Print Friendly HOUSE BILL NO. 849 – Approp, H&W, Medical Assistance
HOUSE BILL NO. 849
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H0849.....................................................by APPROPRIATIONS
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $1,246,284,800 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2007; 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; limits the number of full-time equivalent positions to
287.5; provides for a contract for a market analysis of certain service
providers; provides for a study regarding parent-directed care for children
with developmental disabilities; directs the allocation of salary savings;
and provides legislative intent regarding the fiscal impact on respite care
services.
03/24 House intro - 1st rdg - to printing
03/27 Rpt prt - to 2nd rdg
03/28 2nd rdg - to 3rd rdg
03/29 3rd rdg - PASSED - 49-19-2
AYES -- Anderson, Barraclough, Bastian, Bedke, Bell, Bilbao, Black,
Block, Boe, Bolz, Brackett, Bradford, Cannon, Chadderdon, Collins,
Deal, Edmunson, Ellsworth, Eskridge, Field(18), Field(23), Garrett,
Harwood, Henbest, Henderson, Jaquet, Kemp, LeFavour, Martinez,
Miller, Mitchell, Moyle, Pasley-Stuart, Pence, Raybould, Ring, Ringo,
Rusche, Sayler, Schaefer, Shepherd(2), Shirley, Skippen, Smith(30),
Smylie, Snodgrass, Stevenson, Trail, Wills
NAYS -- Andrus, Barrett, Clark, Crow, Denney, Hart, Lake, Loertscher,
Mathews, McGeachin, McKague, Nielsen, Nonini, Roberts, Rydalch, Sali,
Shepherd(8), Smith(24), Wood
Absent and excused -- Bayer, Mr. Speaker
Floor Sponsor - Henbest
Title apvd - to Senate
03/30 Senate intro - 1st rdg - to Fin
Rpt out - rec d/p - to 2nd rdg
03/31 2nd rdg - to 3rd rdg
04/03 3rd rdg - PASSED - 34-0-1
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, Werk, Williams
NAYS -- None
Absent and excused -- Sweet
Floor Sponsor - Keough
Title apvd - to House
04/03 To enrol
04/04 Rpt enrol - Sp signed - Pres signed - To Governor
04/07 Governor signed
Session Law Chapter 376
Effective: 07/01/06
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 849
BY APPROPRIATIONS COMMITTEE
1 AN ACT
2 APPROPRIATING MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR MEDICAL
3 ASSISTANCE SERVICES FOR FISCAL YEAR 2007; PROVIDING THAT THE STATE CON-
4 TROLLER SHALL MAKE TRANSFERS FROM THE GENERAL FUND; REAPPROPRIATING CER-
5 TAIN UNEXPENDED AND UNENCUMBERED BALANCES OF MONEY; AUTHORIZING THE EXPEN-
6 DITURE OF ALL RECEIPTS COLLECTED; LIMITING THE NUMBER OF FULL-TIME EQUIVA-
7 LENT POSITIONS; PROVIDING DIRECTION TO CONDUCT A MARKET ANALYSIS; DIRECT-
8 ING THE DEPARTMENT OF HEALTH AND WELFARE TO STUDY PARENT-DIRECTED SERVICES
9 FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES; DIRECTING THE ALLOCATION OF
10 SALARY SAVINGS; AND PROVIDING LEGISLATIVE INTENT REGARDING THE FISCAL
11 IMPACT ON RESPITE CARE SERVICES.
12 Be It Enacted by the Legislature of the State of Idaho:
13 SECTION 1. There is hereby appropriated to the Department of Health and
14 Welfare for Medical Assistance Services the following amounts to be expended
15 according to the designated expense classes from the listed funds for the
16 period July 1, 2006, through June 30, 2007:
17 FOR
18 FOR FOR FOR TRUSTEE AND
19 PERSONNEL OPERATING CAPITAL BENEFIT
20 COSTS EXPENDITURES OUTLAY PAYMENTS TOTAL
21 I. MEDICAID ADMINISTRATION AND MEDICAL MANAGEMENT:
22 FROM:
23 Economic Recovery
24 Reserve
25 Fund $ 57,000 $ 1,042,500 $461,800 $ 1,561,300
26 General
27 Fund 5,902,400 6,903,300 $ 887,000 13,692,700
28 Idaho Health
29 Insurance Access
30 Card Fund 136,200 152,000 288,200
31 Cooperative Welfare
32 Fund
33 (Dedicated) 1,383,800 1,383,800
34 Cooperative Welfare
35 Fund
36 (Federal) 11,466,300 22,412,900 458,400 2,062,600 36,400,200
