2008 Legislation
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HOUSE BILL NO. 625<br /> – Approp, H&W, Medical Assistance

HOUSE BILL NO. 625

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Bill Status



H0625.....................................................by APPROPRIATIONS
APPROPRIATIONS - DEPARTMENT OF HEALTH AND WELFARE - MEDICAL ASSISTANCE
SERVICES - Appropriates $1,407,245,800 to the Department of Health and
Welfare for Medical Assistance Services for fiscal year 2009; 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 certain receipts collected as
noncognizable funds; limits the number of full-time equivalent positions to
290; and authorizes a transfer of certain funds appropriated for trustee
and benefit payments.

03/11    House intro - 1st rdg - to printing
03/12    Rpt prt - to 2nd rdg
03/13    2nd rdg - to 3rd rdg
    Rls susp - PASSED -  61-0-9
      AYES -- Anderson, Andrus, Barrett, Bayer, Bedke, Bell, Block, Bock,
      Boe, Bolz, Bowers, Brackett, Bradford, Chadderdon, Chavez, Chew,
      Collins, Crane, Durst, Eskridge, Hagedorn, Hart, Harwood, Henderson,
      Jaquet, Killen, King, Kren, Lake, LeFavour, Loertscher, Luker,
      Marriott, Mathews, McGeachin, Mortimer, Moyle, Nielsen,
      Pasley-Stuart, Pence, Raybould, Ringo, Roberts, Ruchti, Rusche,
      Sayler, Shepherd(02), Shepherd(08), Shirley, Shively, Smith(30),
      Smith(24), Snodgrass, Stevenson, Thayn, Thomas, Trail, Vander Woude,
      Wood(27), Wood(35), Mr. Speaker
      NAYS -- None
      Absent and excused -- Bilbao, Black, Clark, Henbest, Labrador,
      Nonini, Patrick, Schaefer, Wills
    Floor Sponsor - Wood(27)
    Title apvd - to Senate
03/13    Senate intro - 1st rdg - to Fin
03/17    Rpt out - rec d/p - to 2nd rdg
03/18    2nd rdg - to 3rd rdg
03/19    3rd rdg - PASSED - 31-0-4
      AYES -- Bair, Bastian, Bilyeu, Broadsword, Cameron, Coiner, Corder,
      Darrington, Davis, Fulcher, Geddes, Goedde, Hammond, Heinrich, Hill,
      Jorgenson, Kelly, Keough, Langhorst, Little, Lodge,
      Malepeai(Sagness), McGee, McKague, McKenzie, Pearce, Richardson,
      Siddoway, Stegner, Stennett, Werk
      NAYS -- None
      Absent and excused -- Andreason, Burkett, Gannon, Schroeder
    Floor Sponsor - Broadsword
    Title apvd - to House
03/20    To enrol - Rpt enrol - Sp/Pres signed
03/21    To Governor
03/25    Governor signed
         Session Law Chapter 268
         Effective: 07/01/08

Bill Text




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                  Second Regular Session - 2008

                                                                       

                              IN THE HOUSE OF REPRESENTATIVES

                                     HOUSE BILL NO. 625

                                BY APPROPRIATIONS COMMITTEE

  1                                        AN ACT
  2    APPROPRIATING MONEYS TO THE DEPARTMENT  OF  HEALTH  AND  WELFARE  FOR  MEDICAL
  3        ASSISTANCE  SERVICES  FOR  FISCAL YEAR 2009; PROVIDING THAT THE STATE CON-
  4        TROLLER SHALL MAKE TRANSFERS FROM THE GENERAL FUND;  REAPPROPRIATING  CER-
  5        TAIN UNEXPENDED AND UNENCUMBERED BALANCES OF MONEYS FOR PROVIDER PAYMENTS;
  6        REAPPROPRIATING  CERTAIN  UNEXPENDED AND UNENCUMBERED BALANCES FOR CERTAIN
  7        PROJECTS IN THE MEDICAID ADMINISTRATION AND  MEDICAL  MANAGEMENT  PROGRAM;
  8        AUTHORIZING THE EXPENDITURE OF ALL RECEIPTS COLLECTED; LIMITING THE NUMBER
  9        OF  FULL-TIME  EQUIVALENT POSITIONS; AND AUTHORIZING A TRANSFER OF CERTAIN
 10        MONEYS APPROPRIATED FOR TRUSTEE AND BENEFIT PAYMENTS.

