2007 Legislation
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SENATE BILL NO. 1186 – Approp, H&W, Medical asst, amended

SENATE BILL NO. 1186

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Bill Status



S1186............................................................by FINANCE
APPROPRIATIONS - HEALTH AND WELFARE DEPARTMENT - Amends and adds to
existing law to revise the fiscal year 2007 appropriation to the Department
of Health and Welfare for Medical Assistance Services; and to provide
legislative intent regarding a transfer of funds between certain programs.
                                                                        
03/02    Senate intro - 1st rdg - to printing
03/05    Rpt prt - to Fin
    Rpt out - rec d/p - to 2nd rdg
03/06    2nd rdg - to 3rd rdg
03/08    3rd rdg - PASSED - 35-0-0
      AYES -- Andreason, Bair, Bastian, Bilyeu, Broadsword, Burkett,
      Cameron, Coiner, Corder, Darrington, Davis, Fulcher, Gannon, Geddes,
      Goedde, Hammond, Heinrich, Hill, Jorgenson, Kelly, Keough, Langhorst,
      Little, Lodge, Malepeai, McGee, McKague, McKenzie, Pearce,
      Richardson, Schroeder, Siddoway, Stegner, Stennett, Werk
      NAYS -- None
      Absent and excused -- None
    Floor Sponsor - Broadsword
    Title apvd - to House
03/09    House intro - 1st rdg - to 2nd rdg
03/12    2nd rdg - to 3rd rdg
03/13    3rd rdg - PASSED - 68-1-1
      AYES -- Anderson, Andrus, Bayer, Bedke, Bell, Bilbao, Black, Block,
      Bock, Boe, Bolz, Brackett, Bradford, Chadderdon, Chavez, Chew, Clark,
      Collins, Crane, Durst, Edmunson, Eskridge, Hagedorn, Hart, Harwood,
      Henbest, Henderson, Jaquet, Killen, King, Kren, Labrador, Lake,
      LeFavour, Loertscher, Luker, Marriott, Mathews, McGeachin, Mortimer,
      Moyle, Nielsen, Nonini, Pasley-Stuart, Patrick, Pence, Raybould,
      Ring, Ringo, Roberts, Ruchti, Rusche, Sayler, Schaefer, Shepherd(2),
      Shirley, Shively, Smith(30), Smith(24), Snodgrass, Stevenson, Thayn,
      Trail, Vander Woude, Wills, Wood(27), Wood(35), Mr. Speaker
      NAYS -- Barrett
      Absent and excused -- Shepherd(8)
    Floor Sponsor - Henbest
    Title apvd - to Senate
03/14    To enrol
03/15    Rpt enrol - Pres signed - Sp signed
03/16    To Governor
03/21    Governor signed
         Session Law Chapter 118
         Effective: 03/21/07

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   First Regular Session - 2007
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                                    SENATE BILL NO. 1186
                                                                        
                                    BY FINANCE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO THE APPROPRIATION FOR THE DEPARTMENT OF HEALTH AND WELFARE; AMEND-
  3        ING SECTION 1, CHAPTER 376, LAWS OF 2006, TO REVISE THE  APPROPRIATION  TO
  4        THE  DEPARTMENT  OF HEALTH AND WELFARE FOR MEDICAL ASSISTANCE SERVICES FOR
  5        FISCAL YEAR 2007; AMENDING CHAPTER 376, LAWS OF 2006, BY THE ADDITION OF A
  6        NEW SECTION 10, CHAPTER 376, LAWS OF 2006, TO PROVIDE  LEGISLATIVE  INTENT
  7        TO  ALLOW  THE  DEPARTMENT OF HEALTH AND WELFARE TO TRANSFER FUNDS BETWEEN
  8        BUDGETED PROGRAMS IN THE MEDICAL ASSISTANCE SERVICES DIVISION; AND DECLAR-
  9        ING AN EMERGENCY.
                                                                        
 10    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 11        SECTION 1.  That Section 1, Chapter 376, Laws of 2006, be, and the same is
 12    hereby amended to read as follows:
                                                                        
 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                 6,397,700   7,284,000                1,311,000      14,992,700
 29    Idaho Health
 30     Insurance Access
 31     Card Fund     136,200     152,000                                  288,200
 32    Cooperative Welfare
 33     Fund
 34     (Dedicated)             1,383,800                                1,383,800
 35    Cooperative Welfare
 36     Fund
 37     (Federal)  11,466,300  22,412,900   458,400      2,062,600      36,400,200
 38                11,348,700  25,048,200                1,638,600      38,493,900
 39      TOTAL    $17,561,900 $31,894,500  $920,200 $    2,949,600  $   53,326,200
 40                17,939,600  34,910,500                               56,719,900
                                                                        
