1244-S.E AMS ZARE MOOR 094
ESHB 1244 - S AMD 533
By Senator Zarelli
NOT ADOPTED 4/25/2009
On page 52, line 26, increase the general fund--state appropriation for fiscal year 2010 by $10,972,000 and adjust the totals accordingly.
On page 52, line 27, increase the general fund--state appropriation for fiscal year 2011 by $11,405,000 and adjust the totals accordingly.
On page 52, line 28, increase the general fund--federal appropriation by $8,977,000 and adjust the totals accordingly.
On page 52, line 33, strike "$113,689,000" and insert "$122,763,000".
On page 52, line 34, strike "$113,689,000" and insert "$122,763,000".
On page 52, line 37, strike "$11,606,000" and insert "$2,532,000".
On page 53, line 2, strike "$11,606,000" and insert "$2,532,000".
MEDICAID PERSONAL CARE HOURS AND VENDOR RATES:
On page 58, line 25, increase the general fund-state appropriation for fiscal year 2010 by $5,027,000 and adjust the totals accordingly.
On page 58, line 26, increase the general fund-state appropriation for fiscal year 2011 by $6,030,000 and adjust the totals accordingly.
On page 58, line 27, increase the general fund-federal appropriation by $16,377,000 and adjust the totals accordingly.
On page 58, line 35, strike all material beginning with "(b)" through "act." on page 59, line 5.
On page 64, line 27, increase the general fund-state appropriation for fiscal year 2010 by $26,042,000 and adjust the totals accordingly.
On page 64, line 28, increase the general fund-state appropriation for fiscal year 2011 by $31,067,000 and adjust the totals accordingly.
On page 64, line 29, increase the general fund-federal appropriation by $84,626,000 and adjust the totals accordingly.
On page 64, on line 36, strike "$156.37" and insert "$165.59"
On page 65, line 1, strike "$158.74" and insert "168.09"
On page 66, line 6, strike all material beginning with "(5)" through "act." on line 13.
HOSPITAL & PEDIATRIC RATES:
On page 73, line 36, increase the FY 2010 general fund—state appropriation by $19,079,000 and
On page 74, line 1, increase the FY 2011 general fund—state appropriation by $29,091,000 and
On page 74, line 2, increase the general fund—federal appropriation by $50,617,000 and adjust the totals accordingly
EMPLOYEE HEALTH BENEFITS:
On page 142, on line 17, strike "$745.00" and insert "$709.00".
On page 142, on line 18, strike "$768.00" and insert "$709.00".
On page 142, on line 19, after "school year.", strike everything through line 26.
On page 214, on line 28, strike "$745" and insert "$709".
On page 214, on line 30, strike "$768" and insert "$709".
On page 201, after line 20, insert the following:
"NEW SECTION. Sec. 723. FOR THE OFFICE OF FINANCIAL MANAGEMENT--STATE EMPLOYEES--INSURANCE BENEFITS
General Fund--State Appropriation (FY 2010)......... ($24,742,000)
General Fund--State Appropriation (FY 2011)......... ($40,550,000)
General Fund--Federal Appropriation ................. ($9,500,000)
General Fund--Private/Local Appropriation.............. ($669,000)
Dedicated Funds and Accounts Appropriation.......... ($26,358,000)
TOTAL APPROPRIATION...................... ($101,819,000)
The appropriations in this section are subject to the following conditions and limitations:
(1) The appropriations in this section are provided solely to reduce agency and institution appropriations to reflect the reduced insurance premium rates specified in part 9 of this act.
(2) The office of financial management shall reduce allotments for all agencies and institutions by these amounts to reflect the amounts identified in LEAP document 6M2 - 2009, a computerized tabulation developed by the legislative evaluation and accountability program committee on April 25, 2009. The allotment reductions under this section shall be placed in unallotted status and remain unexpended.
NEW SECTION. Sec. 724. FOR THE OFFICE OF FINANCIAL MANAGEMENT--SCHOOL EMPLOYEES--CONTRIBUTIONS TO RETIREMENT SYSTEMS
General Fund--State Appropriation (FY 2010)......... ($27,031,000)
General Fund--State Appropriation (FY 2011)......... ($63,073,000)
General Fund--Federal Appropriation..................... ($39,000)
TOTAL APPROPRIATION....................... ($90,143,000)
The appropriations in this section are subject to the following conditions and limitations:
(1) The appropriations in this section are provided solely for adjustments to allocations to reflect the reduced insurance premium rates specified in part 9 of this act.
(2) The office of financial management shall reduce allotments for the office of the superintendent of public instruction by these amounts. The allotment reductions under this section shall be placed in unallotted status and remain unexpended."
EFFECT:
Additions to funding in underlying bill --
Replaces the proposed 5% reduction to community mental health services with a 2% reduction. Fiscal impact is $22.4 million GF-S and $9.0 million GF-F.
Restores the three percent reduction to Medicaid personal care hours in the Division of Developmental Disabilities and the Aging and Disability Services Division budget. Fiscal impact = $32,657,000 general fund-state and $48,283,000 general fund-federal.
Restores part of the nursing home rate reduction (new rate reduction is a two percent reduction from 2009-11 maintenance level). Fiscal impact = $27,663,000 general fund-state and $41,097,000 general fund-federal
Adjusts the boarding home, adult family home, group home, and supported living facility vendor rate reductions in DDD and Aging to be a two percent reduction from ML level. Fiscal impact: $7,952,000 GF-S and $11,782,000 GF-F.
Restores the inpatient and outpatient hospital reduction from approximately four percent to approximately two percent of total expenditures in the Medical Assistance budget. Hospital reduction fiscal impact is $32,155,000 general fund-state and $28,418,000 GF-F.
Restores rate reductions for pediatric office visits to 2 percent of expenditures. Pediatric office visit rate reduction fiscal impact is $16,015,000 general fund-state and $22,199,000 GF-F.
Reductions to funding in underlying bill --
Reduces funding for state employee health benefits by 2% from $723 per employee per month in FY 2009 to $709 per employee per month in FY 2010 and FY 2011 and reduces the K-12 school employee health allocation to match, saving approximately $155 million GF-S from the funding provided in the underlying bill (and $9.5 GF-F).
Net fiscal impact: $16 million reduction to GF-S expenditures.
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