Bill > S1456

This bill appropriates and adjusts funds for the Department of Health and Welfare's Division of Medicaid for fiscal years 2024 and 2025, totaling $487,007,000 in new appropriations for FY2025 and adjusting FY2024 appropriations by a net of $249,500,000. * **Fiscal Year 2025 Appropriations:** * Medicaid Administration and Medical Management: $138,745,900 from the Cooperative Welfare (General) Fund, Medicaid Management Information Systems Dedicated Fund, Idaho Millennium Income Fund, and Cooperative Welfare (Federal) Fund. * Coordinated Medicaid Plan: $105,308,100 from the Cooperative Welfare (General) Fund, Idaho Millennium Income Fund, and Cooperative Welfare (Federal) Fund. * Enhanced Medicaid Plan: $105,636,000 from the Cooperative Welfare (General) Fund, Hospital Assessment Fund, Cooperative Welfare (Dedicated) Fund, Idaho Millennium Income Fund, and Cooperative Welfare (Federal) Fund. * Basic Medicaid Plan: $45,696,800 from the Cooperative Welfare (General) Fund, Idaho Millennium Income Fund, and Cooperative Welfare (Federal) Fund. * Expansion Medicaid Plan: $91,620,200 from the Cooperative Welfare (General) Fund, Cooperative Welfare (Dedicated) Fund, and Cooperative Welfare (Federal) Fund. * **Fiscal Year 2025 Reductions:** * Coordinated Medicaid Plan: A reduction of $54,746,400 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Enhanced Medicaid Plan: A reduction of $39,470,900 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Basic Medicaid Plan: A reduction of $31,757,700 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Expansion Medicaid Plan: A reduction of $107,819,100 from the Cooperative Welfare (Federal) Fund. * **Fiscal Year 2024 Appropriations (Additional):** * Coordinated Medicaid Plan: $66,859,200 from the Hospital Assessment Fund and Cooperative Welfare (Federal) Fund. * Basic Medicaid Plan: $154,140,800 from the Hospital Assessment Fund and Cooperative Welfare (Federal) Fund. * Expansion Medicaid Plan: $28,500,000 from the Hospital Assessment Fund and Cooperative Welfare (Federal) Fund. * **Fiscal Year 2024 Reductions:** * Medicaid Administration and Medical Management: A reduction of $17,102,100 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Coordinated Medicaid Plan: A reduction of $6,954,700 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Basic Medicaid Plan: A reduction of $212,139,700 from the Cooperative Welfare (General) Fund, Cooperative Welfare (Dedicated) Fund, and Cooperative Welfare (Federal) Fund. * Expansion Medicaid Plan: A reduction of $138,860,300 from the Cooperative Welfare (Federal) Fund. * **Other Provisions:** * Authorizes an increase of 24.50 full-time equivalent positions for the Division of Medicaid for FY2025. * Reappropriates up to $250,000 from the Idaho Millennium Income Fund for FY2025 for the state's portion of workforce requirement cost share. * Requires the Division of Medicaid to report by December 1, 2024, on how reimbursement rates were allocated for specific provider types and how funds were used for staff compensation and other expenses. * Sections related to FY2024 appropriations and reductions are effective immediately, while sections related to FY2025 appropriations and adjustments are effective July 1, 2024.