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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
]]]] 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
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