Bill Summary – FastDemocracy

STATEMENT OF PURPOSE
                                                   RS30767C1 / H0369
This is the FY 2024 original appropriation bill for the Department of Health and Welfare's Division of Medicaid.
It appropriates a total of $4,539,917,000 and caps the number of authorized full-time equivalent positions at
213.00.
Other actions were taken for the Division of Medicaid, and the table below reflects all of the other supplementals
contained in other bills. H323 of 2023 contained supplemental 1 for the Public Health Emergency; supplemental
4 for Early and Periodic Screening Assessment; supplemental 5 for Receipt Authority; and supplemental 6 for
Upper Payment Limit Increase. S1195 of 2023 contained supplemental 3 for MMIS Procurement.
This bill contains one supplemental, supplemental 7 for a onetime Provider Rate Increase for the last quarter
of FY 2023. Additionally, this bill funds twelve 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; implements the Millennium Fund Committee recommendation to make Millennium Income
Fund dollars onetime in the Division of Medicaid; removes funding for disenrollment from Medicaid due to
unwinding; and provides additional funding as a trailer appropriation to HCR9.
                                                     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
 H323 - 1. Public Health
Emergency (PHE)                  0.00              (90,518,000)                  0         260,807,700           170,289,700
 S1195 - 3. MMIS Procurement     0.00                18,656,400            183,900           1,654,800            20,495,100
 H323 - 4. Early and Periodic
Screening Assmt                  0.00                    50,000                 0                50,000              100,000
 H323 - 5. Receipt Authority     0.00              (14,933,200)       100,756,400          (56,794,200)           29,029,000
 H323 - 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
Other App Adjustments            0.00              (18,656,400)                 0                    0          (18,656,400)
FY 2023 Total Appropriation    213.00              726,508,600        558,642,200        3,177,622,800         4,462,773,600
Executive Carry Forward          0.00                 1,181,300                 0            4,406,600             5,587,900
FY 2023 Estimated
Expenditures                   213.00              727,689,900        558,642,200        3,182,029,400         4,468,361,500
Removal of Onetime
Expenditures                     0.00              (15,590,500)          (183,900)       (276,061,600)         (291,836,000)
Base Adjustments                 0.00              102,487,600                   0                   0           102,487,600
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: 03/24/2023, 8:10 AM
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
 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. Hospital 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
55. Disenrollment Reduction    0.00                (51,345,300)                 0        (101,014,700)         (152,360,000)
57. HCR9 Trailer               0.00                           0           500,000                    0               500,000
FY 2024 Total                213.00                856,366,900        675,844,100        3,007,706,000         4,539,917,000
Chg from FY 2023 Orig Approp   0.00                  26,315,100       235,513,200          233,379,700           495,208,000
% Chg from FY 2023 Orig
Approp.                       0.0%                          3.2%             53.5%                  8.4%                12.2%
Contact:
    Representative Britt Raybould
    (208) 332-1173
    Senator Julie VanOrden
    (208) 332-1346
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: 03/24/2023, 8:10 AM