HB 1355-FN – AS INTRODUCED
2010 SESSION
01/09
HOUSE BILL 1355-FN
AN ACT relative to certain Medicaid appropriations.
SPONSORS: Rep. Harding, Graf 11; Rep. Wendelboe, Belk 1; Rep. DeJoie, Merr 11; Rep. Miller, Belk 3; Rep. Millham, Belk 5; Sen. Gilmour, Dist 12; Sen. Gallus, Dist 1; Sen. Odell, Dist 8; Sen. Fuller Clark, Dist 24; Sen. Bradley, Dist 3
This bill prohibits transfers of funds out of any class line which is the source of payment for Medicaid providers through the use of a budget neutrality factor, a proportionate discount factor, or any similar rate reduction device.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
10-2355
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Ten
AN ACT relative to certain Medicaid appropriations.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Transfers Prohibited. Amend RSA 9 by inserting after section 16-b the following new section:
9:16-c Transfers Prohibited. Notwithstanding any other provision of law to the contrary, there shall be no transfer of funds out of any class line which is the source of payment for Medicaid providers whose reimbursement rates are set by the department of health and human services and whose rates have been reduced by the department of health and human services through the use of a budget neutrality factor, a proportionate discount factor, or any similar reduction device.
2 Effective Date. This act shall take effect upon its passage.
LBAO
10-2355
11/10/09
HB 1355-FN - FISCAL NOTE
AN ACT relative to certain Medicaid appropriations.
FISCAL IMPACT:
The Department of Health and Human Services states this bill may have an indeterminable impact on state expenditures in FY 2010 and each year thereafter. There would be no fiscal impact on state, county, and local revenue, or county and local expenditures.
METHODOLOGY:
This Department of Health and Human Services (DHHS) states this bill would prohibit the transfer of funds out of any class line that is the source of payment for Medicaid providers through the use of budget neutrality factor, a proportionate discount factor, or any similar rate reduction device. As a result, the Department states the Bureau of Elderly and Adult Services (BEAS) would be prohibited from transferring any surplus funds from class 504 Nursing Home Payments and class 529 Home Health Services. The inability to transfer surplus funds in a long-term care class line due to underutilization to offset a deficit in another long-term care class line will place an increased burden on the Bureau to address future surpluses and/or deficits. Another complication is the segregation of categories of service and dollars within a class line. Class 529 Home Health Services has some other categories of service (nursing, home health aide) that meet the criteria in the bill while other categories of service (homemaker, respite) do not. The Department cannot determine whether or not the Bureau would be allowed to transfer dollars allocated to those services that do not meet the criteria in the bill. The Department states the exact fiscal impact, if any, cannot be determined at this time.