Print Friendly SENATE BILL NO. 1319 – Family planning demonstratn waiver
SENATE BILL NO. 1319
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S1319.................................................by HEALTH AND WELFARE
FAMILY PLANNING DEMONSTRATION WAIVER - Adds to existing law to set forth
legislative findings; to provide that the Director of the Department of
Health and Welfare shall apply for a family planning demonstration waiver;
to require the director to establish baseline birthrates; to provide a
report to the legislature; and to define terms.
02/16 Senate intro - 1st rdg - to printing
02/17 Rpt prt - to Health/Wel
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-seventh Legislature Second Regular Session - 2004
IN THE SENATE
SENATE BILL NO. 1319
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO FAMILY PLANNING; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY THE
3 ADDITION OF A NEW SECTION 56-209m, IDAHO CODE, TO SET FORTH LEGISLATIVE
4 FINDINGS, TO PROVIDE THAT THE DIRECTOR OF THE DEPARTMENT OF HEALTH AND
5 WELFARE SHALL APPLY FOR A FAMILY PLANNING DEMONSTRATION WAIVER, TO REQUIRE
6 THE DIRECTOR TO ESTABLISH BASELINE BIRTHRATES AND TO PROVIDE A REPORT TO
7 THE LEGISLATURE AND TO DEFINE TERMS.
8 Be It Enacted by the Legislature of the State of Idaho:
9 SECTION 1. That Chapter 2, Title 56, Idaho Code, be, and the same is
10 hereby amended by the addition thereto of a NEW SECTION, to be known and des-
11 ignated as Section 56-209m, Idaho Code, and to read as follows:
12 56-209m. FAMILY PLANNING DEMONSTRATION WAIVER. (1) The legislature hereby
13 finds and declares that:
14 (a) The appropriate use of effective contraceptive methods reduces the
15 rate at which women have unintended or untimely pregnancies;
16 (b) Low-income women have statistically high rates of unintended or
17 untimely pregnancies;
18 (c) Women whose prenatal care is paid for by medicaid are significantly
19 more likely than other low-income women to report an unintended pregnancy
20 resulting in a live birth;
21 (d) Unintended and untimely pregnancies are associated with delayed entry
22 into prenatal care as well as poor maternal nutrition, smoking, and the
23 use of alcohol and other drugs;
24 (e) It is anticipated that family planning coverage for low-income women
25 will lead to a decline in unintended pregnancies as well as a decline in
26 the rates of miscarriages, stillbirths and abortions; and
27 (f) Planned pregnancies result in healthier babies.
28 (2) The director of the department of health and welfare is hereby
29 directed to apply for a demonstration waiver from the centers for medicare and
30 medicaid services under section 1115 of the social security act for the pur-
31 pose of expanding family planning services to women of childbearing age with
32 incomes of up to one hundred thirty-three percent (133%) of the federal pov-
33 erty level.
34 (3) The director shall establish a baseline birthrate based upon a three
35 (3) year average before instituting the demonstration project and shall pro-
36 vide a report to the legislature following the three (3) year demonstration
37 project addressing demonstration results and any cost savings effected by the
39 (4) As used in this section:
40 (a) "Family planning services" includes counseling and medical services
41 prescribed or performed by an independent licensed physician or a quali-
42 fied certified nurse practitioner or physician assistant and includes
43 diagnosis, treatment, contraceptive supplies, related counseling and
1 restricted sterilization.
2 (b) "Contraceptive supplies" includes condoms, foams, creams, jellies,
3 prescription diaphragms, intrauterine devices and oral contraceptives.
STATEMENT OF PURPOSE
This legislation would expand family planning services in
Idaho to women of childbearing age with incomes up to 133% of the
Federal Poverty Level. Family Planning services are limited to
counseling and medical services prescribed or performed by an
independent licensed physician or a qualified certified nurse
practitioner or physician's assistant and includes diagnosis,
treatment, contraceptive supplies, related counseling, and
restricted sterilization. Contraceptive supplies includes
condoms, foams, creams, jellies, prescription diaphragms,
intrauterine devices and oral contraceptives.
Effective family planning healthcare reduces the number of
unintended pregnancies and therefore the number of abortions.
Planned pregnancies also result in healthier women, healthier
babies, and healthier families.
The preliminary estimates indicate that 39,195 women would be
eligible. Research data suggest that 25% of these women would be
likely to enroll, and use these family planning services.
Without increased access to family planning services, the state
could anticipate spending 1.5 million on pregnancy and child
health care costs for this population. The cost to the state for
these additional enrollees for family planning is estimated to be
approximately $500,000. The cost avoidance realized by the state
will be around 1.0 million. This family planning expansion is
possible through an 1115 demonstration waiver in which the
Federal Government funds 90% of the cost. The state of Idaho
funds 10% of the cost. In 2003 an independent study was funded
by the Center for Medicaid and Medicare, which found that the 6
states included in the study all achieved budget neutrality after
operating under the waiver.
Name: Representative Henbest
Name: Representative Jaquet
Name: Senator Sorenson
Name: Senator Keogh
STATEMENT OF PURPOSE/FISCAL NOTE S 1319