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HCR048.....................................................by STATE AFFAIRS
MEDICAID MENTAL HEALTH SERVICES - Stating findings of the Legislature;
encouraging the Department of Health and Welfare to eliminate partial care
services for low-income children and adults without serious mental health
disorders; encouraging the Department of Health and Welfare to limit
Medicaid mental health benefits for low-income children without serious
emotional disturbance and working-age adults without severe and persistent
mental illness; encouraging the Department of Health and Welfare to
establish a health risk assessment for certain individuals; encouraging the
Department of Health and Welfare to continue the provision of intensive
mental health treatment benefits to certain individuals; encouraging the
Department of Health and Welfare to explore modifications of mental health
benefits for individuals with disabilities or special health needs; and
requesting a report to the Legislature.
02/22 House intro - 1st rdg - to printing
02/23 Rpt prt - to Health/Wel
03/13 Rpt out - rec d/p - to 2nd rdg
03/14 2nd rdg - to 3rd rdg
03/15 3rd rdg - ADOPTED - 57-5-8
AYES -- Anderson, Andrus, Barraclough, Bastian, Bayer, Bedke, Bell,
Bilbao, Black, Block, Boe, Bolz, Brackett, Bradford, Cannon,
Chadderdon, Collins, Deal, Denney, Edmunson, Eskridge, Field(18),
Garrett, Hart, Harwood, Henbest, Henderson, Jaquet, Kemp, Lake,
Martinez, Mathews, McGeachin, McKague, Miller, Mitchell, Moyle,
Nonini, Pasley-Stuart, Pence, Raybould, Ringo, Roberts, Rusche,
Rydalch, Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen,
Smith(30), Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wood
NAYS -- Barrett, LeFavour, Loertscher, Nielsen, Sali
Absent and excused -- Clark, Crow, Ellsworth, Field(23), Ring,
Sayler, Wills, Mr. Speaker
Floor Sponsor - Skippen
Title apvd - To Senate
03/16 Senate intro - 1st rdg - to Health/Wel
03/22 Rpt out - rec d/p - to 10th Ord
03/24 10th Ord - ADOPTED - voice vote
Floor Sponsor - Coiner
Title apvd - to House
03/27 To enrol
03/28 Rpt enrol - Sp signed
03/29 Pres signed - To Secretary of State
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature Second Regular Session - 2006
IN THE HOUSE OF REPRESENTATIVES
HOUSE CONCURRENT RESOLUTION NO. 48
BY STATE AFFAIRS COMMITTEE
1 A CONCURRENT RESOLUTION
2 STATING FINDINGS OF THE LEGISLATURE AND ENCOURAGING THE DEPARTMENT OF HEALTH
3 AND WELFARE TO ELIMINATE PARTIAL CARE SERVICES FOR LOW-INCOME CHILDREN AND
4 ADULTS WITHOUT SERIOUS MENTAL HEALTH DISORDERS AND TO LIMIT MEDICAID MEN-
5 TAL HEALTH BENEFITS FOR LOW-INCOME CHILDREN WITHOUT SERIOUS EMOTIONAL DIS-
6 TURBANCE AND WORKING-AGE ADULTS WITHOUT SEVERE AND PERSISTENT MENTAL ILL-
7 NESS, ENCOURAGING THE ESTABLISHMENT OF A HEALTH RISK ASSESSMENT FOR CER-
8 TAIN INDIVIDUALS, ENCOURAGING CONTINUING THE PROVISION OF INTENSIVE MENTAL
9 HEALTH TREATMENT BENEFITS FOR CERTAIN INDIVIDUALS, ENCOURAGING THE EXPLO-
10 RATION OF MODIFICATIONS OF MENTAL HEALTH BENEFITS FOR INDIVIDUALS WITH
11 DISABILITIES OR SPECIAL HEALTH NEEDS AND REQUESTING A REPORT TO THE LEGIS-
12 LATURE.
13 Be It Resolved by the Legislature of the State of Idaho:
14 WHEREAS, the Medicaid Program in the state of Idaho is unsustainable in
15 its current form and should be reformed so that eligibility, benefits and
16 delivery systems match client health needs; and
17 WHEREAS, the United States Congress has indicated its support for addi-
18 tional flexibility in state management of Medicaid Programs as evidenced by
19 the Medicaid-related provisions in the Deficit Reduction Omnibus Reconcilia-
20 tion Act of 2005; and
21 WHEREAS, the First Regular Session of the Fifty-eighth Idaho Legislature
22 directed the Department of Health and Welfare to develop appropriate levels of
23 mental health services to meet client needs, which may include limiting hours
24 of service; and
25 WHEREAS, Idaho has existing systems of care for children with serious emo-
26 tional disturbances and adults with severe and persistent mental illness that
27 should be supported by Medicaid through design of appropriate benefits.
28 NOW, THEREFORE, BE IT RESOLVED by the members of the Second Regular Ses-
29 sion of the Fifty-eighth Idaho Legislature, the House of Representatives and
30 the Senate concurring therein, that the Legislature of the State of Idaho
31 encourages the Department of Health and Welfare to eliminate partial care ser-
32 vices for low-income children and adults without serious mental health disor-
33 ders, and to limit the Medicaid mental health benefits for low-income children
34 without serious emotional disturbance and working-age adults without severe
35 and persistent mental illness to twenty-six hours per year of outpatient men-
36 tal health therapy services and to ten days per year of inpatient mental
37 health care.
38 BE IT FURTHER RESOLVED that the Legislature encourages the Department of
39 Health and Welfare to establish a health risk assessment that provides mean-
40 ingful diagnostic information about whether Medicaid-eligible children have
41 serious emotional disturbances and whether Medicaid-eligible adults have
42 severe and persistent mental illness.
43 BE IT FURTHER RESOLVED that the Legislature encourages the Department of
44 Health and Welfare to continue the provision of intensive mental health treat-
2
1 ment benefits, without regard to the limitations set forth above, for
2 Medicaid-eligible children diagnosed as having serious emotional disturbances
3 and Medicaid-eligible adults diagnosed as having severe and persistent mental
4 illness.
5 BE IT FURTHER RESOLVED that the Legislature encourages the Department of
6 Health and Welfare to continue to explore modifications of mental health bene-
7 fits for individuals with disabilities or special health needs in order to be
8 consistent with best clinical practices.
9 BE IT FURTHER RESOLVED that the Department of Health and Welfare is
10 requested to report the results of such benefit changes to the First Regular
11 Session of the Fifty-ninth Idaho Legislature along with recommendations for
12 any further legislative actions.
STATEMENT OF PURPOSE
RS 16132
This House Concurrent Resolution requests that the Legislature
encourage the Department of Health and Welfare to match mental
health benefits to client needs to ensure that resources are
directed to those Idahoans who most need Medicaid services. The
resolution provides for specific benefits limitations for
Medicaid clients who do not need intensive mental health
treatment services currently provided under the Idaho Medicaid
program.
FISCAL NOTE
The implementation of these benefit limitations will result in
savings to the General Fund of $3,000,000 in fiscal year 2007.
Contact
Name: Representative Kathy Skippen
Phone: (208) 332-1000
STATEMENT OF PURPOSE/FISCAL NOTE HCR 48