STATEMENT OF PURPOSE
RS30959 / H0419
This legislation requires that several program integrity and cost-saving measures be implemented in Medicaid
as a condition for the continued expansion of eligibility to able-bodied adults under the Affordable Care Act
for the purpose of prioritizing Medicaid resources for the truly needy, moving able-bodied Medicaid enrollees
into affordable and private coverage with greater access to healthcare, and reducing overall program spending.
These conditions include a work requirement and enrollment caps for able-bodied adults and a requirement that
the improper payment rate in Medicaid be reduced to 5 percent or less.
FISCAL NOTE
This legislation should create significant savings for the General Fund or other state funds. The legislation
requires that several program integrity and cost-saving measures be implemented in Medicaid as a condition
for the continued expansion of eligibility to able-bodied adults to continue. If those conditions are met and the
expansion of eligibility to able-bodied adults continues, savings will likely exceed $163 million, as reducing
improper payments in Medicaid to five percent would produce savings of $136 million and capping total
enrollment of able-bodied expansion adults would produce savings of $27 million. If one or more of the
conditions are not met, Medicaid expansion will be effectively repealed, which will produce savings of $109
million. Therefore, the range of possible savings is likely to be a net decrease in state spending of between
$109 million and $163 million in state funds.
Contact:
Representative Jordan Redman
(208) 332-1000
Senator Carl J. Bjerke
(208) 332-1000
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: 01/22/2024, 9:46 AM


Statutes affected:
Bill Text: 56-267