                                           2
                                                                        
  1                                                         FOR
  2                   FOR         FOR         FOR       TRUSTEE AND
  3                PERSONNEL   OPERATING    CAPITAL       BENEFIT
  4                  COSTS    EXPENDITURES  OUTLAY       PAYMENTS       TOTAL
  5    II. ELDERS:
  6    FROM:
  7    General
  8     Fund                                        $   60,256,900  $   60,256,900
  9                                                     57,986,200      57,986,200
 10    Cooperative Welfare
 11     Fund
 12     (Dedicated)                                      9,677,500       9,677,500
 13    Cooperative Welfare
 14     Fund
 15     (Federal)                                      127,987,900     127,987,900
 16                                                    122,920,400     122,920,400
 17      TOTAL                                      $  197,922,300  $  197,922,300
 18                                                    190,584,100     190,584,100
 19    III. INDIVIDUALS WITH DISABILITIES:
 20    FROM:
 21    General
 22     Fund                                        $  157,220,900  $  157,220,900
 23                                                    151,098,500     151,098,500
 24    Idaho Health
 25     Insurance Access
 26     Card Fund                                          893,500         893,500
 27    Medical Assistance
 28     Fund                                                 2,500           2,500
 29    Cooperative Welfare
 30     Fund
 31     (Dedicated)                                     32,614,100      32,614,100
 32    Cooperative Welfare
 33     Fund
 34     (Federal)                                      348,389,300     348,389,300
 35                                                    334,115,300     334,115,300
 36      TOTAL                                      $  539,120,300  $  539,120,300
 37                                                    518,723,900     518,723,900
 38    IV. LOW-INCOME CHILDREN AND WORKING-AGE ADULTS:
 39    FROM:
 40    General
 41     Fund                                        $  125,953,100  $  125,953,100
 42                                                    120,684,800     120,684,800
 43    Idaho Health
 44     Insurance Access
 45     Card Fund                                        1,717,400       1,717,400
 46    Cooperative Welfare
 47     Fund
 48     (Dedicated)                                     33,616,400      33,616,400
 49    Cooperative Welfare
 50     Fund
 51     (Federal)                                      294,629,100     294,629,100
 52                                                    282,094,100     282,094,100
 53      TOTAL                                      $  455,916,000  $  455,916,000
 54                                                    438,112,700     438,112,700
                                                                        
                                           3
                                                                        
  1                                                         FOR
  2                   FOR         FOR         FOR       TRUSTEE AND
  3                PERSONNEL   OPERATING    CAPITAL       BENEFIT
  4                  COSTS    EXPENDITURES  OUTLAY       PAYMENTS       TOTAL
  5       GRAND
  6       TOTAL   $17,561,900 $31,894,500  $920,200 $1,195,908,200  $1,246,284,800
  7                17,939,600  34,910,500            1,150,370,300   1,204,140,600
                                                                        
  8        SECTION  2.  That  Chapter  376,  Laws of 2006, be, and the same is hereby
  9    amended by the addition thereto of a NEW SECTION, to be known  and  designated
 10    as Section 10, Chapter 376, Laws of 2006, and to read as follows:
                                                                        
 11        SECTION  10.  Notwithstanding  the  provisions  of  Section 67-3511, Idaho
 12    Code, funding provided for provider payments in the trustee and  benefit  pay-
 13    ments  expenditure  object  code  in  the budgeted Medical Assistance Services
 14    Division may be transferred in excess of ten percent (10%) between the  Elders
 15    Program, Individuals with Disabilities Program, and Low-Income and Working-Age
 16    Adults Program, but shall not be transferred to any other budgeted programs or
 17    objects within the Department of Health and Welfare during fiscal year 2007.
                                                                        
 18        SECTION  3.  An  emergency  existing  therefor,  which emergency is hereby
 19    declared to exist, this act shall be in full force and effect on and after its
 20    passage and approval.

Statement of Purpose / Fiscal Impact


Statement of Purpose
RS17091

This is an FY 2007 supplemental appropriation for the Medical Assistance Services Division, also referred to as the Medicaid program. This bill provides additional funding to offset the impact of federal audit findings that require the state to increase its match for medical management services in the Medicaid Administration and Medical Management Program; and provides one-time funding to pay a contractor for computer programming costs associated with adding a medical provider ID in accordance with the federal Health Insurance Portability and Accountability Act (HIPAA).

Finally, the appropriation for provider payments was reduced to account for the lack of caseload growth that had been originally forecast during the FY 2007 budget setting. This bill also adds a section of legislative intent that allows the department to transfer more than ten percent between the programs in the Medical Assistance Services budgeted division, but limits the department’s ability to transfer funding out of these programs into other budgeted programs throughout the department.

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Fiscal Note
FTP  Gen  Ded  Fed  Total 


FY 2007 Original Appropriation 287.50  357,268,900  81,754,700  807,638,900  1,246,662,500 
Reappropriations 0.00  6,595,000  6,595,000 
 2. CMS Audit of Medicaid Program 0.00  853,100  (853,100) 
 4. HIPPA National Provider ID 0.00  301,600  2,714,400  3,016,000 
Rescissions 0.00  (13,661,400)  (31,876,500)  (45,537,900) 


FY 2007 Total Appropriation 287.50  351,357,200  81,754,700  777,623,700  1,210,735,600 
Chg from FY 2007 Orig Approp 0.00  (5,911,700)  (30,015,200)  (35,926,900) 
% Chg from FY 2007 Orig Approp. 0.0%  (1.7%)  0.0%  (3.7%)  (2.9%) 

Contact: Cathy Holland-Smith 334-4731

Legislative Services Office, Budget & Policy Analysis

Statement of Purpose/Fiscal Note Bill No. S1186