $ 275,100
8 Operating Expenditures 10,251,500
9 Capital Outlay 768,900
10 TOTAL $11,295,500
11 FROM:
12 General Fund $ 4,352,100
13 Cooperative Welfare Fund (Federal) 6,943,400
14 TOTAL $11,295,500
15 SECTION 10. Notwithstanding any other provision of law to the contrary,
16 the appropriation of moneys made to the Department of Health and Welfare for
17 Medical Assistance Services in Section 1, Chapter 368, Laws of 2001, is hereby
18 reduced in trustee and benefit payments by the following amounts from the
19 listed funds for the period July 1, 2001, through June 30, 2002:
20 FROM:
21 General Fund $ 268,100
22 Cooperative Welfare Fund (Dedicated) 1,212,300
23 Cooperative Welfare Fund (Federal) 655,600
24 TOTAL $2,136,000
25 SECTION 11. An emergency existing therefor, which emergency is hereby
26 declared to exist, Sections 6, 9 and 10 of this act shall be in full force and
27 effect on and after passage and approval.
| Statement of Purpose |
| RS11362 |
This is the appropriation for Medical Assistance Services. It appropriates $857.8 million for FY 2003; authorizes transfer of the General Fund; authorizes reappropriation; allows expenditure of receipts; caps CHIP; reduces dental services; authorizes UMP Pilot Project; provides intent with respect to Personnel Costs; appropriates $11.3 for FY 2002: reduces Trustee & Benefit Payments by $2.1 for FY 2002; and declares an emergency.
 
| FY 2002 Original Appropriation |
197.40 |
229,311,300 |
24,400,500 |
555,803,800 |
809,515,600 |
| Reappropriations |
0.00 |
0 |
598,100 |
0 |
598,100 |
| Medical Assistance Services |
|
|
|
|
|
| 1. |
0.00 |
4,084,000 |
(1,212,300) |
6,287,800 |
9,159,500 |
| Holdback/Neg. Supp |
0.00 |
(9,233,700) |
0 |
0 |
(9,233,700) |
| FY 2002 Total Appropriation |
197.40 |
224,161,600 |
23,786,300 |
562,091,600 |
810,039,500 |
| Executive Holdback |
0.00 |
0 |
0 |
(16,486,900) |
(16,486,900) |
| Expenditure Adjustments |
(1.71) |
(226,900) |
6,241,200 |
8,533,500 |
14,547,800 |
| FY 2002 Estimated Expenditures |
195.69 |
223,934,700 |
30,027,500 |
554,138,200 |
808,100,400 |
| Removal of One-Time Expenditures |
0.00 |
(1,325,000) |
(598,100) |
(3,315,400) |
(5,238,500) |
| Restore Holdback/Neg. Supp |
0.00 |
9,226,000 |
0 |
16,479,300 |
25,705,300 |
| Permanent Base Reduction |
0.00 |
(18,650,500) |
(2,618,400) |
(45,085,300) |
(66,354,200) |
| FY 2003 Base |
195.69 |
213,185,200 |
26,811,000 |
522,216,800 |
762,213,000 |
| Personnel Cost Rollups |
0.00 |
13,600 |
0 |
19,500 |
33,100 |
| Inflationary Adjustments |
0.00 |
7,922,100 |
0 |
19,551,800 |
27,473,900 |
| Replacement Items |
0.00 |
0 |
0 |
0 |
0 |
| Nonstandard Adjustments |
0.00 |
21,273,700 |
0 |
51,774,900 |
73,048,600 |
| Annualizations |
0.00 |
434,600 |
0 |
1,605,500 |
2,040,100 |
| Change in Employee Compensation |
0.00 |
0 |
0 |
0 |
0 |
| Fund Shifts |
0.00 |
(138,300) |
0 |
138,300 |
0 |
| FY 2003 Program Maintenance |
195.69 |
242,690,900 |
26,811,000 |
595,306,800 |
864,808,700 |
| Enhancements |
|
|
|
|
|
| Medical Assistance Services |
|
|
|
|
|
| 1. Expand Healthy Connections |
0.00 |
0 |
0 |
0 |
0 |
| 2. HCBS Waiver Compliance |
0.00 |
0 |
0 |
0 |
0 |
| 3. HIPAA Privacy Officer |
0.00 |
0 |
0 |
0 |
0 |
| 4. DD & MH Project Contracts |
0.00 |
0 |
0 |
0 |
0 |
| 5. Breast & Cervical Cancer |
0.00 |
283,000 |
0 |
1,099,400 |
1,382,400 |
| 6. RBRVS Rates for Physicians |
0.00 |
0 |
0 |
0 |
0 |
| 7. Co-Payment Automation |
0.00 |
0 |
0 |
0 |
0 |
| 8. Additional Capital Outlay |
0.00 |
0 |
0 |
0 |
0 |
| 9. UMP – DD Contract & Automation |
0.00 |
(492,900) |
0 |
(600,100) |
(1,093,000) |
| 10. UMP – MH Removal |
0.00 |
(120,800) |
0 |
(120,800) |
(241,600) |
| 11. Emergency Dental Care |
0.00 |
(2,060,800) |
0 |
(5,039,200) |
(7,100,000) |
| FY 2003 Total |
195.69 |
240,299,400 |
26,811,000 |
590,646,100 |
857,756,500 |
| Chg from FY 2002 Orig Approp |
(1.71) |
10,988,100 |
2,410,500 |
34,842,300 |
48,240,900 |
| % Chg from FY 2002 Orig Approp. |
(0.9%) |
4.8% |
9.9% |
6.3% |
6.0% |
Contact: Dick Burns 334-4742
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. S1490 |