Idaho Bills

Appropriates $172,320,100 for the Welfare Division in the Department of Health and Welfare for fiscal year 2018; limits the number of authorized full-time equivalent positions to 630.55 for fiscal year 2018; provides for transfers to the Cooperative Welfare Fund; prohibits transfers of trustee and benefit payments; provides legislative intent for program integrity; requires biannual forecast reports; appropriates an additional $116,300 for the Benefit Payments Program for fiscal year 2017; and reduces the number of authorized full-time equivalent positions by 5 for fiscal year 2017.

Appropriates an additional $15,000 to the Physical Health Services Program for fiscal year 2018.

Appropriates $114,110,000 to the Department of Health and Welfare for the Public Health Services Division for fiscal year 2018; limits the number of authorized full-time equivalent positions to 234.69; provides for transfers to the Cooperative Welfare Fund; limits the transfer of funds budgeted for trustee and benefit payments; provides for program integrity; provides for specific use of General Fund moneys; requires an annual report on accreditation status; and appropriates an additional $1,070,300 to the Department of Health and Welfare for the Physical Health Services Program for fiscal year 2017.

Appropriates an additional $1,043,900 to the Children's Mental Health Program for fiscal year 2018; reduces the appropriation to the Children's Mental Health Program by $1,181,600 for fiscal year 2018; authorizes an additional 7 full-time equivalent positions; and provides for legislative intent for the Division of Medicaid.

Appropriates $2,285,308,600 for the Medicaid Division in the Department of Health and Welfare for fiscal year 2018; limits the number of authorized full-time equivalent positions to 216 for fiscal year 2018; provides for transfers to the Cooperative Welfare Fund; directs transfers from trustee and benefit payments; provides legislative intent regarding program integrity; requires monthly Medicaid tracking reports; provides for transfers between programs; requires biannual reports regarding managed care implementation; requires an annual report on flexible spending authority; provides legislative intent for non-emergency medical transportation for fiscal year 2018; appropriates an additional $10,741,500 for the Medicaid Division for fiscal year 2017; reduces the appropriation by $22,600,000 for the Enhanced Medicaid Plan program for fiscal year 2017; authorizes 5 additional full-time equivalent positions for fiscal year 2017; and provides legislative intent for non-emergency medical transportation for fiscal year 2017.

This is the fiscal year 2018 Original Appropriation and fiscal year 2017 supplemental appropriation bill for the Idaho Department of Health and Welfare for the Medicaid Division. For fiscal year 2018, it appropriates $531,903,900 from the General Fund, $328,070,300 from dedicated funds, and $1,425,334,400 from federal funds, for a total of $2,285,308,600 and 216 FTP. The fiscal year 2018 portion includes adjustments for employee benefit costs, statewide cost allocation, annualizations, cybersecurity insurance, and an ongoing 3% merit-based increase in employee compensation for permanent employees to be distributed at the discretion of the director. Also included is $53,726,600 for nondiscretionary adjustments that include changes for caseload, utilization, and the federal match (FMAP). This bill includes three sections of department-wide intent language and five sections of division-specific intent language for fiscal year 2018. The bill contains four line items. Line item 5 provides $654,100 to continue with the implementation of the federally required financial reporting system called Transformed Medicaid Statistical Information System (TMSIS). Line item 14 adds an additional position to the Estate Recovery Program. Line item 28 add an additional Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit position. The EPSDT program allows a child under 21 to receive medically necessary services that exceed the limits of the Idaho Medicaid plan; including dental, mental health, developmental, and specialty services. The final line item reduces $100,000 of ongoing appropriation for services being requested in another Health and Welfare program. The line item related to the Jeff D lawsuit settlement will be handled in a separate JFAC action. The fiscal year 2017 adjustments include adding five new positions for services related to the K.W. vs Armstrong lawsuit settlement and for changes in the Home and Community Based Services Program. This bill also includes

Appropriates $107,113,200 to the Department of Health and Welfare for the divisions of Child Welfare, Services for the Developmentally Disabled, and Service Integration for fiscal year 2018; limits the number of authorized full-time equivalent positions for the three divisions to 739.46; provides for General Fund transfers to the Cooperative Welfare Fund; limits transfers for trustee and benefit payments; provides for program integrity; provides legislative intent on educating children in the department's care; requires a report on foster care support staff; directs expenditures for Head Start; and appropriates an additional $868,100 to the Department of Health and Welfare for the Child Welfare Division for fiscal year 2017.

This is the fiscal year 2018 Original Appropriation to the Department of Health and Welfare for three divisions: Child Welfare, Services for Developmentally Disabled, and Service Integration. This bill also includes the fiscal year 2017 supplemental appropriation for the Child Welfare Division. Thefiscalyear2018portionincludes$37,375,800fromtheGeneralFund, $3,363,100fromdedicatedfunds, $66,374,300 from federal funds, and 739.46 FTP for a total appropriation of $107,113,200. The bill also includes three sections of department-wide legislative intent language, two sections for Child Welfare, and one section for Service Integration. All divisions include standard budget adjustments for the changes in employee benefit costs, statewide cost allocation, cybersecurity insurance, and the 3% merit-based change in employee compensation that is to be awarded at the discretion of the director. The Child Welfare Division includes the Child Welfare and Foster Assistance and Payments Programs. Within this division, there was a $25,800 shift from the General Fund to federal funds as a nondiscretionary adjustment due to changes in the state's FMAP rate. There are four approved line items. Line item 3 adds $1,026,700tocontinuewithyeartwoofthereplacementandmodernizationoftheChildWelfareinformation system. This system is used to document and track case information and to process payments to foster families for any services related to the care of eligible children. Line item 18 includes $839,100 to increase the foster care reimbursement rates by 20%. Line item 19 adds six new client service technician positions to transportchildrenasneeded. Lineitem49addstwoadditionalsocialworkerstoreducethecurrentworkload of staff, and improve services for the program. For fiscal year 2017, the bill provides $868,100 to account for the demand for services over time. The Services for Developmentally Disabled Division includes Community Developmental Disability Services and the Southwest Idaho Treatment

