2019 Session

Budget Amendments - SB1100 (Member Request)

View Budget Item
View Budget Item amendments

Chief Patron: Dunnavant
Medicaid Program Growth Rate (language only)

Item 307 #5s

Item 307 #5s

Health and Human Resources
Department of Medical Assistance Services


Page 349, strike lines 37 through 52 and insert:

“V.1. Annual expenditures for the Medicaid program, based on appropriation in Item 303 of this act, shall be limited to a growth rate each year, known as the Medicaid Growth Rate (MGR), that does not exceed a rolling 20-year average of general fund revenue growth.  If the expenditures of Medicaid are expected to exceed the MGR in any fiscal year, the Department of Medical Assistance Services shall notify the Governor and the Chairmen of the House Appropriations and Senate Finance Committees detailing the reasons why Medicaid spending is expected to exceed the MGR for the year. The department shall develop and submit to the Governor and General Assembly, within 30 days, a plan to reduce expenditure growth in the program for the current fiscal year to comply with the target growth rate.

2. The Governor shall include in his annual budget bill submitted to the General Assembly each year an appropriation for the Medicaid program that does not exceed the Medicaid Growth Rate.

3. For fiscal years 2019 and 2020 the target growth rate pursuant to paragraph V.1. shall be adjusted to account for the expansion of coverage pursuant to SS.4.a. in Item 303 of this act.”


(This amendment modifies the annual spending target included in the introduced budget and creates a Medicaid Growth Rate each year that the Department of Medical Assistance Services is responsible to ensure that annual Medicaid expenditures do not exceed. If expenditures are likely to exceed the Medicaid Growth Rate, the department would provide notice and develop a plan within 30 days to reduce spending in the current year. The Governor is directed to not exceed the Medicaid Growth Rate in his annual budget bill.)