LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: HCR 3 HLS 201ES 17
Bill Text Version: ORIGINAL
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: June 6, 2020 10:28 AM Author: MARCELLE
Dept./Agy.: LDH/Medicaid
Subject: Nursing home re-base Analyst: Shawn Hotstream
FUNDS/FUNDING OR +$24,105,951 SD EX See Note Page 1 of 1
Provides relative to the Medicaid Trust Fund for the Elderly (Item #13)
Present law requires the principle in the Medicaid Trust Fund for the Elderly (MTFE) from proceeds recieved by the state
associated with the Deepwater Horizon oil spill shall not be subject to appropriation unless authorized by a joint resolution
approved by two-thirds of the elected members of each house of the legislature. This measure provides to make revenues
from the MTFE available for appropriation in FY 20-21 for the purpose of re-basing nursing home rates.
EXPENDITURES 2020-21 2021-22 2022-23 2023-24 2024-25 5 -YEAR TOTAL
State Gen. Fd. $0 SEE BELOW SEE BELOW SEE BELOW SEE BELOW $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $24,105,951 $0 $0 $0 $0 $24,105,951
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $24,105,951 $24,105,951
REVENUES 2020-21 2021-22 2022-23 2023-24 2024-25 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other SEE BELOW SEE BELOW SEE BELOW SEE BELOW SEE BELOW
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total
EXPENDITURE EXPLANATION
Proposed resolution authorizes the use of the principle of the Medicaid Trust Fund the Elderly (MTFE) for appropriation for
the purpose of re-basing nursing home rates. Information provided by the treasury reflects a deposit of Deepwater Horizon
oil spill settlement revenues in the MTFE in 2020 in an amount of $24,000,405. The balance of the MTFE statutory dedicated
fund as of 4/27/2020 is $24,716,937.
Note: HB 1 provides MTFE Statutory Dedication budget authority for these funds for re-basing nursing home rates for FY 21.
The budget adjustment for the FY 21 nursing home rebase is reflected below.
State General MTFE Total
Fund Stat Ded Federal funds MOF
$8,773,962 $24,105,951 $67,608,819 $100,488,732
R.S 39:91 limits deposits of Deepwater Horizon proceeds into the MTFE beyond FY 19/20. As such, the state match required
to annualize the rebase in future years will require State General Fund.
REVENUE EXPLANATION
Information provided by the treasury reflects a deposit of Deepwater Horizon oil spill settlement revenues in the MTFE in
2020 in an amount of $24,000,405. R.S 39:91 limits deposits of Deepwater Horizon proceeds into the MTFE beyond FY
19/20.
Senate Dual Referral Rules House
x 13.5.1 >= $100,000 Annual Fiscal Cost {S & H} 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
Evan Brasseaux
13.5.2 >= $500,000 Annual Tax or Fee 6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Staff Director