2019 Session

Budget Amendments - HB1700 (Conference Report)

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Fiscal Impact Review of Medicaid Program Changes (language only)

Item 303 #14c

Item 303 #14c

Health and Human Resources
Department of Medical Assistance Services


Page 316, line 50, after "(CMS)" insert:

"or change in the contracts with managed care organizations that may impact the capitation rates".

Page 316, line 54, after "Act." insert:

"If the Department of Planning and Budget, after review of the proposed change, determines that it may likely result in a material fiscal impact on the general fund, for which no legislative appropriation has been provided, then the Department of Medical Assistance Services shall delay the proposed change until the General Assembly authorizes such action."


(This amendment modifies the fiscal impact review process for changes to the Medicaid program to include the potential fiscal impact on Medicaid managed care capitation rates resulting from contract changes, and clarifies that any change that may result in a general fund impact, which has not been funded, will be delayed until the General Assembly specifically authorizes such action.)