2019 Session

Budget Amendments - SB1100 (Committee Approved)

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Fiscal Impact Review of Medicaid Program Changes (language only)

Item 307 #12s

Item 307 #12s

Health and Human Resources
Department of Medical Assistance Services


Page 350, after line 9, insert:

"Y.  The Department of Medical Assistance Services, at least 30 days prior to the submission of a state plan amendment, waiver amendment, managed care contract change, or submission of a regulatory change, shall provide notice and documentation of such change to the Department of Planning and Budget.  The Department of Planning and Budget shall review such action to determine if there is a fiscal impact on the Commonwealth. If the Department of Planning and Budget determines the change may likely result in a general fund fiscal impact, for which no legislative appropriation has been provided, then the Department of Medical Assistance Service shall delay the proposed change until the General Assembly authorizes such action."


(This amendment implements a fiscal impact review process for changes to the Medicaid program. 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.)