2005 Legislation
Print Friendly

SENATE BILL NO. 1140 – H&W, family planning demo waiver

SENATE BILL NO. 1140

View Bill Status

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.

Bill Status



S1140.................................................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.
                                                                        
02/14    Senate intro - 1st rdg - to printing
02/15    Rpt prt - to Health/Wel
02/24    Rpt out - rec d/p - to 2nd rdg
02/25    2nd rdg - to 3rd rdg
03/01    3rd rdg - PASSED - 18-17-0
      AYES -- Andreason, Broadsword, Burkett, Coiner, Compton, Gannon,
      Goedde, Kelly, Keough, Langhorst, Little, Lodge, Malepeai, Marley,
      Schroeder, Stegner, Stennett, Werk
      NAYS -- Brandt, Bunderson, Burtenshaw, Cameron, Corder, Darrington,
      Davis, Geddes, Hill, Jorgenson, McGee, McKenzie, Noble, Pearce,
      Richardson, Sweet, Williams
      Absent and excused -- None
    Floor Sponsor - Keough
    Title apvd - to House
03/02    House intro - 1st rdg - to W/M
03/14    Rpt out - ref'd to Health/Wel

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   First Regular Session - 2005
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                                    SENATE BILL NO. 1140
                                                                        
                              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 56-209n, 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 56-209n, Idaho Code, and to read as follows:
                                                                        
 12        56-209n.  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 or untimely pregnancies are  associated  with  delayed  or
 22        insufficient prenatal care, which often results in poor birth outcomes and
 23        more costly pregnancies and increased health care costs;
 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 eligible families and to eligi-
 32    ble women who are already enrolled in medicaid but who are not currently  cov-
 33    ered for family planning health care services.
 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
 38    project.
 39        (4)  As used in this section:
 40        (a)  "Contraceptive supplies" means contraceptives approved by the federal
 41        food and drug administration (FDA).
 42        (b)  "Eligible  families" means couples whose children are enrolled in the
 43        CHIP Plan A, as defined in section 56-238, Idaho Code, and women  who  are
                                                                        
                                           2
                                                                        
  1        covered under the medicaid pregnant women and children (PWC) program.
  2        (c)  "Family  planning  services"  includes medical services prescribed or
  3        performed by an independent licensed physician or  a  nurse  practitioner,
  4        certified  nurse  midwife,  or physician assistant and includes diagnosis,
  5        treatment, contraceptive supplies, related counseling and restricted ster-
  6        ilization. "Family planning services" does not include abortion services.

Statement of Purpose / Fiscal Impact


                      STATEMENT OF PURPOSE
                                
                            RS 14904
                                
This legislation would expand family planning health care
services in Idaho to low income women, age nineteen and older who are
enrolled in the Medicaid Pregnant Women & Children Program (PWC), and
women and men whose children are enrolled in the Chilren s Health
Insurance Program (CHIP) Plan A.



                          FISCAL NOTE
                                
Federal Medicaid program provides an enhanced match rate of 90:10
(or $9 federal dollars for each state dollar) for family planning
services. Extending this benefit to income-eligible women who are
already enrolled in the Medicaid Pregnant Women and Children Program,
and women and men who have children enrolled in the Children s Health
insurance program (CHIP, plan A) would require an initial investment in
start up costs. Because Medicaid currently covers 38% of all births in
Idaho, the state of Idaho would realize an estimated cost savings after
two years due to a decrease in unplanned pregnancies.

Estimated Cost to State General Fund: Net Increase/Cost avoidance

Year 1- $212,500.00    Year 3-($1,541,028.00)cost savings
Year 2-$300,694.00     Year 4-($1,632,920.00)cost savings
                       Year 5- ($l,632,920.00)cost savings

Contact
Name:     Sen. Shawn Keough
Phone:    332-1000
          Rep. Margaret Henbest


STATEMENT OF PURPOSE/FISCAL NOTE                         S 1140