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 for
other purposes.
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 in
SPONSOR: |
Lopez |
DATE TYPED: |
|
HB |
|
||
SHORT TITLE: |
Medicaid Reform Committee Program |
SB |
332/aSPAC/aSFC/aSFl#1 |
||||
|
ANALYST: |
Weber |
|||||
APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
||
FY03 |
FY04 |
FY03 |
FY04 |
|
|
|
|
|
See Narrative |
Non-recurring |
General
Fund |
|
|
|
|
|
|
(Parenthesis
( ) Indicate Expenditure Decreases)
Duplicates HB 412
Responses
Received From
The
Human Services Department
The
Health Policy Commission
SUMMARY
Synopsis of SFl
Amendment #1
Senate Floor Amendment makes the following changes:
On
page 5, line 7, after "funds" strike the remainder of the line and
strike line 8 up to the period.
This eliminates residual language referring to an
appropriation deleted by the Senate Finance Committee.
Synopsis of SFC Amendment
The Senate Finance Committee amendment of Senate
Bill 332 eliminates the $500,000 appropriation that could have been used as
match to receive federal revenue of an additional $500,000, making the total
$1,000,000. SB 322 states that the
projects requested can be done “to the extent possible”. These projects are generally complex and will
frequently require contracted expertise as noted in the original analysis under
Administrative Implications. It may not
be reasonable to expect much progress on such projects in the absence of an
appropriation for these purposes.
Synopsis
of SPAC Amendment
The Senate Public Affairs Committee amendment
makes a variety of language corrections that do not change the intent or
potential result of the bill. The one
substantive change is adding a new section D. on page 5, between lines 8 and 9
that states.
“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
Senate Bill 322 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 has an emergency
clause.
Significant Issues
The analyses and pilot projects required by SB
332 are:
SB332 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, SB 322 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.