Print Friendly HOUSE BILL NO. 447 – Approp, H&W, Medical Assistance
HOUSE BILL NO. 447
View Daily Data Tracking History
View Bill Text
View Statement of Purpose / Fiscal Impact
Text to be added within a bill has been marked with Bold and
Underline. Text to be removed has been marked with
Strikethrough and Italic. How these codes are actually displayed will
vary based on the browser software you are using.
This sentence is marked with bold and underline to show added text.
This sentence is marked with strikethrough and italic, indicating
text to be removed.
H0447.....................................................by APPROPRIATIONS
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $917,816,400 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2004; 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, Utilization Management and the Catastrophic Health Care
Cost Program.
04/25 House intro - 1st rdg - to printing
04/28 Rpt prt - to 2nd rdg
04/29 2nd rdg - to 3rd rdg
05/02 Ret'd to Approp
|||| LEGISLATURE OF THE STATE OF IDAHO ||||
Fifty-seventh Legislature First Regular Session - 2003
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 447
BY APPROPRIATIONS COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR FISCAL YEAR 2004; 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
7 RELATING TO THE CHILDREN'S HEALTH INSURANCE PROGRAM; EXPRESSING LEGISLA-
8 TIVE INTENT RELATING TO UTILIZATION MANAGEMENT; EXPRESSING LEGISLATIVE
9 INTENT RELATING TO THE CATASTROPHIC HEALTH CARE COST PROGRAM; DECLARING AN
10 EMERGENCY AND PROVIDING AN EFFECTIVE DATE.
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, 2003, through June 30, 2004:
16 FOR
17 FOR FOR TRUSTEE AND
18 PERSONNEL OPERATING BENEFIT
19 COSTS EXPENDITURES PAYMENTS TOTAL
20 MEDICAL ASSISTANCE SERVICES:
21 FROM:
22 General
23 Fund $ 4,947,400 $ 6,127,800 $244,482,100 $255,557,300
24 Medical Assistance
25 Fund 2,500 2,500
26 Liquor Control
27 Fund 671,600 671,600
28 Cooperative Welfare
29 Fund
30 (Federal) 8,007,000 12,346,500 593,154,300 613,507,800
31 Cooperative Welfare
32 Fund
33 (Dedicated) 48,077,200 48,077,200
34 TOTAL $12,954,400 $18,474,300 $886,387,700 $917,816,400
35 SECTION 2. GENERAL FUND TRANSFERS. As appropriated, the State Controller
36 shall make transfers of the General Fund to the Cooperative Welfare Fund,
37 periodically, as requested by the director of the Department of Health and
38 Welfare and approved by the Board of Examiners.
39 SECTION 3. REAPPROPRIATION OF THE COOPERATIVE WELFARE FUND. There is
40 hereby reappropriated to the Department of Health and Welfare any unexpended
41 and unencumbered balances in the Cooperative Welfare Fund as appropriated for
42 fiscal year 2003, to be used for nonrecurring expenditures only for the period
2
1 July 1, 2003, through June 30, 2004. The reappropriation shall be computed by
2 the Department of Health and Welfare from available moneys.
3 SECTION 4. EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
4 sions of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
5 is hereby authorized to expend all receipts collected as noncognizable funds
6 for the period July 1, 2003, through June 30, 2004.
7 SECTION 5. CHILDREN'S HEALTH INSURANCE PROGRAM. It is the intent of the
8 Idaho Legislature that to control costs in the federal Title XXI Children's
9 Health Insurance Program, the director of the Department of Health and Welfare
10 is hereby authorized to lower or raise income eligibility criteria in order to
11 stay within budget; but, under no circumstance shall the department exceed one
12 hundred fifty percent (150%) of the federal poverty level that is used in
13 determining eligibility without prior legislative approval.
14 SECTION 6. UTILIZATION MANAGEMENT. It is the intent of the Idaho Legisla-
15 ture that the Department of Health and Welfare implement a case management
16 software program, but not enter into an Independent Assessment Provider (IAP)
17 contract for the period July 1, 2003, through June 30, 2004.
