HB 1593-FN, as amended, is a bill that appropriates $500,000 to the New Hampshire Department of Health and Human Services for the biennium ending June 30, 2025, specifically to fund recreational activities for individuals with developmental disabilities who are no longer in the school system and are receiving services under certain waivers. This appropriation is in response to the Centers for Medicare and Medicaid Services' clarification that recreational services are not reimbursable under Medicaid. The bill limits payments for recreational services to $600 per individual and mandates contracting with organizations to administer these funds, with a preference for services previously included in individual budgets. It also requires the submission of interim and final reports on the utilization of these services.

Additionally, the bill restructures the state's funds related to Medicaid and disproportionate share hospital (DSH) payments by renaming the "uncompensated care and Medicaid fund" to the "Medicaid payment fund" and establishing the "disproportionate share hospital fund." The restructuring is temporary, sunsetting on June 30, 2028. The bill defines eligibility for hospitals, excluding certain facilities, and outlines the process for making DSH payments, including considerations for uncompensated care costs. It also specifies that the state is not liable for payments exceeding available federal funds and details the use of funds collected under RSA 84-A, with at least 7 percent supporting Medicaid services. Changes to Medicaid payment methodology must be submitted to the fiscal committee for informational purposes before implementation. The bill's various sections have staggered effective dates, with no new positions authorized for implementation, and the funds appropriated will not lapse until July 1, 2025.

Statutes affected:
Introduced: 6:12
As Amended by the Senate: 6:12, 84-A:1, 84-A:5