 11    Be It Enacted by the Legislature of the State of Idaho:

 12        SECTION 1.  There is hereby appropriated to the Department of  Health  and
 13    Welfare  for  Medical Assistance Services the following amounts to be expended
 14    according to the designated expense classes from  the  listed  funds  for  the
 15    period July 1, 2008, through June 30, 2009:
 16                                                          FOR
 17                     FOR        FOR         FOR       TRUSTEE AND
 18                  PERSONNEL  OPERATING    CAPITAL       BENEFIT
 19                    COSTS   EXPENDITURES  OUTLAY       PAYMENTS       TOTAL
 20    I. MEDICAID ADMINISTRATION AND MEDICAL MANAGEMENT:
 21    FROM:
 22    General
 23     Fund        $ 7,169,600 $ 9,881,600  $ 31,800   $    1,311,000 $   18,394,000
 24    Idaho Health
 25     Insurance Access
 26     Card Fund                   152,000                                   152,000
 27    Cooperative Welfare
 28     Fund
 29     (Dedicated)               3,383,800                                 3,383,800
 30    Cooperative Welfare
 31     Fund
 32     (Federal)    12,358,700  31,240,200    91,800        1,638,600     45,329,300
 33      TOTAL      $19,528,300 $44,657,600  $123,600   $    2,949,600 $   67,259,100
 34    II. DUAL ELIGIBLE INDIVIDUALS:
 35    FROM:
 36    General
 37     Fund                                            $  116,503,400 $  116,503,400
 38    Cooperative Welfare
 39     Fund
 40     (Dedicated)                                         11,470,000     11,470,000
 41    Cooperative Welfare
 42     Fund
 43     (Federal)                                          276,325,700    276,325,700
 44      TOTAL                                          $  404,299,100 $  404,299,100

                                           2

  1                                                          FOR
  2                     FOR        FOR         FOR       TRUSTEE AND
  3                  PERSONNEL  OPERATING    CAPITAL       BENEFIT
  4                    COSTS   EXPENDITURES  OUTLAY       PAYMENTS       TOTAL
  5    III. INDIVIDUALS WITH DISABILITIES:
  6    FROM:
  7    General
  8     Fund                                            $  172,551,400 $  172,551,400
  9    Idaho Health
 10     Insurance Access
 11     Card Fund                                              876,900        876,900
 12    Medical Assistance
 13     Fund                                                     2,500          2,500
 14    Cooperative Welfare
 15     Fund
 16     (Dedicated)                                         40,803,500     40,803,500
 17    Cooperative Welfare
 18     Fund
 19     (Federal)                                          354,090,700    354,090,700
 20      TOTAL                                          $  568,325,000 $  568,325,000
 21    IV. LOW-INCOME CHILDREN AND WORKING-AGE ADULTS:
 22    FROM:
 23    General
 24     Fund                                            $   95,044,000 $   95,044,000
 25    Idaho Health
 26     Insurance Access
 27     Card Fund                                            2,484,600      2,484,600
 28    Cooperative Welfare
 29     Fund
 30     (Dedicated)                                         39,842,700     39,842,700
 31    Cooperative Welfare
 32     Fund
 33     (Federal)                                          229,991,300    229,991,300
 34      TOTAL                                          $  367,362,600 $  367,362,600

 35       GRAND
 36       TOTAL     $19,528,300 $44,657,600  $123,600   $1,342,936,300 $1,407,245,800

 37        SECTION  2.  GENERAL FUND TRANSFERS. As appropriated, the State Controller
 38    shall make transfers from the General Fund to the  Cooperative  Welfare  Fund,
 39    periodically,  as  requested  by  the director of the Department of Health and
 40    Welfare and approved by the Board of Examiners.

 41        SECTION 3.  REAPPROPRIATION OF THE  COOPERATIVE  WELFARE  FUND.  There  is
 42    hereby  reappropriated  to the Department of Health and Welfare any unexpended
 43    and unencumbered balances in the Cooperative Welfare Fund as  appropriated  to
 44    the  Dual Eligible Individuals Program, Individuals with Disabilities Program,
 45    and the Low-Income Children and Working-Age Adults Program for  provider  pay-
 46    ments  for  fiscal  year 2008, to be used for trustee and benefit payments for
 47    the period July 1, 2008, through June 30, 2009. The reappropriation  shall  be
 48    computed  by  the Department of Health and Welfare, and for budgeting purposes
 49    any General Fund portion of the balance in the Cooperative Welfare Fund  shall
 50    be identified as part of the General Fund.

 51        SECTION  4.  REAPPROPRIATION  OF  THE  COOPERATIVE  WELFARE FUND. There is

                                           3

  1    hereby reappropriated to the Department of Health and Welfare  any  unexpended
  2    and unencumbered balances in the Cooperative Welfare Fund as originally appro-
  3    priated to the Medicaid Administration and Medical Management Program for fis-
  4    cal year 2008, for the following purposes: to continue to develop the Medicaid
  5    Management  Information  System  (MMIS);  and  to  continue the efforts of the
  6    Health Quality Planning Commission and the distribution of  health  technology
  7    grants for the period July 1, 2008, through June 30, 2009. The reappropriation
  8    shall  be  computed by the Department of Health and Welfare, and for budgeting
  9    purposes any General Fund portion of the balance in  the  Cooperative  Welfare
 10    Fund shall be identified as part of the General Fund.

 11        SECTION 5.  EXPENDITURES OF COLLECTED RECEIPTS. Notwithstanding the provi-
 12    sions  of Section 67-3516(2), Idaho Code, the Department of Health and Welfare
 13    is hereby authorized to expend all receipts collected on behalf  of  the  Dual
 14    Eligible  Individuals  Program, Individuals with Disabilities Program, and the
 15    Low-Income Children and Working-Age Adults Program, as noncognizable funds for
 16    the period July 1, 2008, through June 30, 2009.

