[1] NOTE:  As provided in LFC policy, this report is intended only for use by the standing finance committees of the legislature.  The Legislative Finance Committee does not assume responsibility for the accuracy of the information in this report when used in any other situation.

 

Only the most recent FIR version (in HTML & Adobe PDF formats) is available on the Legislative Website.  The Adobe PDF version includes all attachments, whereas the HTML version does not.  Previously issued FIRs and attachments may be obtained from the LFC’s office in Suite 101 of the State Capitol Building North.

 

 

F I S C A L   I M P A C T   R E P O R T

 

 

 

SPONSOR:

Lopez

 

DATE TYPED:

02/05/02

 

HB

 

 

SHORT TITLE:

Performance Audits of Health Care Programs

 

SB

SJM-40

 

 

ANALYST:

Weber

 

APPROPRIATION

 

Appropriation Contained

Estimated Additional Impact

Recurring

or Non-Rec

Fund

Affected

FY02

FY03

FY02

FY03

 

 

 

 

 

NFI

 

 

 

 

 

 

 

 

(Parenthesis ( ) Indicate Expenditure Decreases)

 

SOURCES OF INFORMATION

 

Human Services Department

 

SUMMARY

 

 Synopsis of Bill

 

Senate Joint Memorial 40 (SJM 40) requests the Human Services Department (HSD) develop audits of actual performance and health care expenditures and remedies to correct deficiencies and noncompliance to ensure fiscal and performance accountability.  It also requests that HSD provide its findings and recommendations to the Legislative Health Subcommittee or other appropriate interim committee by October 1, 2002.

 

 Significant Issues

 

HSD reports that it already conducts a broad range of audits aimed exactly at the goals expressed in SJM 40.  HSD carries out its own regular oversight activities and audits, as well as those performed under contract with Blue Cross/Blue Shield and their external quality review organization, the Island Peer Review Organization, and a Joint Powers Agreement (JPA) with the Department of Health (DOH).  These audits are based on current contract standards and state regulations, present corrective-action recommendations, and are followed by action to ensure fiscal and performance accountability.

In addition, HSD indicates it would make a list of all pertinent audits available to the Legislative Health Subcommittee.  An audit by the Center for Medicare and Medicaid Services (formerly the Health Care Financing Administration) found HSD fully compliant and praised the department for its program-integrity activities.

 

MW/njw

 [1]Begin typing on the * in replace mode.  Do not add or delete spaces.