37 TOTAL $17,561,900 $31,894,500 $920,200 $ 2,949,600 $ 53,326,200
38 II. ELDERS:
39 FROM:
40 General
41 Fund $ 60,256,900 $ 60,256,900
42 Cooperative Welfare
43 Fund
44 (Dedicated) 9,677,500 9,677,500
2
1 FOR
2 FOR FOR FOR TRUSTEE AND
3 PERSONNEL OPERATING CAPITAL BENEFIT
4 COSTS EXPENDITURES OUTLAY PAYMENTS TOTAL
5 Cooperative Welfare
6 Fund
7 (Federal) 127,987,900 127,987,900
8 TOTAL $ 197,922,300 $ 197,922,300
9 III. INDIVIDUALS WITH DISABILITIES:
10 FROM:
11 General
12 Fund $ 157,220,900 $ 157,220,900
13 Idaho Health
14 Insurance Access
15 Card Fund 893,500 893,500
16 Medical Assistance
17 Fund 2,500 2,500
18 Cooperative Welfare
19 Fund
20 (Dedicated) 32,614,100 32,614,100
21 Cooperative Welfare
22 Fund
23 (Federal) 348,389,300 348,389,300
24 TOTAL $ 539,120,300 $ 539,120,300
25 IV. LOW-INCOME CHILDREN AND WORKING-AGE ADULTS:
26 FROM:
27 General
28 Fund $ 125,953,100 $ 125,953,100
29 Idaho Health
30 Insurance Access
31 Card Fund 1,717,400 1,717,400
32 Cooperative Welfare
33 Fund
34 (Dedicated) 33,616,400 33,616,400
35 Cooperative Welfare
36 Fund
37 (Federal) 294,629,100 294,629,100
38 TOTAL $ 455,916,000 $ 455,916,000
39 GRAND
40 TOTAL $17,561,900 $31,894,500 $920,200 $1,195,908,200 $1,246,284,800
41 SECTION 2. GENERAL FUND TRANSFERS. As appropriated, the State Controller
42 shall make transfers from the General Fund to the Cooperative Welfare Fund,
43 periodically, as requested by the director of the Department of Health and
44 Welfare and approved by the Board of Examiners.
45 SECTION 3. REAPPROPRIATION OF THE COOPERATIVE WELFARE FUND. There is
46 hereby reappropriated to the Department of Health and Welfare any unexpended
47 and unencumbered balances in the Cooperative Welfare Fund as appropriated to
48 the Medical Assistance Services Program for fiscal year 2006, to be used for
49 trustee and benefit payments for the period July 1, 2006, through June 30,
50 2007. The reappropriation shall be computed by the Department of Health and
51 Welfare and for budgeting purposes any General Fund portion of the balance in
52 the Cooperative Welfare Fund shall be identified as part of the General Fund.
3
1 SECTION 4. EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
2 sions of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
3 is hereby authorized to expend all receipts collected on behalf of the Medical
4 Assistance Services Division, as noncognizable funds for the period July 1,
5 2006, through June 30, 2007.
6 SECTION 5. 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 eighty-seven and five-tenths (287.5) full-time equiva-
9 lent positions for the Medical Assistance Services Program during the period
10 July 1, 2006, through June 30, 2007. Transfers of full-time equivalent posi-
11 tions between appropriated programs within the department are authorized and
12 shall be reported in the budget prepared for the next fiscal year. Any full-
13 time equivalent positions in excess of the Department of Health and Welfare's
14 total cap may be authorized only by the Governor and promptly reported to the
15 Joint Finance-Appropriations Committee.
16 SECTION 6. MARKET ANALYSIS. The Department of Health and Welfare shall
17 contract for independent actuarial services to conduct a market analysis of
18 service providers referred to in Chapter 86, Laws of 2005. Beginning July 1,
19 2006, the Department of Health and Welfare is authorized to increase the rates
20 paid to providers of developmental disability services for certain services
21 not to exceed 1.9% for fiscal year 2007. These services include developmental
22 therapy evaluation, developmental therapy for groups and individuals, sup-
23 ported living for groups and individuals, comprehensive community
24 support/daily, and community-based services/daily.
