STATEMENT OF PURPOSE
                                                     RS28814 / S1185
This is the FY 2022 original appropriation bill for the Department of Health and Welfare, Division of Medicaid.
This bill maintains the same benefit package for health insurance and sick leave as last year and provides an
additional 2% equivalent compensation increase. Additional federal funding is added for the 6.2% enhanced
federal match (FMAP) and reduces the General Fund by a related amount. The bill has six line items, including
funding for service verification; patient access to health data; provider auditing; Medicaid services in the state
veteran homes; and the removal of funding from 2019 for various Medicaid waivers.
                                                     FISCAL NOTE
                                          FTP       Gen                  Ded                Fed                   Total
FY 2021 Original Appropriation           216.00  723,971,900          272,809,800        2,118,295,900         3,115,077,600
Supplemental Actions - H216                 0.00 (35,812,000)         100,777,200          304,798,900           369,764,100
FY 2021 Total Appropriation              216.00 688,159,900           373,587,000        2,423,094,800         3,484,841,700
Executive Holdback                          0.00 (36,198,600)                    0                    0         (36,198,600)
FTP Transfers                             (3.00)             0                   0                    0                     0
FY 2021 Estimated Expenditures           213.00 651,961,300           373,587,000        2,423,094,800         3,448,643,100
Removal of Onetime Expend.                  0.00 (2,935,200)          (15,203,200)        (45,344,400)          (63,482,800)
Base Adjustments                            0.00   58,856,700                    0       (148,700,000)          (89,843,300)
Restore Rescissions                         0.00   36,198,600                    0                    0           36,198,600
FY 2022 Base                             213.00 744,081,400           358,383,800        2,229,050,400         3,331,515,600
Benefit Costs                               0.00       22,100                    0              34,200                56,300
Statewide Cost Allocation                   0.00       (1,700)                   0              (1,700)               (3,400)
Chg. Empl. Comp.                            0.00      115,100                2,000             178,400               295,500
Nondiscretionary Adjustments                0.00   37,543,000           59,102,100         311,996,200           408,641,300
FY 2022 Program Maintenance              213.00 781,759,900           417,487,900        2,541,257,500         3,740,505,300
2. Electronic Visit Verification            0.00      190,900                    0             572,800               763,700
3. Patient Access/Interoperability          0.00      147,500                    0             787,500               935,000
4. Managed Care Auditing                    0.00      212,000                    0             212,000               424,000
8. Idaho Veterans Services                  0.00             0           1,000,000           2,400,000             3,400,000
11. County - Expansion                      0.00 (12,500,000)                    0                    0         (12,500,000)
13. Expansion Correction                    0.00     (81,800)                    0            (81,800)             (163,600)
FY 2022 Total                            213.00 769,728,500           418,487,900        2,545,148,000         3,733,364,400
Chg from FY 2021 Orig Approp              (3.00)   45,756,600         145,678,100          426,852,100           618,286,800
% Chg from FY 2021 Orig
Approp.                                  (1.4%)              6.3%             53.4%                20.2%                19.8%
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note                                  Bill SOP/FN INTRODUCED: 03/12/2021, 11:30 AM
Contact:
    Jared Tatro
    Budget and Policy Analysis
    (208) 334-4740
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note                                  Bill SOP/FN INTRODUCED: 03/12/2021, 11:30 AM