Idaho Bills
10 bills · 2023 Regular Session
Amends and repeals existing law to end eligibility for Medicaid for certain persons.
Thislegislationrepeals§56-267ofIdahoCode,MedicaidExpansion,thecostsofwhichhavebeenconsiderably more than originally projected. Additional changes are made to §31-3502 and §56-263 where the expansion is referenced.
Amends existing law to provide that the Department of Health and Welfare shall submit a proposal to provide certain Medicaid services through prepaid health plans.
The purpose of this legislation is to reign in the exorbitant cost of the Medicaid program. The mechanism to do this is to follow the other 41 states that have implemented Managed Care for their Medicaid programs.
Amends existing law to provide for a plan to transition the delivery of Medicaid services to Medicaid managed care organizations.
Relates to the appropriation to the Department of Health and Welfare for the Division of Medicaid for fiscal years 2023 and 2024.
This is a trailer appropriation to address the fiscal impact of S1097 of 2023. S1097 creates the Medicaid Management Information Systems Dedicated Fund, which will hold the state match for the procurement of the Medicaid Management Information System (MMIS). An additional amount is provided in FY 2023, to address costs to create the Request for Proposals (RFP) for the four modules in the base system of the MMIS. An additional onetime amount is provided in FY 2024, to enable the Division of Purchasing in the Department of Administration to sign contracts for the base modules. In addition, there are three sections of legislative language directing reporting on the progress of the MMIS procurement and implementation.
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States findings of the Legislature and authorizes the Legislative Council to establish a task force to complete a study and make recommendations regarding a comprehensive Medicaid managed care program.
This resolution was crafted to determine the cost benefit analysis for the Medicaid program. It was crafted to bring stakeholders from around the state together to find the best solutions for long term stability and care.
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Relates to the appropriation to the Department of Health and Welfare for fiscal years 2023 and 2024.
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Relates to the appropriation to the Department of Health and Welfare for fiscal years 2023 and 2024.
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Adds to existing law to provide for legislative approval of Medicaid state plan amendments and waivers.
This legislation requires legislative approval of waivers and state plan amendments made by the Department of Health and Welfare.
Amends existing law to provide that Medicaid expansion shall remain in effect only under certain conditions.
This legislation requires that several program integrity and cost-saving measures be implemented in Medicaid as a condition for the continued expansion of eligibility to able-bodied adults under the Affordable Care Act. These conditions include a work requirement and enrollment caps for able-bodied adults and a requirement that the improper payment rate in Medicaid be reduced to 5 percent or less.
Jordan Redman · HD-003B
Adds to existing law to establish the Medicaid Management Information Systems Dedicated Fund in the state treasury.
This legislation creates a dedicated fund, using one-time general funds resulting from the Public Health Emergency (PHE) enhanced federal match for the Medicaid MMIS (Medicaid Management Information Systems) procurement project. Through the creation of a dedicated fund, unexpended one-time funds from the PHE would be made available to support procurement and installation resource needs as part of this multi-year project. On March 18, 2020 the Families First Coronavirus Response Act was passed by Congress in response to the COVID-19 pandemic. This legislation carries an increase in the Federal Medical Assistance Percentage (FMAP), the federal match for the Medicaid program tied to the duration of the national public health emergency. During the national public health emergency declarations, FMAP is increased by six point two percent (6.2%), which results in approximately $10 to $12 million more in federal Medicaid funding per month. Per the Consolidated Appropriations Act (2023), the 6.2% enhanced FMAP will end after March 2023 and the enhanced federal match will be phased down over calendar year 2023. The Department of Health and Welfare, Division of Medicaid is underway with modernization of existing software systems and platforms. This project is a multi-year/multi-phase modular implementation that will span through calendar year 2031. This effort will replace dated technology with a current estimated cost of $186,564,000 million (All Funds), which only accounts for estimated costs for Design, Development, and Installation of new systems. This legislation preserves general funds for future mandatory Medicaid MMIS procurement and installation requirements without requiring a separate request for funding. This legislation allows surplus general funds to be retained in a dedicated fund which may only be accessed by legislative appropriation and may only accept surplus funds generated through the Medicaid budget.
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