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S1422............................................................by FINANCE
APPROPRIATIONS - Appropriating an additional $550,000 to the Department of
Health and Welfare for Medical Assistance Services for administration and
medical management for fiscal year 2006; reducing the appropriation by
$32,749,300 to the Department of Health and Welfare for Medical Assistance
Services for provider payments for fiscal year 2006; and providing for a
funds transfer.
02/28 Senate intro - 1st rdg - to printing
03/01 Rpt prt - to Fin
Rpt out - rec d/p - to 2nd rdg
03/02 2nd rdg - to 3rd rdg
03/06 3rd rdg - PASSED - 33-0-2
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
Langhorst, Little, Lodge, Marley, McGee, McKenzie, Pearce,
Richardson, Schroeder, Stegner, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- Malepeai, Stennett
Floor Sponsor - Lodge
Title apvd - to House
03/07 House intro - 1st rdg - to 2nd rdg
03/08 2nd rdg - to 3rd rdg
03/16 3rd rdg - PASSED - 63-0-7
AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
Bedke, Bell, Bilbao, Block, Boe, Bolz, Brackett, Bradford, Cannon,
Chadderdon, Clark, Collins, Deal, Denney, Edmunson, Ellsworth,
Eskridge, Field(18), Field(23), Hart, Harwood, Henbest, Henderson,
Jaquet, Kemp, Lake, LeFavour, Loertscher, Martinez, Mathews,
McGeachin, McKague, Miller, Mitchell, Moyle, Nielsen, Nonini, Pence,
Raybould, Ring, Ringo, Roberts, Rusche, Rydalch, Sali, Sayler,
Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen, Smith(30),
Smith(24), Smylie, Snodgrass, Stevenson, Trail
NAYS -- None
Absent and excused -- Black, Crow, Garrett, Pasley-Stuart, Wills,
Wood, Mr. Speaker
Floor Sponsor - Skippen
Title apvd - to Senate
03/17 To enrol
03/20 Rpt enrol - Pres signed - Sp signed
03/21 To Governor
03/24 Governor signed
Session Law Chapter 188
Effective: 03/24/06
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE SENATE
SENATE BILL NO. 1422
BY FINANCE COMMITTEE
1 AN ACT
2 APPROPRIATING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR
3 MEDICAL ASSISTANCE SERVICES FOR ADMINISTRATION AND MANAGEMENT FOR FISCAL
4 YEAR 2006; REDUCING THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND WEL-
5 FARE FOR MEDICAL ASSISTANCE SERVICES FOR PROVIDER PAYMENTS FOR FISCAL YEAR
6 2006; PROVIDING THAT THE STATE CONTROLLER SHALL MAKE TRANSFERS FROM THE
7 GENERAL FUND; AND DECLARING AN EMERGENCY.
8 Be It Enacted by the Legislature of the State of Idaho:
9 SECTION 1. In addition to the appropriation made in Section 1, Chapter
10 375, Laws of 2005, there is hereby appropriated to the Department of Health
11 and Welfare for Medical Assistance Services for administration and medical
12 management the following amounts to be expended according to the designated
13 expense class from the listed funds for the period July 1, 2005, through June
14 30, 2006:
15 FOR:
16 Operating Expenditures $550,000
17 FROM:
18 General Fund $135,000
19 Cooperative Welfare Fund (Federal) 415,000
20 TOTAL $550,000
21 SECTION 2. The appropriation to the Department of Health and Welfare made
22 in Section 2, Chapter 375, Laws of 2005, is hereby reduced by the following
23 amount from Medical Assistance Services for provider payments according to the
24 designated expense class from the listed funds for the period July 1, 2005,
25 through June 30, 2006:
26 FOR:
27 Trustee and Benefit Payments $32,749,300
28 FROM:
29 General Fund $ 3,706,700
30 Cooperative Welfare Fund (Dedicated) 4,432,300
31 Cooperative Welfare Fund (Federal) 24,610,300
32 TOTAL $32,749,300
33 SECTION 3. GENERAL FUND TRANSFERS. As appropriated, the State Controller
34 shall make transfers from the General Fund to the Cooperative Welfare Fund,
35 periodically, as requested by the director of the Department of Health and
36 Welfare and approved by the Board of Examiners.
37 SECTION 4. An emergency existing therefor, which emergency is hereby
38 declared to exist, this act shall be in full force and effect on and after its
39 passage and approval.
| Statement of Purpose |
| RS16114C1 |
This is a Fiscal Year 2006 Supplemental Appropriation to the Department of Health & Welfare for the Medical Assistance Program. The Medical Assistance Program, or Medicaid, was provided additional funding to complete changes to the Medicaid Management Information System (MMIS) this fiscal year to implement the provisions of the Medicare Part D program. The system is being reprogrammed to meet federal requirements; correctly transfer pass information to and from the Centers for Medicare and Medicaid; correctly identify those dual eligible clients who are eligible for Medicare drug benefits; deny pharmacy claims for those dual eligibles whose drug claims should be paid by Medicare; and approve drugs excluded from the Medicare drug benefit but still allowed under Idaho Medicaid.
At the same time provider payments are being adjusted due to savings generated by transferring responsibility to Medicare for prescription drug benefit for seniors; additional costs due to 589 new eligibles identified during sign up of Medicare drug benefits; additional costs due to clawback where the federal government requires states to pay 90% of costs; and additional costs due to loss of prescription drug rebates/fewer purchases.
 
| Fiscal Note |
This bill provides an additional $135,000 from the General Fund, and $415,000 from federal funds for a total of $550,000 for one-time information system changes It also returns $3,706,700 in General Funds to the state treasury, and reduces the federal and dedicated funds appropriation by $29,042,600.
Contact: Cathy Holland-Smith 334-4731
Legislative Services Office, Budget & Policy Analysis
| Statement of Purpose/Fiscal Note | Bill No. S1422 |