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HJM001aa..............................................by HEALTH AND WELFARE
MEDICARE - MEDICAID - Stating findings of the Legislature and requesting
the Secretary of Health and Human Services to amend, if not eliminate, the
Phased-Down State Contribution relating to pharmacy benefits for Medicare
and Medicaid programs.
02/07 House intro - 1st rdg - to printing
02/08 Rpt prt - to Health/Wel
02/13 Rpt out - to Gen Ord
02/20 Rpt out amen - to engros
02/21 Rpt engros - 1st rdg - to 2nd rdg as amen
02/22 2nd rdg - to 3rd rdg as amen
02/26 3rd rdg as amen - ADOPTED - 68-0-2
AYES -- Anderson, Andrus, Barrett, Bayer, Bedke, Bell, 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, Shepherd(2),
Shepherd(8), Shirley, Shively, Smith(30), Smith(24), Snodgrass,
Stevenson, Thayn, Trail, Vander Woude, Wills, Wood(27), Wood(35), Mr.
Speaker
NAYS -- None
Absent and excused -- Bilbao, Schaefer
Floor Sponsor - McGeachin
Title apvd - to Senate
02/27 Senate intro - 1st rdg - to Health/Wel
03/06 Rpt out - rec d/p - to 10th Ord
03/08 10th Ord - ADOPTED - voice vote
Floor Sponsor - Hammond
Title apvd - to House
03/08 To enrol
03/09 Rpt enrol - Sp signed
03/12 Pres signed
03/13 To Secretary of State
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature First Regular Session - 2007
IN THE HOUSE OF REPRESENTATIVES
HOUSE JOINT MEMORIAL NO. 1
BY HEALTH AND WELFARE COMMITTEE
1 A JOINT MEMORIAL
2 TO SECRETARY OF HEALTH AND HUMAN SERVICES MIKE LEAVITT, AND TO THE CONGRESSIO-
3 NAL DELEGATION REPRESENTING THE STATE OF IDAHO IN THE CONGRESS OF THE
4 UNITED STATES.
5 We, your Memorialists, the House of Representatives and the Senate of the
6 State of Idaho assembled in the First Regular Session of the Fifty-ninth Idaho
7 Legislature, do hereby respectfully represent that:
8 WHEREAS, the Medicare Prescription Drug, Improvement and Modernization Act
9 of 2003 (MMA) was designed to deliver a federal pharmacy benefit to Medicare
10 beneficiaries. It was also designed to ease state Medicaid programs of their
11 responsibilities for providing pharmacy benefits to those dually eligible for
12 both the Medicare and Medicaid programs; and
13 WHEREAS, although the clear congressional intent was to ease the fiscal
14 burden on states, the Phased-Down State Contribution, also known as the
15 "clawback," will actually cause the state of Idaho to expend more moneys in
16 Medicaid than it would have in the absence of the MMA; and
17 WHEREAS, while the federal formula used calendar year 2003 as the base
18 year and applies an annual national inflation in the costs of the Phased-Down
19 State Contribution, it fails to account for Idaho's current and future efforts
20 to curtail prescription drug costs; and
21 WHEREAS, the state of Idaho has, since the base year of 2003, engaged in
22 multiple efforts to curtail spending on Medicaid prescription drug costs,
23 including enhancements to the state Medicaid Allowable Cost program, initia-
24 tion of a supplemental federal rebate program, participation in a multistate
25 purchasing pool, The Optimal Preferred Drug List or "TOP$," and implementation
26 of a Mental Health Pharmacy Management Initiative to improve prescribing prac-
27 tices of Idaho Medicaid providers prescribing mental health drugs; and
28 WHEREAS, during the base calendar year of 2003, Idaho's rebate percentage
29 was 21% and is used in the base of the Phased-Down State Contribution calcula-
30 tion, the actual rebate percentages in state fiscal year 2006 were 27.07% and
31 32.59%, respectively. This gain in efficiency, which represents a reduction in
32 net cost, is not accounted for in the Phased-Down State Contribution calcula-
33 tion.
34 NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
35 of the Fifty-ninth Idaho Legislature, the House of Representatives and the
36 Senate concurring therein, that the Legislature of the State of Idaho respect-
37 fully requests the Secretary of Health and Human Services to amend, if not
38 eliminate, the Phased-Down State Contribution since it has created an addi-
39 tional fiscal burden upon the state of Idaho.
