Bill Summary – FastDemocracy

STATEMENT OF PURPOSE
                                                     RS30669 / H0334
This is the FY 2024 original appropriation bill for the Department of Health and Welfare's Division of Medicaid.
It appropriates a total of $4,691,777,000 and caps the number of authorized full-time equivalent positions at
213.00. This bill funds ten line items, which provide: funding for the Behavioral Health Plan; funding for
the Ground Emergency Medical Transportation (GEMT) waiver as approved in S1283 of 2022; funding which
moves the Homes with Adult Residential Treatment (HART) to this division; funding for a quality improvement
organization contract; funding for a review of managed care compliance; funding for a contractor to implement
the budget model as a result of the KW Lawsuit; removes General Fund and adds federal funds for the impacts
of the stepped down enhanced FMAP; adds dedicated funds for the state's share of the upper payment limit
(UPL); provides for a provider rate increase for six home and community based provider types; and implements
the Millennium Fund Committee recommendation to make Millennium Income Fund dollars onetime in the
Division of Medicaid.
                                                     FISCAL NOTE
                                  FTP                Gen                Ded                 Fed                   Total
FY 2023 Original Appropriation 213.00              830,051,800        440,330,900        2,774,326,300         4,044,709,000
 1. Public Health Emergency
(PHE)                              0.00            (90,518,000)                    0       260,807,700           170,289,700
 4. Early and Periodic Screening
Assmt                              0.00                  50,000                 0                50,000              100,000
 5. Receipt Authority              0.00            (14,933,200)       100,756,400          (56,794,200)           29,029,000
 6. Upper Payment Limit
Increase                           0.00                      0         17,371,000          193,220,100           210,591,100
 7. Provider Rate Increase         0.00              1,858,000                  0            4,358,100             6,216,100
FY 2023 Total Appropriation      213.00            726,508,600        558,458,300        3,175,968,000         4,460,934,900
Executive Carry Forward            0.00              1,181,300                  0            4,406,600             5,587,900
FY 2023 Estimated
Expenditures                     213.00            727,689,900        558,458,300        3,180,374,600         4,466,522,800
Removal of Onetime
Expenditures                       0.00            (15,590,500)                 0        (274,406,800)         (289,997,300)
Base Adjustments                   0.00            102,487,600                  0                     0          102,487,600
FY 2024 Base                     213.00            814,587,000        558,458,300        2,905,967,800         4,279,013,100
Personnel Benefit Costs            0.00                  70,400               600              104,900               175,900
Statewide Cost Allocation          0.00                 (1,300)                 0               (1,400)               (2,700)
Change in Employee
Compensation                       0.00                259,700                  0              386,300               646,000
Nondiscretionary Adjustments       0.00             73,115,900         36,883,700           61,272,300           171,271,900
FY 2024 Program Maintenance 213.00                 888,031,700        595,342,600        2,967,729,900         4,451,104,200
DHR Consolidation                  0.00                 97,500              1,500              145,100               244,100
 1. Behavioral Health Plan         0.00             21,600,000                  0           50,400,000            72,000,000
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: 03/17/2023, 8:50 AM
 2. Emergency Medical
Transportation                 0.00                       41,000                   0         20,041,000           20,082,000
7. Homes w/ Adlt Res Tmt to
Medicaid                       0.00                     830,000                    0          2,330,000             3,160,000
37. Quality Improvement Org
Contract                       0.00                       75,000                   0            225,000               300,000
39. Managed Care Compliance
Review                         0.00                     140,000                    0            420,000               560,000
40. KW Lawsuit Consultant      0.00                     165,000                    0            165,000               330,000
 41. Enhanced Federal Match
Reversion                      0.00                (10,700,000)                 0            49,832,400           39,132,400
42. Hopsital Assessment Fund   0.00                           0        80,000,000                     0           80,000,000
48. Provider Rate Increase     0.00                   7,432,000                 0            17,432,300           24,864,300
 54. Millennium Fund
Committee Recommendation       0.00                          0                  0                    0                     0
FY 2024 Total                213.00                907,712,200        675,344,100        3,108,720,700         4,691,777,000
Chg from FY 2023 Orig Approp   0.00                 77,660,400        235,013,200          334,394,400           647,068,000
% Chg from FY 2023 Orig
Approp.                       0.0%                          9.4%             53.4%                12.1%                 16.0%
Contact:
    Representative Britt Raybould
    (208) 332-1173
    Senator Kevin Cook
    (208) 332-1358
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: 03/17/2023, 8:50 AM