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SPONSOR: |
Picraux |
DATE TYPED: |
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HB |
412/aHBIC/aHAFC/aSPAC |
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SHORT TITLE: |
Medicaid Reform Committee Projects |
SB |
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ANALYST: |
Weber |
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APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
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FY03 |
FY04 |
FY03 |
FY04 |
|
|
|
|
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See Fiscal and Administrative
Implications |
|
|
(Parenthesis
( ) Indicate Expenditure Decreases)
Duplicates SB 332
Responses
Received From
The
Human Services Department
The
Health Policy Commission
SUMMARY
Synopsis of SPAC
Amendment
The Senate Public Affairs Committee Amendment made
the following changes to House Bill 412 as amended:
"(12) work toward a self-directed care
option in the disabled and elderly and the developmentally disabled medicaid
waiver programs, subject to appropriation and availability of federal and state
funds.".,
The
last is the only substantive change which adds an additional task to be
accomplished. Successful completion of
so many assignments without an appropriation may be difficult.
Synopsis of HAFC
Amendment
The House Appropriations and Finance Committee
amendment deletes the $500,000 appropriation.
There are clearly costs associated with the studies, analyses and work
defined in the bill. If the tasks are
addressed, the cost will have to be absorbed in existing budgets.
Synopsis
of HBIC Amendment
The House Business and Industry Committee amendment
makes a variety of language and grammatical changes that do not change the
intent or potential result of the bill.
One new section is added on page 5, between lines 8 and 9 and reads:
“D. If the funding is insufficient for all the
initiatives in this section, the department shall prioritize the initiatives in
conjunction with the appropriate legislative interim committee.”
Synopsis
of Original Bill
House Bill 412
appropriates $500,000 from the General Fund to the Human Services Department for
expenditure on a variety of analyses and pilot projects recommended by the
Medicaid Reform Committee. The bill had
an emergency clause
Significant
Issues
The analyses and pilot projects required by HB
412 are:
HB 412 requests that HSD coordinate or
combine any of these initiatives, or any other MRC recommendations, which it
deems similar, to avoid duplication or conflict.
In
addition, HB 412 requires HSD to apply for public and private grants or claim
Federal matching to supplement the general fund appropriation.
FISCAL IMPLICATIONS
The appropriation of $500.0
contained in this bill is a non-recurring expense to the General Fund. Any
unexpended or unencumbered balance remaining at the end of Fiscal Year 2005 shall
revert to the General Fund. The $500.0
General Fund can be used to match an additional $500.0 federal funds making the
total project potential of $1 million.
ADMINISTRATIVE IMPLICATIONS
The
Human Services Department reports Medical Assistance Division would need to hire
or contract with outside entities to accomplish the studies, pilots and
projects included. Current staff could
not perform the work mandated in this bill and maintain the programs and
projects for
which they are currently
responsible. Requests-for-Proposals
would have to be developed and contractors selected or temporary staff would
have to be hired for the projects.
Continuing oversight would be necessary for each of these projects.