6002-S.E AMH KAGI TOUL 094

ESSB 6002 - H AMD TO H AMD (H-4473.1/14) 871

By Representative Kagi

WITHDRAWN 03/04/2014

    On page     53, after line 12, insert the following:

    "(8) The health care authority and the department are authorized to develop a program designed to provide integrated managed health and mental health care for foster children and adopted children receiving care through the medical assistance program.  The integrated managed care program must be implemented by July 1, 2015.  The program must be designed so that all of the requirements for providing mental health services to children under the T.R. v. Dreyfus and Porter settlement can be met.  The health care authority and the department may combine and transfer such medicaid funds appropriated under sections 204 and 213 of this act as may be necessary to finance a unified health care plan for these children.  The amount of funding assigned 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.  In implementing the program, the health care authority and the department may: (i) Withhold from calculations of "available resources" as set forth in chapter 71.24.025 RCW a sum equal to the capitated rate for enrolled individuals; and (ii) employ capitation financing and risk-sharing arrangements in collaboration with health care service contractors licensed by the office of the insurance commissioner and qualified to participate in the medicaid program.  The health care authority and the department must provide a report to the legislature by December 1, 2014 on the progress toward implementing this program."

    On page 98, line 26, increase the general fund--state appropriation for fiscal year 2014 by $558,000

    On page 98, line 28, increase the general fund--state appropriation for fiscal year 2015 by $1,128,000

    On page 98, line 30, decrease the general fund--federal appropriation by $651,000

    On page 99, line 9, correct the total.

    On page 109, beginning on line 10, strike all of subsection 33

    Renumber the remaining subsections consecutively and correct any internal references accordingly.

EFFECT:   Removes the requirement for the Health Care Authority to transition physical health care services for foster children and adoptive children from fee-for-service to managed care by January 1, 2014.  Requires the Health Care Authority and the Department of Social and Health Services to develop an integrated managed health and mental health care program for this population to be implemented by July 1, 2015.     

FISCAL IMPACT:

           Increases General Fund - State by $1,686,000.

           Reduces General Fund - State by $651,000.

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