Print Friendly HOUSE BILL NO. 385 – Approp, H&W, Medical Assistance
HOUSE BILL NO. 385
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H0385.....................................................by APPROPRIATIONS
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $34,894,800 to the Department of Health and Welfare
for Medical Assistance Services for administration and medical management
for fiscal year 2006; appropriates $1,153,269,600 to the Department of
Health and Welfare for Medical Assistance Services for provider payments;
appropriates an additional $65,719,900 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2005; authorizes an
additional 3 full-time equivalent positions for fiscal year 2005;
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 regarding
the payment of nonmedically necessary male infant circumcisions; expresses
legislative intent regarding mental health treatment for children and
adults; and limits the number of full-time equivalent positions to 271.
03/24 House intro - 1st rdg - to printing
03/28 Rpt prt - to 2nd rdg
03/29 2nd rdg - to 3rd rdg
Rls susp - PASSED - 53-16-1
AYES -- Anderson, Bastian, Bedke, Bell, Bilbao, Black, Block, Boe,
Bolz, Bradford, Cannon, Chadderdon, Collins, Crow, Deal, Denney,
Edmunson, Ellsworth, Eskridge, Field(18), Field(23), Garrett,
Harwood, Henbest, Henderson, Jaquet, Jones, Kemp, LeFavour, Martinez,
McKague, Miller, Mitchell, Moyle, Nonini, Pasley-Stuart, Pence,
Raybould, Ring, Ringo, Rusche, Sayler, Shepherd(2), Shirley, Skippen,
Smith(30), Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wills, Mr.
Speaker
NAYS -- Andrus, Barraclough, Barrett, Clark, Hart, Lake, Loertscher,
Mathews, McGeachin, Nielsen, Roberts, Rydalch, Sali, Schaefer,
Shepherd(8), Wood
Absent and excused -- Bayer
Floor Sponsor - Henbest
Title apvd - to Senate
03/29 Senate intro - 1st rdg - to Fin
03/30 Rpt out - rec d/p - to 2nd rdg
Rls susp - PASSED - 35-0-0
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
Langhorst, Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce,
Richardson, Schroeder, Stegner, Stennett, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- None
Floor Sponsor - McGee
Title apvd - to House
03/31 To enrol - Rpt enrol - Sp signed
04/01 Pres signed
04/04 To Governor
04/13 Governor signed
Session Law Chapter 375
Effective: 04/13/05 Sections 3 and 4;
07/01/05 All other sections
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature First Regular Session - 2005
