Print Friendly SENATE BILL NO. 1429 – Approp, H&W, Medical Assistance
SENATE BILL NO. 1429
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S1429............................................................by FINANCE
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $1,051,401,100 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2005; reduces the
fiscal year 2004 appropriation to the Department of Health and Welfare for
Medical Assistance Services; 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; expresses
legislative intent with regard to managing growth in the children's health
insurance programs; requires the Department of Health and Welfare to file a
report on the status of Medicaid; and expresses intent with regard to a
Medicaid Buy-in Program.
03/02 Senate intro - 1st rdg - to printing
03/03 Rpt prt - to Fin
Rpt out - rec d/p - to 2nd rdg
03/04 2nd rdg - to 3rd rdg
03/08 Ret'd to Fin
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-seventh Legislature Second Regular Session - 2004
IN THE SENATE
SENATE BILL NO. 1429
BY FINANCE COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR FISCAL YEAR 2005; REDUCING THE APPROPRIATION TO
4 THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL ASSISTANCE SERVICES FOR
5 FISCAL YEAR 2004; PROVIDING THAT THE STATE CONTROLLER SHALL MAKE TRANSFERS
6 FROM THE GENERAL FUND; REAPPROPRIATING CERTAIN UNEXPENDED AND UNENCUMBERED
7 BALANCES OF MONEYS; AUTHORIZING THE EXPENDITURE OF ALL RECEIPTS COLLECTED;
8 EXPRESSING LEGISLATIVE INTENT WITH REGARD TO MANAGING GROWTH IN THE
9 CHILDREN'S HEALTH INSURANCE PROGRAMS; REQUIRING THE DEPARTMENT OF HEALTH
10 AND WELFARE TO FILE A WRITTEN REPORT ON THE STATUS OF MEDICAID IN JANUARY
11 2005; EXPRESSING LEGISLATIVE INTENT WITH REGARD TO A MEDICAID BUY-IN PRO-
12 GRAM; AND DECLARING AN EMERGENCY FOR SECTION 2 OF THIS ACT.
13 Be It Enacted by the Legislature of the State of Idaho:
14 SECTION 1. There is hereby appropriated to the Department of Health and
15 Welfare for Medical Assistance Services the following amounts to be expended
16 according to the designated expense classes from the various funds listed for
17 the period July 1, 2004, through June 30, 2005:
18 FOR
19 FOR FOR TRUSTEE AND
20 PERSONNEL OPERATING BENEFIT
21 COSTS EXPENDITURES PAYMENTS TOTAL
22 MEDICAL ASSISTANCE SERVICES:
23 FROM:
24 General
25 Fund $ 5,453,700 $ 6,238,000 $ 276,479,900 $ 288,171,600
26 Medical Assistance
27 Fund 2,500 2,500
28 Liquor Control
29 Fund 650,000 650,000
30 CHIP Plan B and
31 Access Card Fund 95,200 139,800 1,389,200 1,624,200
32 Cooperative Welfare
33 Fund
34 (Federal) 9,703,800 14,236,600 675,301,000 699,241,400
35 Cooperative Welfare
36 Fund
37 (Dedicated) 61,711,400 61,711,400
38 TOTAL $15,252,700 $20,614,400 $1,015,534,000 $1,051,401,100
39 SECTION 2. The appropriation to the Department of Health and Welfare for
40 Medical Assistance Services made in Section 1, Chapter 356, Laws of 2003, is
41 hereby reduced by the following amounts according to the designated expense
42 class from the listed funds for the period July 1, 2003, through June 30,
43 2004:
2
1 FOR:
2 Trustee and Benefit Payments $57,526,400
3 FROM:
4 General Fund $15,000,000
5 Cooperative Welfare Fund (Federal) 42,526,400
6 TOTAL $57,526,400
7 SECTION 3. GENERAL FUND TRANSFERS. As appropriated, the State Controller
8 shall make transfers from the General Fund to the Cooperative Welfare Fund,
9 periodically, as requested by the director of the Department of Health and
10 Welfare and approved by the Board of Examiners.
11 SECTION 4. REAPPROPRIATION OF THE COOPERATIVE WELFARE FUND. There is
12 hereby reappropriated to the Department of Health and Welfare any unexpended
13 and unencumbered balances in the Cooperative Welfare Fund as appropriated for
14 fiscal year 2004, to be used for nonrecurring expenditures only for the period
15 July 1, 2004, through June 30, 2005. The reappropriation shall be computed by
16 the Department of Health and Welfare from available moneys.
17 SECTION 5. EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
18 sions of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
19 is hereby authorized to expend all receipts collected as noncognizable funds
20 for the period July 1, 2004, through June 30, 2005.
21 SECTION 6. CHILDREN'S HEALTH INSURANCE PROGRAMS. The Legislature finds
22 that the Idaho Health Insurance Access Card Act of 2003 provides the innova-
23 tive next step in promoting the availability of employer-sponsored or individ-
24 ual health plans with an emphasis towards partnering with the private sector.
25 As envisioned, the new CHIP Plan B and Children's Access Card programs will
26 provide needed reform with no impact to the General Fund. In order to better
27 manage growth in the children's health insurance programs, enrollment in CHIP
28 Plan A will be allowed to increase by no more than six percent (6%); enroll-
29 ment in CHIP Plan B will be limited to one thousand (1,000) enrollees; and the
30 Children's Access Card Program will be limited to the remaining available rev-
31 enues as appropriated from the CHIP Plan B and Access Card Fund along with the
32 associated federal match, for the period July 1, 2004, through June 30, 2005.
