Idaho Bills
7 bills · 2024 Regular Session
Adds to existing law to establish a medicaid legislative review panel.
This legislation is to amend Title 56 of Idaho Code to add a new section to establish a Medicaid Legislative Review Panel. The panel will be responsible for reviewing contracts related to Medicaid and will be comprised of both House and Senate members.
58 – 9
Adds to existing law to create a medicaid budget stabilization fund.
The Medicaid Budget Stabilization Fund sets up a place for unobligated general fund moneys remaining in the cooperative welfare funds to be deposited after reconciliation and statute distributions. These funds shall be distributed by legislative appropriation.
17 – 16
States findings of the Legislature and directs the Department of Health and Welfare to develop, apply for, and report on waivers for Medicaid and to develop work requirements for waivers.
This resolution recognizes that Idahoans want to be self reliant when it comes to receiving health care benefits. But circumstances sometimes have consequences that interfere with that resilience and individuals find themselves in need of medical assistance. Helping these people gain back the independence they desire is what the Idaho Legislature is proposing in conjunction with the Idaho Department of Health and Welfare.
19 – 15
Amends existing law to establish provisions for directed payments to qualifying hospitals.
This legislation authorizes the Department of Health and Welfare to seek approval from the Centers for Medicare and Medicaid Services (CMS) to establish a program for state directed payments under Idaho’s Managed Care statute. Directed payments are the mechanism that states with managed care plans use to provide supplemental payments to hospitals to offset losses associated with providing services to Medicaid patients. The Idaho Behavioral Health Plan is the first time that hospitals have been contracted through a managed care program.
21 – 13
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.
Julie VanOrden · SD-030
39 – 30
Amends existing law to require certain federal waivers for continued Medicaid Expansion eligibility.
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 for the purpose of prioritizing Medicaid resources for the truly needy, moving able-bodied Medicaid enrollees into affordable and private coverage with greater access to healthcare, and reducing overall program spending. 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.
Adds to existing law to provide for legislative approval of Medicaid state plan amendments and waivers.
This legislation amends Chapter 2, Title 56, to create Section 56-270, Idaho Code, to require legislative approval of waivers and state plan amendments. This prohibits the state Department of Health and Welfare from seeking or implementing a Medicaid State Plan or a waiver pursuant to Section 1115 or 1915 of the Social Security Act without legislative approval provided in statute. This legislation does not affect pre-existing state plan amendment or waiver programs implemented prior to this legislation taking effect.
46 – 23