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 385
BY APPROPRIATIONS COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR ADMINISTRATION AND MANAGEMENT FOR FISCAL YEAR
4 2006; APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR
5 MEDICAL ASSISTANCE SERVICES FOR PROVIDER PAYMENTS FOR FISCAL YEAR 2006;
6 APPROPRIATING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE
7 FOR MEDICAL ASSISTANCE SERVICES FOR FISCAL YEAR 2005; AUTHORIZING ADDI-
8 TIONAL FULL-TIME EQUIVALENT POSITIONS FOR FISCAL YEAR 2005; PROVIDING THAT
9 THE STATE CONTROLLER SHALL MAKE TRANSFERS FROM THE GENERAL FUND; REAPPRO-
10 PRIATING CERTAIN UNEXPENDED AND UNENCUMBERED BALANCES OF MONEY; AUTHORIZ-
11 ING THE EXPENDITURE OF ALL RECEIPTS COLLECTED; DIRECTING THE DEPARTMENT OF
12 HEALTH AND WELFARE TO DISCONTINUE PAYING FOR NONMEDICALLY NECESSARY CIR-
13 CUMCISION OF MALE INFANTS; DIRECTING THE DEPARTMENT OF HEALTH AND WELFARE
14 TO DEVELOP APPROPRIATE AND EFFECTIVE MENTAL HEALTH TREATMENT; LIMITING THE
15 NUMBER OF FULL-TIME EQUIVALENT POSITIONS; AND DECLARING AN EMERGENCY FOR
16 SECTIONS 3 AND 4 OF THIS ACT.
17 Be It Enacted by the Legislature of the State of Idaho:
18 SECTION 1. There is hereby appropriated to the Department of Health and
19 Welfare for Medical Assistance Services the following amounts for administra-
20 tion and medical management to be expended according to the designated expense
21 classes from the various funds listed for the period July 1, 2005, through
22 June 30, 2006:
23 FOR FOR
24 PERSONNEL OPERATING
25 COSTS EXPENDITURES TOTAL
26 FROM:
27 General
28 Fund $ 5,745,300 $ 6,277,900 $12,023,200
29 Idaho Health Insurance
30 Access Card Fund 136,200 11,200 147,400
31 Cooperative Welfare
32 Fund
33 (Federal) 10,526,700 12,197,500 22,724,200
34 TOTAL $16,408,200 $18,486,600 $34,894,800
35 SECTION 2. There is hereby appropriated to the Department of Health and
36 Welfare for Medical Assistance Services the following amounts for provider
37 payments to be expended according to the designated expense class from the
38 various funds listed for the period July 1, 2005, through June 30, 2006:
39 FOR:
40 Trustee and Benefit Payments $1,153,269,600
41 FROM:
42 General Fund $ 319,251,000
43 Medical Assistance Fund 2,500
2
1 Liquor Control Fund 650,000
2 Idaho Health Insurance Access Card Fund 1,727,900
3 Cooperative Welfare Fund (Federal) 756,378,300
4 Cooperative Welfare Fund (Dedicated) 75,259,900
5 TOTAL $1,153,269,600
6 SECTION 3. In addition to the appropriation made in Section 1, Chapter
7 379, Laws of 2004, there is hereby appropriated to the Department of Health
8 and Welfare for Medical Assistance Services the following amounts according to
9 the designated expense class from the listed funds for the period July 1,
10 2004, through June 30, 2005:
11 FOR:
12 Trustee and Benefit Payments $65,719,900
13 FROM:
14 General Fund $15,457,900
15 Cooperative Welfare Fund (Dedicated) 13,148,500
16 Cooperative Welfare Fund (Federal) 37,113,500
17 TOTAL $65,719,900
18 SECTION 4. In addition to the authorization granted in Section 5, Chapter
19 229, Laws of 2004, as amended by Section 2, House Bill 348, enacted by the
20 First Regular Session of the Fifty-eighth Idaho Legislature, the Department of
21 Health and Welfare is authorized three (3) full-time equivalent positions for
22 the period July 1, 2004, through June 30, 2005.
23 SECTION 5. GENERAL FUND TRANSFERS. As appropriated, the State Controller
24 shall make transfers from the General Fund to the Cooperative Welfare Fund,
25 periodically, as requested by the director of the Department of Health and
26 Welfare and approved by the Board of Examiners.
27 SECTION 6. REAPPROPRIATION OF THE COOPERATIVE WELFARE FUND. There is
28 hereby reappropriated to the Department of Health and Welfare any unexpended
29 and unencumbered balances in the Cooperative Welfare Fund as appropriated to
30 the Medical Assistance Services Program for fiscal year 2005, to be used for
31 nonrecurring expenditures only for the period July 1, 2005, through June 30,
32 2006. The reappropriation shall be computed by the Department of Health and
33 Welfare from available moneys.
34 SECTION 7. EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
35 sions of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
36 is hereby authorized to expend all receipts collected as noncognizable funds
37 for the period July 1, 2005, through June 30, 2006.
38 SECTION 8. NONMEDICALLY NECESSARY PROCEDURE. The Department of Health and
39 Welfare shall discontinue paying for nonmedically necessary circumcision for
40 male infants as recommended to the Joint Finance-Appropriations Committee by
41 the House of Representatives Health and Welfare Committee. The estimated sav-
42 ings from discontinuing this procedure are $172,800 from the General Fund.
43 Major private insurers in Idaho have discontinued this procedure based upon
44 the newest evidence that it is medically unnecessary.
45 SECTION 9. MENTAL HEALTH TREATMENT. The Department of Health and Welfare
46 shall develop appropriate and effective treatments for children with serious
47 emotional disturbances and adults with severe and persistent mental illness
48 based on available best practices. The department may limit partial care
3
1 clinic and psychosocial rehabilitation services to these clients. Effective
2 strategies such as single assessment process, prior authorization of services,
3 and limitations on hours of service may be utilized by the department to
4 ensure that the appropriate level of service is available to meet client
5 needs.
