Bill > S1201

This bill appropriates funds to the Department of Health and Welfare for the Division of Medicaid for fiscal years 2025 and 2026, totaling over $1.1 billion, with specific directives for exploring addiction treatment models and improving contract management. * **Fiscal Year 2026 Appropriations:** * Medicaid Administration and Medical Management: $121,418,000 from the Cooperative Welfare (General) Fund, Medicaid Management Information Systems Dedicated Fund, and Cooperative Welfare (Federal) Fund. * Coordinated Medicaid Plan: $315,526,000 from the Cooperative Welfare (General) Fund, Hospital Assessment Fund, and Cooperative Welfare (Federal) Fund. * Enhanced Medicaid Plan: $45,934,300 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Basic Medicaid Plan: $46,511,600 from the Cooperative Welfare (General) Fund, Hospital Assessment Fund, and Cooperative Welfare (Federal) Fund. * Expansion Medicaid Plan: $158,663,600 from the Cooperative Welfare (General) Fund, Hospital Assessment Fund, and Cooperative Welfare (Federal) Fund. * Extended Employment Services: $3,539,100 from the Cooperative Welfare (General) Fund. * **Total Fiscal Year 2026 Appropriation:** $691,592,600 * **Fiscal Year 2026 Reductions:** * Expansion Medicaid Plan: A reduction of $17,400,000 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * **Fiscal Year 2025 Appropriations:** * Medicaid Administration and Medical Management: $2,045,500 from the Cooperative Welfare (General) Fund and Cooperative Welfare (Federal) Fund. * Coordinated Medicaid Plan: $149,966,800 from the Hospital Assessment Fund and Cooperative Welfare (Federal) Fund. * Enhanced Medicaid Plan: $57,598,300 from the Cooperative Welfare (Federal) Fund. * Basic Medicaid Plan: $126,744,700 from the Hospital Assessment Fund and Cooperative Welfare (Federal) Fund. * Expansion Medicaid Plan: $78,871,500 from the Hospital Assessment Fund and Cooperative Welfare (Federal) Fund. * **Total Fiscal Year 2025 Appropriation:** $415,226,800 * **Key Directives and Conditions:** * The Division of Medicaid must explore a value-based payment model for outpatient addiction treatment and report findings by January 15, 2026. * The Division of Medicaid must work to align multi-year contracts with the state fiscal year and minimize mid-year spending adjustments without legislative appropriation, reporting progress by January 15, 2026. * The Division of Medicaid must submit an annual report on the Emergency Medicaid Program by September 15 each year. * Appropriations are subject to federal funding restrictions, requiring agencies to avoid using state funds to replace lost federal support without legislative approval. * Section 8 of the act is effective immediately upon passage, while Sections 1 through 7 are effective July 1, 2025.