2018 Special Session I

Budget Amendments - HB5002 (Committee Approved)

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Restore Medicaid Savings from Expanded Federal Participation in CSB Services

Item 312 #2h

Item 312 #2h

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Grants to Localities FY2019 $5,551,288 FY2020 $0 GF

Page 289, line 11, strike "$436,026,655" and insert "$441,577,943".


(This amendment restores $5.6 million to the general fund the first year for mental health and substance abuse treatment services delivered through the Community Services Boards. The introduced budget assumed three quarters of savings from the CSBs that would occur if health care coverage in the Medicaid program were enhanced to serve newly eligible individuals with incomes up to 138% of the federal poverty level pursuant to the Patient Protection and Affordable Care Act. This amendment assumes that only two quarters of savings from the existing Medicaid program will accrue to the state due to Medicaid transformation beginning on January 1, 2019 instead of October 1, 2018. These savings would accrue since the federal matching rate is higher for individuals in the newly eligible population than in the current Medicaid program (93.5% in fiscal year 2019 compared to 50% for the current Medicaid population). Companion amendments in Item 303 and Item 390 restore savings from expanded Medicaid coverage for individuals served in other Medicaid programs and inmate hospitalization payments by the Department of Corrections.)