STATEMENT OF PURPOSE
RS31728 / S1456
This appropriation to the Department of Health and Welfare for the Division of Medicaid provides a
$277,954,700 reduction to the FY 2024 budget, of which $92,807,600 is from the General Fund. Contributing
factors to the lower-than-anticipated costs include the end of the public health emergency, and drops in
utilization and enrollment.
This appropriation to the Department of Health and Welfare for the Division of Medicaid provides
enhancements to the FY 2025 maintenance budget that include nondiscretionary adjustments, new staff
division-wide, provider rate adjustments, intermediate care facility rate adjustments, an MMIS vendor increase,
funding for personal care services case management, MMIS procurement year 2, an Idaho Millennium Income
Fund offset for claims payments, and the additional 2% CEC. Additionally, this bill provides reappropriation
authority. This bill also provides adjustments to the FY 2024 appropriation for the Division of Medicaid.
Looking at Table 2 below, adjustments include a onetime forecasted recission, an ongoing reduction related
to the end of an electronic records incentive program, and adjustments to the Hospital Assessment Fund.
Overall, the total FY 2025 appropriation for the Division of Medicaid represents 0.6% increase over the FY
2024 Original Appropriation.
FISCAL NOTE
This appropriation provides an additional $253,212,900 to the maintenance appropriation provided to the
Department of Health and Welfare for the Division of Medicaid found in Senate Bill 1268. Table 1 shows
incremental adjustments to the budget found in the bill, of which the ongoing increase is $120,834,900, and
$132,378,000 is onetime. Table 2 shows all the adjustments leading to the FY 2025 Total. The total budget
for the Division of Medicaid is $4,710,390,700. Additionally Table 2 shows the mid-year adjustments to the
FY 2024 budget for the Division of Medicaid. The total decrease to the FY 2024 budget is $125,556,800.
Table 1 FTP Gen Ded Fed Total
Nondiscretionary Adjustments 0.00 58,331,400 65,983,000 (86,220,100) 38,094,300
1. New Staff Division Wide 24.50 1,536,800 0 1,662,500 3,199,300
6. Provider Rate Adjustments 0.00 12,257,800 0 53,601,400 65,859,200
10. ICF Rate Adjustment 0.00 2,053,300 0 4,260,200 6,313,500
16. MMIS Current Vendor Annual Incr. 0.00 561,400 0 2,245,400 2,806,800
20. Personal Care Services Case Mgmt 0.00 1,200,000 0 3,000,000 4,200,000
22. MMIS Procurement Year 2 0.00 0 13,237,800 119,140,200 132,378,000
48. Medicaid Claims Payments 0.00 (12,000,000) 12,000,000 0 0
Add'l 2% Chg in Employee Compensation 0.00 129,100 1,500 231,200 361,800
FY 2025 Budget Enhancements 24.50 64,069,800 91,222,300 97,920,800 253,212,900
% Chg from FY 2025 Maintenance 11.5% 7.5% 13.8% 3.3% 5.7%
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: 03/27/2024, 10:27 AM
Table 2 FTP Gen Ded Fed Total
FY 2024 Original Appropriation 213.00 856,366,900 690,218,500 3,137,075,400 4,683,660,800
1. Forecasted Onetime Recission 0.00 (92,807,600) 0 (185,147,100) (277,954,700)
3. Electronic Records Incentive Prgm. 0.00 (69,600) 0 (17,032,500) (17,102,100)
4. Hospital Assessment Fund 0.00 0 45,600,000 123,900,000 169,500,000
FY 2024 Total Appropriation 213.00 763,489,700 735,818,500 3,058,795,800 4,558,104,000
Removal of Onetime Expenditures 0.00 (30,000) (30,212,400) (179,231,800) (209,474,200)
Base Adjustments 0.00 92,807,600 (45,600,000) 61,247,100 108,454,700
FY 2025 Base 213.00 856,267,300 660,006,100 2,940,811,100 4,457,084,500
Personnel Benefit Costs 0.00 (41,500) (200) (63,700) (105,400)
Statewide Cost Allocation 0.00 7,100 0 7,400 14,500
1% Chg in Employee Compensation 0.00 81,000 0 103,200 184,200
FY 2025 Program Maintenance - SB 1268 213.00 856,313,900 660,005,900 2,940,858,000 4,457,177,800
FY 2025 Budget Enhancements 24.50 64,069,800 91,222,300 97,920,800 253,212,900
FY 2025 Total 237.50 920,383,700 751,228,200 3,038,778,800 4,710,390,700
Chg from FY 2024 Orig Approp 24.50 64,016,800 61,009,700 (98,296,600) 26,729,900
% Chg from FY 2024 Orig Approp. 11.5% 7.5% 8.8% (3.1%) 0.6%
Contact:
Senator Julie VanOrden
(208) 332-1346
Representative Rod Furniss
(208) 332-1056
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: 03/27/2024, 10:27 AM