 17        SECTION 6.  FULL-TIME EQUIVALENT POSITIONS.  In  accordance  with  Section
 18    67-3519,  Idaho  Code,  the  Department of Health and Welfare is authorized no
 19    more than two hundred ninety (290) full-time equivalent positions for the Med-
 20    ical Assistance Services Program during the period July 1, 2008, through  June
 21    30,  2009.  Transfers  of  full-time equivalent positions between appropriated
 22    programs within the department are authorized and shall  be  reported  in  the
 23    budget  prepared  for the next fiscal year. Any full-time equivalent positions
 24    in excess of the Department of Health and Welfare's total cap may  be  author-
 25    ized  only  by  the  Governor  and  promptly  reported  to  the Joint Finance-
 26    Appropriations Committee.

 27        SECTION 7.  TRUSTEE AND BENEFIT PAYMENTS. Notwithstanding  the  provisions
 28    of  Section 67-3511, Idaho Code, funding provided for provider payments in the
 29    Trustee and Benefit Payments Expenditure Object Code in the  budgeted  Medical
 30    Assistance  Services may be transferred in excess of ten percent (10%) between
 31    the Dual Eligible Individuals Program, Individuals with Disabilities  Program,
 32    and  Low-Income  Children  and  Working-Age  Adults  Program, but shall not be
 33    transferred to any other budgeted programs or objects within the Department of
 34    Health and Welfare during fiscal year 2009.

Statement of Purpose / Fiscal Impact


Statement of Purpose
RS17244

This is the FY 2009 appropriation for Medical Assistance Services Division also commonly referred to as Medicaid. This budgeted division is comprised of four programs: Medicaid Administration and Medical Management, Dual Eligible Individuals, Individuals with Disabilities, and Low-Income Children and Working-Age Adults.

.

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Fiscal Note
FTP  Gen  Ded  Fed  Total 


FY 2008 Original Appropriation 278.50  376,384,400  90,961,200  826,352,400  1,293,698,000 


Reappropriation 0.00  10,757,900  10,757,900 
Medical Assistance Services          
 1. CMS Audit 0.00  221,700  (228,700)  (7,000) 
 2. Idaho Health Data Exchange 0.00  350,000  350,000 
 3. Multi-State Purchasing Pool 0.00  2,000,000  2,000,000 
 8. Receipts Authority 0.00  313,500  313,500 
 9. Department Personnel Costs Transfer 0.00 
Rescissions 0.00  (17,379,500)  (1,000,000)  (18,379,500) 


FY 2008 Total Appropriation 278.50  370,334,500  92,274,700  826,123,700  1,288,732,900 
Non-Cognizable Funds and Transfers (3.50)  (44,300)  8,826,200  8,781,900 
Expenditure Adjustments 0.00  (849,500)  (849,500) 


FY 2008 Estimated Expenditures 275.00  369,440,700  92,274,700  834,949,900  1,296,665,300 
Removal of One-Time Expenditures (8.00)  (963,500)  (7,670,500)  (8,634,000) 
Base Adjustments 0.00  (70,800)  (70,800) 


FY 2009 Base 267.00  368,477,200  92,203,900  827,279,400  1,287,960,500 
Benefit Costs 0.00  181,800  308,800  490,600 
Inflationary Adjustments 0.00  7,900  7,900  15,800 
Replacement Items 0.00  24,300  24,300  48,600 
Statewide Cost Allocation 0.00  1,900  4,600  6,500 
Change in Employee Compensation 0.00  189,300  287,700  477,000 
Nondiscretionary Adjustments 0.00  29,667,100  6,812,100  61,173,500  97,652,700 


FY 2009 Program Maintenance 267.00  398,549,500  99,016,000  889,086,200  1,386,651,700 



Line Items          
Medical Assistance Services          
 1. MMIS Reprocurement 8.00  3,261,500  16,119,000  19,380,500 
 2. Implement HCBS Rate Methodology 0.00 
 3. Transfer PSR Unit to Medicaid 15.00  481,800  481,800  963,600 
 4. Title XIX Family Planning Expansion 0.00 
 5. Actuarial Work (CMS Requirement) 0.00  50,000  50,000  100,000 
 6. Idaho Health Data Exchange 0.00  150,000  150,000 
 7. RALF Rate Increase 0.00 
 8. Physician Substance Abuse Screening 0.00 
 9. Replace RMS Database 0.00 


FY 2009 Total 290.00  402,492,800  99,016,000  905,737,000  1,407,245,800 
Chg from FY 2008 Orig Approp 11.50  26,108,400  8,054,800  79,384,600  113,547,800 
% Chg from FY 2008 Orig Approp. 4.1%  6.9%  8.9%  9.6%  8.8% 

Contact: Amy Castro 334-4745

Legislative Services Office, Budget & Policy Analysis

Statement of Purpose/Fiscal Note Bill No. H625