25 SECTION 7. PARENT-DIRECTED SERVICES FOR CHILDREN. The Department of
26 Health and Welfare shall enter into discussions with the Council on Develop-
27 mental Disabilities, parents and guardians, and other stakeholders to study
28 the feasibility of providing parent-directed and guardian-directed care for
29 children with developmental disabilities similar to the effort made on behalf
30 of adults with developmental disabilities for self-determination. The Depart-
31 ment of Health and Welfare shall report the results of their review to the
32 Legislature during the next legislative session along with recommendations for
33 further legislative action if appropriate.
34 SECTION 8. SALARY SAVINGS. The Department of Health and Welfare is hereby
35 directed to allocate salary savings, based on performance, to provide for
36 employee salary needs before other operational budget priorities are consid-
37 ered. Where applicable, employees whose salaries are below the midpoint of
38 their pay grade or occupational groups with significant turnover rates shall
39 be considered first in the order of salary savings distributions.
40 SECTION 9. CAP ON RESPITE CARE SERVICES. It is the intent of the Legisla-
41 ture that the fiscal impact of Senate Bill No. 1390, As Amended, as enacted by
42 the Second Regular Session of the Fifty-eighth Idaho Legislature, for
43 caregiver support shall be revenue neutral. The level of services provided
44 under the category of Nursing Facilities and for the Aged and Disabled Waiver
45 shall not exceed $201,695,000 in total funds as forecasted by the Department
46 of Health and Welfare in their fiscal year 2007 budget submission. Services
47 for caregiver support shall be capped if the Department determines that these
48 services cannot be provided throughout the fiscal year 2007 at a level that
49 does not exceed the forecast.
| Statement of Purpose |
| RS16286 |
This is the fiscal year 2007 Appropriation to the Department of Health and Welfare for Medical Assistance Services. The Medical Assistance Services Division (Medicaid) has four budgeted programs: 1) Medicaid Administration & Medical Management, 2) Elders,
3) Individuals with Disabilities, and 4) Low-Income Children & Working-Age Adults.
 
| FY 2006 Original Appropriation |
271.00 |
331,274,200 |
77,978,600 |
779,439,700 |
1,188,692,500 |
| Reappropriations |
0.00 |
3,465,400 |
0 |
0 |
3,465,400 |
| HB 395 One-time 1% Salary Increase |
0.00 |
49,800 |
700 |
90,000 |
140,500 |
| 2. Medicare Part D Impact |
0.00 |
(3,571,700) |
(4,432,300) |
(24,195,300) |
(32,199,300) |
| 5. Medicaid Mgmt Info System (MMIS) |
0.00 |
0 |
0 |
0 |
0 |
| Omnibus CEC Supplemental |
0.00 |
59,300 |
0 |
109,800 |
169,100 |
| FY 2006 Total Appropriation |
271.00 |
331,277,000 |
73,547,000 |
755,444,200 |
1,160,268,200 |
| Non-Cognizable Funds and Transfers |
(1.00) |
72,200 |
10,551,300 |
11,324,900 |
21,948,400 |
| FY 2006 Estimated Expenditures |
270.00 |
331,349,200 |
84,098,300 |
766,769,100 |
1,182,216,600 |
| Removal of One-Time Expenditures |
0.00 |
(3,742,100) |
(10,742,900) |
