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STATEMENT OF PURPOSE
RS27132
The purpose of this legislation is:
1) To direct the Department of Health and Welfare to collect participant information related to the presence
of or risk for substance use disorders so they can be referred to treatment.
2) To direct the Department to seek a waiver from the federal government to limit retroactive Medicaid
eligibility from 90 days to 30 days.
3) It directs the Department of Health and Welfare and the Department of Insurance to seek waivers from the
federal government so persons within 100% to 138% of the federal poverty level are eligible for advanced
premium tax credits to utilize through the state health insurance exchange program and, should the waivers
not be granted by January 1, 2020, they are eligible for Medicaid.
4) This legislation creates requirements that able-bodied adults in the Medicaid system work, train, or
volunteer at least 20 hours a week. It exempts these categories of citizens from participating in the new
requirements:
• Persons under 19,
• Persons over 59,
• Parent or caretaker of children 18 and under,
• Parents or caretakers of an incapacitated persons due to illness or disability,
• Persons who have applied for any social security disability benefits until such time an eligibility is
determined,
• Persons who are participating in a drug or alcohol treatment/rehabilitation program,
• Persons applying for or receiving unemployment insurance,
• Pregnant women, and
• Persons attending post-secondary education at least half time.
5) To allow Medicaid funding for behavioral health services for adults ages 18-64 in hospitals or nursing
facilities engaged in providing diagnosis, treatment, or care of persons with mental diseases.
6) To provide the ability for the Legislature to declare 56-267 I.C. null and void, should Congress amend or
a court with governing jurisdiction set aside Section 1905(y) of the Social Security Act.
7) To stipulate in the event the federal funding participation rate falls below 90%, 56-267 I.C. shall become
null and void one legislative session after the effective date of the changed participation rate, unless the
Legislature intervenes.
To require the Department of Health and Welfare and the Department of Insurance to implement the waivers,
if approved, as soon as practicable thereafter.
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 H0277
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Eligibility for Medicaid as described in this section shall not be delayed if the Centers for Medicare and
Medicaid services fail to approve any waiver of the state plan for which the departments apply, nor shall
such eligibility be delayed while the departments are considering or negotiating any waivers to the state plan.
Finally, this law does not in any way delay participation in the Idaho Medicaid Program while the Department
of Health and Welfare seeks waivers, nor if those waivers fail to win federal approval.
FISCAL NOTE
The Idaho Department of Health and Welfare has created its own estimates on the cost of this legislation,
which is detailed below. However, their estimates assume that all of the implementation will be done wholly
by the Department through new programs or work. These cost estimates may be reduced if the Department
utilizes their own existing programs and programs at the Department of Labor, Department of Education,
and other state agencies.
PROGRAM ONE-TIME COST ANNUAL COST ANNUAL SAVINGS
Health Risk Assessment $ 8,000.00 $10,000.00
Substance Abuse
Treatment $ 1,600,000.00
Exchange Coverage
(100-138% of FPL) $120,000.00 $81,200.00 $10,920,000.00
Work Waiver $183,650.00 $ 1,900,000.00 $ 1,183,000.00
Behavioral Health &
Adult Mental Health $ 4,932,900.00
Department of
Correction $ 8,363,900.00
Medicaid Enrollment
(0-100%) $30,500,000.00
TOTALS: $311,650.00 $32,491,200.00 $25,559,800.00
Contact:
Representative John Vander Woude
(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 H0277


Statutes affected:
Bill Text: 56-253, 56-263, 56-267