Appropriates $104,056,200 to the divisions of Mental Health, Psychiatric Hospitalization, and Substance Abuse Treatment and Prevention for fiscal year 2018; limits the number of authorized full-time equivalent positions for the three divisions to 709.58 for fiscal year 2018; provides for General Fund transfers to the Cooperative Welfare Fund; directs expenditures for trustee and benefit payments; provides for program integrity; limits transfers of legislative appropriations; clarifies responsibility for education of certain children in state care; directs an interagency payment; requires an annual report on community support for the Behavioral Health Community Crisis Centers; appropriates an additional $2,255,400 to the Children's Mental Health program, Community Hospitalization program and the Substance Abuse Treatment and Prevention program for fiscal year 2017; reduces the appropriation by $500,000 for the Adult Mental Health program for fiscal year 2017; and provides an additional 11 full-time equivalent positions for the Children's Mental Health program for fiscal year 2017.

This is the fiscal year 2018 Original Appropriation and fiscal year 2017 supplemental appropriation for the Department of Health and Welfare for the divisions of Mental Health Services, Psychiatric Hospitalization, and Substance Abuse Treatment and Prevention. For fiscal year 2018, it appropriates $64,872,300 from the General Fund, $12,837,000 from dedicated funds, and $26,346,900 from federal funds, for a total of $104,056,200 and 709.58 FTP for the three divisions. The bill includes seven sections of legislative intent language with three sections for department-wide efforts and four sections specific to Mental Health Services. Standard JFAC adjusted items include changes for employee benefits, changes for statewide cost allocation, cybersecurity insurance, and an ongoing 3% merit-based increase in employee compensation for permanent employees to be distributed at the discretion of the director. Mental Health Services includes the Adult Mental Health and Children's Mental Health programs. Enhancements to this division include: $1,520,000 of annualized funding for the crisis centers in Twin Falls and Boise; $5,563,900 to provide mental health services to felony probationers and parolees; and $2,000,300 to provide continued bridge funding for the Residential Assisted Living Facilities (RALFs) that provide care for Idahoans with serious mental health issues. For fiscal year 2017, this bill includes additional FTP and funding to implement the Jeff D lawsuit settlement as well as a transfer from Adult Mental Health to Community Hospitalization. Psychiatric Hospitalization includes Community Hospitalization, State Hospital North (SHN), and State Hospital South (SHS). Changes to this division include $174,300 for inflationary adjustments, and $540,700 for various replacement items and alteration and repair projects at the state hospitals. The division was approved for five line items. Line item 8 provides funding to contract with the Department of Correction to house ind

Appropriates $75,303,200 to the Department of Health and Welfare for the divisions of Independent Councils, Indirect Support Services, Healthcare Policy Initiatives and Licensing and Certification for fiscal year 2018; limits the number of authorized full-time equivalent positions to 381.1; provides for General Fund transfers to the Cooperative Welfare Fund; directs expenditures for trustee and benefit payments; limits services to available resources; requires a report on VOCA funds; requires a monthly Medicaid tracking report; requires a biannual Medicaid Program Integrity Unit report; requires quarterly transfer reports; requires monthly vacancy reports; requires a report on the implementation of the SHIP grant; requires biannual reports on facility licensing and certification; and appropriates an additional $1,115,100 to the Department of Health and Welfare, Indirect Support Services, for fiscal year 2017.

This is the fiscal year 2018 Original Appropriation to the Department of Health and Welfare for the divisions of Independent Councils, Indirect Support Services, Healthcare Policy Initiatives, and Licensing and Certification. This bill also includes the fiscal year 2017 supplemental appropriation for Indirect Support Services. Forfiscalyear2018, thebillincludes$20,927,900fromtheGeneralFund, $4,613,900fromdedicatedfunds, and $49,761,400 from federal funds for a total of $75,303,200 and 381.1 FTP. The bill also contains three sections of department-wide legislative intent language, one section specific to the Independent Councils, four sections specific to Indirect Support Services, one section specific to Healthcare Policy Initiatives, and one section specific to Licensing and Certification. All four divisions include adjustments for employee benefitcostsanda3%merit-basedchangeinemployeecompensationthatistobedistributedatthediscretion of the department or council director. The Independent Councils Division includes the Developmental Disabilities Council and the Domestic Violence Council. The Developmental Disabilities Council was appropriated funding for a research analyst position. Indirect Support Services provides department wide support for finance, human resources, the office of the director,andITsupport. Thisprogramreceivedadjustmentsforstatewidecostallocation,replacementitems, and cybersecurity insurance. There are three line items for this division. Line item 17 provides for three additional positions to assist with operational needs of the department. Line item 21 adds another financial services position to assist with the Welfare budget and expenditures. Line item 26 provides funding to procure a fraud and abuse detection software system. For fiscal year 2017, this bill includes an additional $1,360,000 in federal fund personnel costs to align with the current federal match. Also included is a reduction of $244,900 from the General Fund. These funds were tr