40 BE IT FURTHER RESOLVED that the Chief Clerk of the House of Representa-
41 tives be, and she is hereby authorized and directed to forward a copy of this
42 Memorial to Secretary of Health and Human Services Mike Leavitt, and the con-
43 gressional delegation representing the State of Idaho in the Congress of the
44 United States.
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature First Regular Session - 2007
Moved by McGeachin
Seconded by Nielsen
IN THE HOUSE OF REPRESENTATIVES
HOUSE AMENDMENT TO H.J.M. NO. 1
1 AMENDMENT TO THE MEMORIAL
2 On page 1 of the printed memorial, in line 30, delete "year" and insert:
3 "years 2005 and".
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-ninth Legislature First Regular Session - 2007
IN THE HOUSE OF REPRESENTATIVES
HOUSE JOINT MEMORIAL NO. 1, As Amended
BY HEALTH AND WELFARE COMMITTEE
1 A JOINT MEMORIAL
2 TO SECRETARY OF HEALTH AND HUMAN SERVICES MIKE LEAVITT, AND TO THE CONGRESSIO-
3 NAL DELEGATION REPRESENTING THE STATE OF IDAHO IN THE CONGRESS OF THE
4 UNITED STATES.
5 We, your Memorialists, the House of Representatives and the Senate of the
6 State of Idaho assembled in the First Regular Session of the Fifty-ninth Idaho
7 Legislature, do hereby respectfully represent that:
8 WHEREAS, the Medicare Prescription Drug, Improvement and Modernization Act
9 of 2003 (MMA) was designed to deliver a federal pharmacy benefit to Medicare
10 beneficiaries. It was also designed to ease state Medicaid programs of their
11 responsibilities for providing pharmacy benefits to those dually eligible for
12 both the Medicare and Medicaid programs; and
13 WHEREAS, although the clear congressional intent was to ease the fiscal
14 burden on states, the Phased-Down State Contribution, also known as the
15 "clawback," will actually cause the state of Idaho to expend more moneys in
16 Medicaid than it would have in the absence of the MMA; and
17 WHEREAS, while the federal formula used calendar year 2003 as the base
18 year and applies an annual national inflation in the costs of the Phased-Down
19 State Contribution, it fails to account for Idaho's current and future efforts
20 to curtail prescription drug costs; and
21 WHEREAS, the state of Idaho has, since the base year of 2003, engaged in
22 multiple efforts to curtail spending on Medicaid prescription drug costs,
23 including enhancements to the state Medicaid Allowable Cost program, initia-
24 tion of a supplemental federal rebate program, participation in a multistate
25 purchasing pool, The Optimal Preferred Drug List or "TOP$," and implementation
26 of a Mental Health Pharmacy Management Initiative to improve prescribing prac-
27 tices of Idaho Medicaid providers prescribing mental health drugs; and
28 WHEREAS, during the base calendar year of 2003, Idaho's rebate percentage
29 was 21% and is used in the base of the Phased-Down State Contribution calcula-
30 tion, the actual rebate percentages in state fiscal years 2005 and 2006 were
31 27.07% and 32.59%, respectively. This gain in efficiency, which represents a
32 reduction in net cost, is not accounted for in the Phased-Down State Contribu-
33 tion calculation.
34 NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
35 of the Fifty-ninth Idaho Legislature, the House of Representatives and the
36 Senate concurring therein, that the Legislature of the State of Idaho respect-
37 fully requests the Secretary of Health and Human Services to amend, if not
38 eliminate, the Phased-Down State Contribution since it has created an addi-
39 tional fiscal burden upon the state of Idaho.
40 BE IT FURTHER RESOLVED that the Chief Clerk of the House of Representa-
41 tives be, and she is hereby authorized and directed to forward a copy of this
42 Memorial to Secretary of Health and Human Services Mike Leavitt, and the con-
43 gressional delegation representing the State of Idaho in the Congress of the
44 United States.
STATEMENT OF PURPOSE
RS 16892
This House Joint Memorial urges Mike Leavitt, U.S. Secretary of
Health and Human Service, to amend or eliminate the Phase-Down
State Contribution that was implemented as part of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003
which has created a fiscal burden on the State of Idaho that the
State would not have had in the absence of this law.
FISCAL NOTE
Based on a conservative estimate of 20,000 dual eligible
participants, on average per month, it is estimated that for
Calendar Year 2006 Idaho paid over $4,700,000 more in state
general funds than the State would have paid for the same amount
of prescription drugs for the same population in the absence of
this law.
Contact
Name: Rep. Janice McGeachin
Phone: 322-1000
STATEMENT OF PURPOSE/FISCAL NOTE HJM 1