2021 Session

Budget Amendments - HB1800 (Member Request)

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Chief Patron: Sickles
Eliminate Emergency Room Utilization Program

Item 313 #35h

Item 313 #35h

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 $0 FY2022 $14,459,101 GF
FY2021 $0 FY2022 $26,791,327 NGF

Page 345, line 39, strike "$17,494,923,315" and insert "$17,536,173,743".

Page 376, strike lines 53 through 56.

Page 377. strike lines 1 through 6.


(This amendment adds $14.5 million the second year from the general fund and $26.8 million in federal matching funds to eliminate the emergency room utilization program that was adopted by the 2020 General Assembly as a means of avoiding inappropriate emergency room costs in the Medicaid program. The amendment eliminates language implementing the program. Instead, a companion amendment in this item provides language for an alternative method for reducing emergency room utilization by Medicaid patients by addressing the needs of the complex care patients who are "super utilizers" to get the appropriate care they need and reduce associated costs of care for the Commonwealth.)