(12,184,600) |
(26,669,600) |
| Base Adjustments |
0.00 |
650,000 |
(650,000) |
0 |
0 |
| FY 2007 Base |
270.00 |
328,257,100 |
72,705,400 |
754,584,500 |
1,155,547,000 |
| Benefit Costs |
0.00 |
(52,700) |
0 |
(97,900) |
(150,600) |
| Inflationary Adjustments |
0.00 |
144,600 |
0 |
269,400 |
414,000 |
| Replacement Items |
0.00 |
0 |
23,900 |
20,500 |
44,400 |
| Statewide Cost Allocation |
0.00 |
(700) |
0 |
(2,100) |
(2,800) |
| Annualizations |
0.00 |
1,842,600 |
(16,093,600) |
(24,373,600) |
(38,624,600) |
| Change in Employee Compensation |
0.00 |
0 |
0 |
0 |
0 |
| Nondiscretionary Adjustments |
0.00 |
28,415,600 |
19,962,600 |
68,781,300 |
117,159,500 |
| FY 2007 Program Maintenance |
270.00 |
358,606,500 |
76,598,300 |
799,182,100 |
1,234,386,900 |
| Enhancements |
|
|
|
|
|
| Medical Assistance Services |
|
|
|
|
|
| 1. Market Pay Rate Adjustment |
0.00 |
0 |
0 |
0 |
0 |
| 2. Healthy Mothers/Healthy Babies |
0.00 |
0 |
0 |
0 |
0 |
| 3. CHIP-Elimination of Asset Criteria |
0.00 |
0 |
777,900 |
1,762,200 |
2,540,100 |
| 4. CHIP-Remove “Uninsured” Rqrmnt |
0.00 |
0 |
553,700 |
1,260,700 |
1,814,400 |
| 5. Neonatal Care Management |
0.00 |
0 |
0 |
0 |
0 |
| 6. Medicaid Estate Recovery |
0.00 |
(150,000) |
500,000 |
(350,000) |
0 |
| 7. HCR51 Selective Contracting |
0.50 |
(189,000) |
1,300 |
(525,400) |
(713,100) |
| 8. HB663 Prevention Srvs/Risk Assess |
1.00 |
2,054,000 |
90,100 |
7,328,700 |
9,472,800 |
| 9. HB738 Invest in Health Info Tech |
0.00 |
200,000 |
0 |
300,000 |
500,000 |
| 10. Health Info & Home Health Technology |
0.00 |
0 |
0 |
70,000 |
70,000 |
| 11. HCR49 Medicaid Drugs/Medicare D |
0.00 |
(15,000) |
0 |
(35,000) |
(50,000) |
| 12. HCR52 Long-Term Care Counseling |
3.00 |
(79,500) |
7,800 |
(305,500) |
(377,200) |
| 13. Portability of Assessments |
0.00 |
0 |
0 |
70,500 |
70,500 |
| 14. Public Reporting & Consumer Info |
0.00 |
0 |
0 |
70,000 |
70,000 |
| 15. HCR50 & HB663 Cost Sharing |
2.00 |
(473,000) |
1,765,600 |
(1,172,000) |
120,600 |
| 16. Healthy Schools/Healthy Daycares |
0.00 |
0 |
0 |
0 |
0 |
| 17. HCR48 Appropriate Mental Hlth Benefits |
0.00 |
(3,000,000) |
0 |
(7,000,000) |
(10,000,000) |
| 18. SB1417 Premium Assistance Option |
0.00 |
(135,000) |
0 |
(315,000) |
(450,000) |
| 19. Pay for Performance |
0.00 |
583,500 |
0 |
1,361,000 |
1,944,500 |
| 20. Asset Transfer Restriction |
0.00 |
(21,000) |
0 |
(49,000) |
(70,000) |
| 21. Market Analysis for DD Services |
0.00 |
150,000 |
0 |
150,000 |
300,000 |
| 22. HB 664 Workers with Disabilities |
3.00 |
232,900 |
27,000 |
424,000 |
683,900 |
| 23. HCR53 Medicare for Medicaid Clients |
0.00 |
(640,800) |
0 |
(2,099,800) |
(2,740,600) |
| 24. Medicaid Mgmt Info System |
8.00 |
0 |
1,433,000 |
7,279,000 |
8,712,000 |
| FY 2007 Total |
287.50 |
357,123,600 |
81,754,700 |
807,406,500 |
1,246,284,800 |
| Chg from FY 2006 Orig Approp |
16.50 |
25,849,400 |
3,776,100 |
27,966,800 |
57,592,300 |
| % Chg from FY 2006 Orig Approp. |
6.1% |
7.8% |
4.8% |
3.6% |
4.8% |
Contact: Cathy Holland-Smith 334-4731
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note |
Bill No. H849 |