18 SECTION 7. CATASTROPHIC HEALTH CARE COST PROGRAM. The state of Idaho has
19 an incident-based medically indigent health care program that is funded
20 entirely with county and state funds. Counties pay the first $10,000 in medi-
21 cal bills incurred by a medically indigent person in any twelve (12) month
22 period. The Catastrophic Health Care Cost Program is responsible for all medi-
23 cal bills in excess of $10,000. It is therefore the intent of the Idaho Legis-
24 lature that the Department of Health and Welfare work with federal officials,
25 the Idaho Association of Counties, and other various health care interests in
26 exploring and evaluating ways in which the present county and state cata-
27 strophic fund could be used to draw federal match through the state's Medicaid
28 Program. Any proposed legislation as a result of this effort, should originate
29 with the Idaho Association of Counties.
30 SECTION 8. An emergency existing therefor, which emergency is hereby
31 declared to exist, this act shall be in full force and effect on and after
32 July 1, 2003.
| Statement of Purpose |
| RS12265C1 |
Relating to the appropriation to the Department of Health and Welfare for the Division of Medical Assistance for fiscal year 2004. The bill appropriates $255,557,300 in General Funds, $48,751,300 in Dedicated Funds, and $613,507,800 in Federal Funds for a total of $917,816,400. This budget includes $657,800 for Residential Rehabilitation, $327,900 for Targeted Service Coordination, and $499,900 for Targeted Case Management to partially restore reductions received this fiscal year.
.
 
| FY 2003 Original Appropriation |
195.69 |
240,299,400 |
26,861,000 |
590,646,100 |
857,806,500 |
| Reappropriations |
0.00 |
0 |
9,637,500 |
0 |
9,637,500 |
| Budget Reduction (Neg. Supp.) |
24.00 |
(2,680,800) |
0 |
(6,325,300) |
(9,006,100) |
| FY 2003 Total Appropriation |
219.69 |
237,618,600 |
36,498,500 |
584,320,800 |
858,437,900 |
| Expenditure Adjustments |
13.87 |
(711,200) |
21,907,900 |
(5,955,300) |
15,241,400 |
| FY 2003 Estimated Expenditures |
233.56 |
236,907,400 |
58,406,400 |
578,365,500 |
873,679,300 |
| Removal of One-Time Expenditures |
0.00 |
0 |
(9,687,500) |
(63,300) |
(9,750,800) |
| Base Adjustments |
0.00 |
(1,677,200) |
0 |
(4,155,800) |
(5,833,000) |
| Additional Base Adjustments |
0.00 |
(923,700) |
0 |
(2,155,300) |
(3,079,000) |
| FY 2004 Base |
233.56 |
234,306,500 |
48,718,900 |
571,991,100 |
855,016,500 |
| Personnel Cost Rollups |
0.00 |
69,800 |
0 |
115,700 |
185,500 |
| Inflationary Adjustments |
0.00 |
7,241,200 |
0 |
17,862,000 |
25,103,200 |
| Replacement Items |
0.00 |
0 |
0 |
0 |
0 |
| Nonstandard Adjustments |
0.00 |
10,492,000 |
32,400 |
25,501,200 |
36,025,600 |
| Change in Employee Compensation |
0.00 |
0 |
0 |
0 |
0 |
| Fund Shifts |
0.00 |
3,008,300 |
0 |
(3,008,300) |
0 |
| FY 2004 Program Maintenance |
233.56 |
255,117,800 |
48,751,300 |
612,461,700 |
916,330,800 |
| Enhancements |
|
|
|
|
|
| Medical Assistance Services |
|
|
|
|
|
| 1. Residential Habilitation |
0.00 |
194,600 |
0 |
463,200 |
657,800 |
| 2. Targeted Service Coordination |
0.00 |
97,000 |
0 |
230,900 |
327,900 |
| 3. Targeted Case Management |
0.00 |
147,900 |
0 |
352,000 |
499,900 |
| FY 2004 Total |
233.56 |
255,557,300 |
48,751,300 |
613,507,800 |
917,816,400 |
| Chg from FY 2003 Orig Approp |
37.87 |
15,257,900 |
21,890,300 |
22,861,700 |
60,009,900 |
| % Chg from FY 2003 Orig Approp. |
19.4% |
6.3% |
81.5% |
3.9% |
7.0% |
Contact: Dick Burns 334-4742
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. H447 |