2017 Session

Budget Amendments - SB900 (Committee Approved)

View Budget Item
View Budget Item amendments

Jt. Subcommittee on Federal Health Care Changes and HHR Oversight (language only)

Item 1 #1s

Item 1 #1s

Legislative Department
General Assembly of Virginia


Page 12, after line 13, insert:

"T.1.  The Chairmen of the House Appropriations and Senate Finance Committees shall each appoint four members from their respective committees to a Joint Subcommittee to Respond to Federal Health Care Changes and for Health and Human Resources Oversight.

2. The Joint Subcommittee shall monitor, evaluate and respond to federal legislation that repeals, amends or replaces the Affordable Care Act (ACA), Medicaid (Title XIX of the Social Security Act), or the Children's Health Insurance Program (Title XXI of the Social Security Act). The Joint Subcommittee shall recommend actions to be taken by the General Assembly to address the impact of any such federal legislation on the state economy, budget, and health care coverage now available to Virginians.  In particular the Joint Subcommittee shall review and report on: (i) the general and non-general fund impacts for both the upcoming biennium and over the next 10 years; (ii) the number of individuals impacted in both the short-term and long-term by income and locality; and specific changes to eligibility, payment rates, and service of these programs. Furthermore, the Joint Subcommittee shall evaluate federal changes for opportunities to enhance Virginia's Medicaid and other health insurance programs.

3. The Joint Subcommittee shall evaluate proposals that would block grant the Medicaid program.  The evaluation shall consider the advantages and disadvantages of such proposal and develop estimates of any fiscal impact on Virginia related to specific proposals.   The Joint Subcommittee shall develop recommendations for consideration by the General Assembly to prepare for implementation of a block grant for any such proposal being considered by Congress.

4. The Joint Subcommittee shall from time to time request agencies in the Health and Human Resources Secretariat to report on the efficiency and effectiveness of agency operations and programs.  The Joint Subcommittee shall make recommendations to the General Assembly as needed to improve agency operations or programs.  

5. The Joint Subcommittee shall submit periodic reports to the General Assembly to report on federal actions and recommendations to address any impact on the Commonwealth, as well as any recommendations to further strengthen the efficiency and cost effectiveness of Virginia's Medicaid and children's health insurance programs.

6. The Joint Subcommittee may seek support and technical assistance from staff of the House Appropriations and Senate Finance Committees, the staff of the Joint Legislative Audit and Review Commission, and the staff of the Department of Medical Assistance Services. Other state agency staff shall provide support upon request."


(This amendment creates a joint subcommittee of the House Appropriations and Senate Finance Committees to review and monitor federal changes to health care laws that would impact the Commonwealth and provide oversight of the Health and Human Resources agencies.)