STATEMENT OF PURPOSE
RS27041
This is the FY 2020 original appropriation bill for the Department of Health and Welfare for the Medicaid
Division. It appropriates a total of $2,830,539,400 and caps the number of authorized full-time equivalent
positions at 216.00.
For benefit costs, the bill maintains the current appropriated amount for health insurance at $11,650 per
eligible FTP; provides a 5.5% increase for the employer's share of PERSI contributions; and temporarily
reduces the rate agencies pay the Division of Human Resources for its services. For statewide cost allocation,
$19,800 is provided.
The bill also provides funding for the equivalent of a 3% change in employee compensation for permanent
employees, with a minimum increase of $550 for each employee and the remaining amount to be distributed
based on merit.
The bill funds nine line items. This includes provider rate increases for dental services, school-based
services, non-emergency medical transportation, and intermediate care facilities. Other line items include
claims payment system improvements and funding for connections to the Idaho Health Data Exchange.
Finally, the bill provides funding for two line items related to Medicaid State Plan Amendments including
services for developmentally disabled children and expansion. No FTP were added to this appropriation.
The bill also includes ten sections of language regarding requirements: three sections are applied
department-wide, four sections require a report to be submitted to the Legislature, one section is on cost
sharing requirements, one section is on contracting, and one section clarifies what transfers are allowed
with Medicaid funding.
FISCAL NOTE
FTP Gen Ded Fed Total
FY 2019 Original Appropriation 216.00 585,221,400 303,789,500 1,560,439,600 2,449,450,500
FY 2019 Total Appropriation 216.00 628,283,600 251,078,700 1,622,919,800 2,502,282,100
Remove Onetime Expenditures 0.00 (11,075,500) (4,774,400) (14,104,700) (29,954,600)
FY 2020 Base 216.00 617,208,100 246,304,300 1,608,815,100 2,472,327,500
Benefit Costs 0.00 14,100 0 21,900 36,000
Statewide Cost Allocation 0.00 9,800 0 10,000 19,800
Change in Emp Compensation 0.00 163,800 0 253,200 417,000
Nondiscretionary Adjustments 0.00 54,866,500 (3,456,300) 75,999,700 127,409,900
FY 2020 Program Maintenance 216.00 672,262,300 242,848,000 1,685,099,900 2,600,210,200
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 S1171
6. Children's DD Services 0.00 820,800 0 2,039,200 2,860,000
9. MMIS Verification 0.00 100,000 0 900,000 1,000,000
19. Health Data Exchange 0.00 0 0 5,332,100 5,332,100
21. NEMT Rate 0.00 2,030,400 108,100 5,834,800 7,973,300
25. Dental Provider Rate 0.00 1,296,400 0 3,103,600 4,400,000
26. DD Provider Rate 0.00 1,126,900 0 2,698,100 3,825,000
27. School Based Services 0.00 0 1,658,400 3,970,500 5,628,900
36. Medicaid Expansion 0.00 9,267,000 10,649,300 177,393,600 197,309,900
38. Intermediate Care Facilities 0.00 0 0 2,000,000 2,000,000
FY 2020 Total 216.00 686,903,800 255,263,800 1,888,371,800 2,830,539,400
Chg from FY 2019 Orig Approp 0.00 101,682,400 (48,525,700) 327,932,200 381,088,900
% Chg from FY 2019 Orig
Approp. 0.0% 17.4% (16.0%) 21.0% 15.6%
Contact:
Jared Tatro
Budget and Policy Analysis
(208) 334-4740
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 S1171