6 SECTION 10. FULL-TIME EQUIVALENT POSITIONS. In accordance with Section
7 67-3519, Idaho Code, the Department of Health and Welfare is authorized no
8 more than two hundred seventy-one (271) full-time equivalent positions for the
9 Medical Assistance Services Program during the period July 1, 2005, through
10 June 30, 2006. Transfers of full-time equivalent positions between appropri-
11 ated programs within the department are authorized and shall be reported in
12 the budget prepared for the next fiscal year. Any full-time equivalent posi-
13 tions in excess of the Department of Health and Welfare's total cap may be
14 authorized only by the Governor and promptly reported to the Joint Finance-
15 Appropriations Committee.
16 SECTION 11. An emergency existing therefor, which emergency is hereby
17 declared to exist, Sections 3 and 4 of this act shall be in full force and
18 effect on and after passage and approval.
| Statement of Purpose |
| RS14333C1 |
This is the appropriation to the Department of Health and Welfare for the Medical Assistance Services Program (Medicaid) for fiscal year 2006. The bill also 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 a non-medically necessary procedure; requires the Department to develop appropriate and effective treatments for the mentally ill based on available best practices; and limits full-time equivalent positions. It also provides an additional appropriation to the Department of Health and Welfare for Medical Assistance Services for fiscal year 2005.
 
| FY 2005 Original Appropriation |
257.00 |
288,171,600 |
63,988,100 |
699,241,400 |
1,051,401,100 |
| HB 805 One-time 1% Salary Increase |
0.00 |
49,900 |
0 |
84,900 |
134,800 |
| 3. Medicaid Use Increases |
0.00 |
15,457,900 |
13,148,500 |
37,113,500 |
65,719,900 |
| 5. Medicaid Buy-In for Disabled |
0.00 |
0 |
0 |
0 |
0 |
| 6. Adult Access Card Program |
3.00 |
0 |
26,100 |
98,600 |
124,700 |
| FY 2005 Total Appropriation |
260.00 |
303,679,400 |
77,162,700 |
736,538,400 |
1,117,380,500 |
| Non-Cognizable Funds and Transfers |
0.00 |
(4,800) |
0 |
123,400 |
118,600 |
| Budgeted Reversion |
0.00 |
(11,300) |
0 |
(8,000) |
(19,300) |
| FY 2005 Estimated Expenditures |
260.00 |
303,663,300 |
77,162,700 |
736,653,800 |
1,117,479,800 |
| Removal of One-Time Expenditures |
0.00 |
(148,800) |
(139,800) |
(2,450,300) |
(2,738,900) |
| FY 2006 Base |
260.00 |
303,514,500 |
77,022,900 |
734,203,500 |
1,114,740,900 |
| Benefit Costs |
0.00 |
60,400 |
0 |
123,100 |
183,500 |
| Inflationary Adjustments |
0.00 |
21,076,400 |
58,100 |
50,281,200 |
71,415,700 |
| Replacement Items |
0.00 |
0 |
0 |
0 |
0 |
| Nonstandard Adjustments |
0.00 |
(40,700) |
0 |
81,100 |
40,400 |
| Annualizations |
0.00 |
0 |
289,000 |
1,085,700 |
1,374,700 |
| Change in Employee Compensation |
0.00 |
0 |
0 |
0 |
0 |
| 27th Payroll |
0.00 |
0 |
0 |
0 |
0 |
| Fund Shifts |
0.00 |
6,551,800 |
17,700 |
(6,569,500) |
0 |
| FY 2006 Program Maintenance |
260.00 |
331,162,400 |
77,387,700 |
779,205,100 |
1,187,755,200 |
| Enhancements |
|
|
|
|
|
| 4. Estate Recovery |
3.00 |
(34,200) |
400,000 |
(194,800) |
171,000 |
| 9. Mental Hlth Care Provider Credentialing |
1.00 |
7,200 |
0 |
(252,200) |
(245,000) |
| 10. Community Based Long-Term Care |
0.00 |
0 |
0 |
0 |
0 |
| 15. Health Facility Surveyors |
4.00 |
138,800 |
0 |
138,800 |
277,600 |
| 17. Develop County Options Project |
0.00 |
0 |
0 |
0 |
0 |
| 22. Program Development Specialists |
3.00 |
0 |
0 |
205,600 |
205,600 |
| FY 2006 Total |
271.00 |
331,274,200 |
77,787,700 |
779,102,500 |
1,188,164,400 |
| Chg from FY 2005 Orig Approp |
14.00 |
43,102,600 |
13,799,600 |
79,861,100 |
136,763,300 |
| % Chg from FY 2005 Orig Approp. |
5.4% |
15.0% |
21.6% |
11.4% |
13.0% |
Contact: Cathy Holland-Smith 334-4731
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. H385 |