5894-S AMS RANK MURR 247
SSB 5894 - S AMD TO 2319.1/17 168
By Senator Ranker
NOT ADOPTED 03/23/2017
On page 73, after line 15, insert the following:
"Sec. 801. 2016 1st sp.s. c 36 s 201 (uncodified) is amended to read as follows:
FOR THE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
(1) The appropriations to the department of social and health services in this act shall be expended for the programs and in the amounts specified in this act. Appropriations made in this act to the department of social and health services shall initially be allotted as required by this act. Subsequent allotment modifications shall not include transfers of moneys between sections of this act except as expressly provided in this act, nor shall allotment modifications permit moneys that are provided solely for a specified purpose to be used for other than that purpose.
(2) The department of social and health services shall not initiate any services that require expenditure of state general fund moneys unless expressly authorized in this act or other law. The department may seek, receive, and spend, under RCW 43.79.260 through 43.79.282, federal moneys not anticipated in this act as long as the federal funding does not require expenditure of state moneys for the program in excess of amounts anticipated in this act. If the department receives unanticipated unrestricted federal moneys, those moneys shall be spent for services authorized in this act or in any other legislation providing appropriation authority, and an equal amount of appropriated state general fund moneys shall lapse. Upon the lapsing of any moneys under this subsection, the office of financial management shall notify the legislative fiscal committees. As used in this subsection, "unrestricted federal moneys" includes block grants and other funds that federal law does not require to be spent on specifically defined projects or matched on a formula basis by state funds.
(3) The legislature finds that medicaid payment rates, as calculated by the department pursuant to the appropriations in this act, bear a reasonable relationship to the costs incurred by efficiently and economically operated facilities for providing quality services and will be sufficient to enlist enough providers so that care and services are available to the extent that such care and services are available to the general population in the geographic area. The legislature finds that cost reports, payment data from the federal government, historical utilization, economic data, and clinical input constitute reliable data upon which to determine the payment rates.
(4) The department shall to the maximum extent practicable use the same system for delivery of spoken-language interpreter services for social services appointments as the one established for medical appointments in the health care authority. When contracting directly with an individual to deliver spoken language interpreter services, the department shall only contract with language access providers who are working at a location in the state and who are state-certified or state-authorized, except that when such a provider is not available, the department may use a language access provider who meets other certifications or standards deemed to meet state standards, including interpreters in other states.
(5) Information technology projects or investments and proposed projects or investments impacting time capture, payroll and payment processes and systems, eligibility, case management, and authorization systems within the department of social and health services are subject to technical oversight by the office of the chief information officer.
(6)(a) The department shall facilitate enrollment under the medicaid expansion for clients applying for or receiving state funded services from the department and its contractors. Prior to open enrollment, the department shall coordinate with the health care authority to provide referrals to the Washington health benefit exchange for clients that will be ineligible for medicaid.
(b) To facilitate a single point of entry across public and medical assistance programs, and to maximize the use of federal funding, the health care authority, the department of social and health services, and the health benefit exchange will coordinate efforts to expand HealthPlanfinder access to public assistance and medical eligibility staff. No later than October 1, 2015, the department shall complete medicaid applications in the HealthPlanfinder for households receiving or applying for public assistance benefits.
(c) The department, in coordination with the health care authority, shall pursue a federal waiver to use supplemental nutrition assistance program eligibility, aged, blind, or disabled program eligibility, or temporary assistance for needy families eligibility, to enroll eligible persons into medicaid.
(7) In accordance with RCW 71.24.380, the health care authority and the department are authorized to purchase medical and behavioral health services through integrated contracts upon request of all of the county authorities in a regional service area to become an early adopter of fully integrated purchasing of medical and behavioral health services. The department may combine and transfer such amounts appropriated under sections 204, 208, and 213 of this act as may be necessary to fund early adopter contracts. The amount of medicaid funding transferred from each program may not exceed the average per capita cost assumed in this act for individuals covered by that program, actuarially adjusted for the health condition of persons enrolled, times the number of clients enrolled. The amount of non-medicaid funding transferred from sections 204 and 208 may not exceed the amount that would have been contracted with a behavioral health organization if the county authorities had not requested to become an early adopter of fully integrated purchasing. These limits do not apply to the amounts provided in section 204(1)(s) of this act. If any funding that this act provides solely for a specific purpose is transferred under this subsection, that funding must be used consistently with the provisions and conditions for which it was provided.
(8) In accordance with RCW 71.24.380, the department is authorized to purchase mental health and substance use disorder services through integrated contracts with behavioral health organizations. The department may combine and transfer such amounts appropriated under sections 204 and 208 of this act as may be necessary to finance these behavioral health organization contracts. If any funding that this act provides solely for a specific purpose is transferred under this subsection, that funding must be used consistently with the provisions and conditions for which it was provided.
(9)(a) The
appropriations to the department of social and health services in this act
shall be expended for the programs and in the amounts specified in this act.
However, after May 1, ((2016)) 2017, unless prohibited by this
act, the department may transfer general fund—state appropriations for fiscal
year ((2016)) 2017 among programs after approval by the director
of financial management. However, the department shall not transfer state
moneys that are provided solely for a specified purpose except as expressly
provided in (b) of this subsection.
(b) To the
extent that transfers under (a) of this subsection are insufficient to fund
actual expenditures in excess of fiscal year ((2016)) 2017
caseload forecasts and utilization assumptions in the long-term care, foster
care, adoptions support, medical personal care, and child support programs, the
department may transfer state moneys that are provided solely for a specified
purpose. The department shall not transfer funds, and the director of financial
management shall not approve the transfer, unless the transfer is consistent
with the objective of conserving, to the maximum extent possible, the
expenditure of state funds. The director of financial management shall notify
the appropriate fiscal committees of the senate and house of representatives in
writing seven days prior to approving any allotment modifications or transfers
under this subsection. The written notification shall include a narrative
explanation and justification of the changes, along with expenditures and
allotments by budget unit and appropriation, both before and after any
allotment modifications or transfers.
(10) To facilitate the authority provided in subsection (7) and (8) of this section, and to ensure a new accounting structure is in place as of July 1, 2017, the department is authorized to create a new program for accounting purposes only that combines the mental health program and alcohol and substance abuse program allotments and expenditures."
NEW SECTION. Sec. 802. The sum of forty three million nine hundred eighty five thousand dollars, or as much thereof as may be necessary, is appropriated for the fiscal year ending June 30, 2017, from the general fund to the department of social and health services for critical and necessary expenditures state hospitals.
NEW SECTION. Sec. 803. Sections 801 and 802 of this act are necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately."
Renumber the remaining sections consecutively and correct any internal references accordingly.
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EFFECT: · Allows the Department of Social and Health Services (DSHS) to transfer general fund-state appropriations for fiscal year 2017 between DSHS programs with the approval of the director of Office of Financial Management. · Appropriates $43,985,000 general fund-state for fiscal year 2017 to cover state hospital spending. · These portions of the act take effect immediately.
FISCAL IMPACT (FY 2017): $43,985,000 General Fund-State FOUR-YEAR OUTLOOK: $43,985,000
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