33 SECTION 7. MEDICAID REPORT. In order to keep the Legislature informed on
34 the extent to which Medicaid has achieved cost savings through various cost
35 reduction initiatives and to better ascertain the impact of its policy deci-
36 sions, the Department of Health and Welfare is hereby directed to provide the
37 House and Senate germane committees and the Joint Finance-Appropriations Com-
38 mittee with a comprehensive written report on the status of Medicaid in Janu-
39 ary 2005. At a minimum, the report should address the implementation and
40 issues surrounding the children's health insurance programs. The Department
41 should also report on the estimated cost savings versus actual savings for
42 those initiatives identified and implemented such as managed care, disease
43 management, and the First Choice Drug Program.
44 SECTION 8. MEDICAID BUY-IN. It is the intent of the Idaho Legislature
45 that the Department of Health and Welfare begin the Medicaid Buy-In Program in
46 fiscal year 2005 with existing financial resources. Implementation should be
47 based on budget neutrality.
48 SECTION 9. An emergency existing therefor, which emergency is hereby
3
1 declared to exist, Section 2 of this act shall be in full force and effect on
2 and after its passage and approval.
| Statement of Purpose |
| RS13396C1 |
This is the appropriation to the Department of Health and Welfare for the Medical Assistance Program (Medicaid) for fiscal year 2005. The bill appropriates a total of $1,051,401,100; provides that the State Controller shall make transfers from the General Fund; reappropriates certain unexpended and unencumbered balances of moneys; authorizes the expenditure of all receipts collected; expresses intent with regard to managing growth in the children’s health insurance programs; requires the Department to file a written report on the status of Medicaid in January 2005; and expresses intent with regard to a Medicaid Buy-In program. It also reduces the appropriation to the Department of Health and Welfare for Medical Assistance Services for fiscal year 2004.
.
 
| FY 2004 Original Appropriation |
233.56 |
256,307,300 |
48,751,300 |
615,337,800 |
920,396,400 |
| Reappropriations |
0.00 |
0 |
2,408,600 |
0 |
2,408,600 |
| Recissions |
0.00 |
(15,000,000) |
0 |
(42,526,400) |
(57,526,400) |
| Other Approp Adjustments |
0.00 |
0 |
0 |
0 |
0 |
| FY 2004 Total Appropriation |
233.56 |
241,307,300 |
51,159,900 |
572,811,400 |
865,278,600 |
| Non-Cognizable Funds and Transfers |
17.94 |
(720,900) |
6,634,200 |
98,623,500 |
104,536,800 |
| FY 2004 Estimated Expenditures |
251.50 |
240,586,400 |
57,794,100 |
671,434,900 |
969,815,400 |
| Removal of One-Time Expenditures |
0.00 |
0 |
(2,430,200) |
(97,958,400) |
(100,388,600) |
| Base Adjustments |
0.00 |
1,000,000 |
0 |
0 |
1,000,000 |
| Additional Base Adjustments |
0.00 |
15,000,000 |
0 |
42,526,400 |
57,526,400 |
| FY 2005 Base |
251.50 |
256,586,400 |
55,363,900 |
616,002,900 |
927,953,200 |
| Personnel Cost Rollups |
0.00 |
126,200 |
0 |
214,800 |
341,000 |
| Inflationary Adjustments |
0.00 |
10,182,600 |
0 |
24,434,500 |
34,617,100 |
| Replacement Items |
0.00 |
0 |
0 |
0 |
0 |
| Nonstandard Adjustments |
0.00 |
25,056,600 |
7,000,000 |
60,228,000 |
92,284,600 |
| Change in Employee Compensation |
0.00 |
101,000 |
0 |
171,900 |
272,900 |
| Fund Shifts |
0.00 |
42,400 |
0 |
(42,400) |
0 |
| FY 2005 Program Maintenance |
251.50 |
292,095,200 |
62,363,900 |
701,009,700 |
1,055,468,800 |
| Enhancements |
|
|
|
|
|
| Medical Assistance Services |
|
|
|
|
|
| 1. CHIP B Program Benefits |
0.00 |
0 |
248,300 |
960,600 |
1,208,900 |
| 2. Children’s Access Card Benefits |
0.00 |
0 |
1,140,900 |
4,413,200 |
5,554,100 |
| 3. CHIP B & Access Card Staffing |
5.50 |
0 |
95,200 |
285,100 |
380,300 |
| 4. Medicaid Automation Project |
0.00 |
110,200 |
139,800 |
2,250,000 |
2,500,000 |
| 5. Managed Care Savings |
0.00 |
(1,886,100) |
0 |
(4,524,900) |
(6,411,000) |
| 6. Disease Management Savings |
0.00 |
(1,765,200) |
0 |
(4,234,800) |
(6,000,000) |
| 7. First Choice Drug Savings |
0.00 |
(382,500) |
0 |
(917,500) |
(1,300,000) |
| FY 2005 Total |
257.00 |
288,171,600 |
63,988,100 |
699,241,400 |
1,051,401,100 |
| Chg from FY 2004 Orig Approp |
23.44 |
31,864,300 |
15,236,800 |
83,903,600 |
131,004,700 |
| % Chg from FY 2004 Orig Approp. |
10.0% |
12.4% |
31.3% |
13.6% |
14.2% |
Contact: Dick Burns 334-4742
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. S1429 |