Relates to the appropriation to the Department of Health and Welfare for fiscal years 2024 and 2025.

This appropriation to the Department of Health and Welfare for the Division of Medicaid provides a $277,954,700 reduction to the FY 2024 budget, of which $92,807,600 is from the General Fund. Contributing factors to the lower-than-anticipated costs include the end of the public health emergency, and drops in utilization and enrollment. This appropriation to the Department of Health and Welfare for the Division of Medicaid provides enhancements to the FY 2025 maintenance budget that include nondiscretionary adjustments, new staff division-wide, providerrateadjustments, intermediatecarefacilityrateadjustments, anMMISvendorincrease, funding for personal care services case management, MMIS procurement year 2, an Idaho Millennium Income Fund offset for claims payments, and the additional 2% CEC. Additionally, this bill provides reappropriation authority. This bill also provides adjustments to the FY 2024 appropriation for the Division of Medicaid. Looking at Table 2 below, adjustments include a onetime forecasted recission, an ongoing reduction related to the end of an electronic records incentive program, and adjustments to the Hospital Assessment Fund. Overall, the total FY 2025 appropriation for the Division of Medicaid represents 0.6% increase over the FY 2024 Original Appropriation.