Revision: April 21, 2023, 9:10 a.m.
HB 642-FN - AS AMENDED BY THE HOUSE
22Mar2023... 0940h
2023 SESSION
23-0607
04/08
HOUSE BILL 642-FN
AN ACT relative to wait list registry and budget flexibility for services for the developmentally disabled.
SPONSORS: Rep. Stringham, Graf. 3
COMMITTEE: Health, Human Services and Elderly Affairs
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AMENDED ANALYSIS
This bill expands the allowable budgets for agencies providing services to the developmentally disabled to include on their wait list registry application. This bill also mandates the department of health and human services use existing budget appropriations to negotiate reasonable wages and service budgets for services for the developmentally disabled.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
22Mar2023... 0940h 23-0607
04/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Three
AN ACT relative to wait list registry and budget flexibility for services for the developmentally disabled.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Services for the Developmentally Disabled; Wait List Registry and Budget Flexibility. Amend RSA 171-A by inserting after section 1-d the following new section:
171-A:1-e Wait List Registry and Budget Flexibility. In completing the wait list registry, area agencies may include budgets older than 24 months where funds may be needed to cover additional expenditures, such as cost-of-living or other wage and compensation increases. The department shall use existing budget appropriations to negotiate reasonable wages and appropriate service budgets with area agencies and service providers.
2 Prospective Repeal. RSA 172-A:1-e, relative to the wait list registry and budget flexibility for services for the developmentally disabled, is repealed.
I. Section 2 of this act shall take effect July 1, 2027.
II. The remainder of this act shall take effect upon its passage.
23-0607
Amended 4/20/23
HB 642-FN- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2023-0940h)
AN ACT relative to wait list registry and budget flexibility for services for the developmentally disabled.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| Estimated Increase / (Decrease) | |||
STATE: | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
Appropriation | $0 | $0 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | Indeterminable | Indeterminable | Indeterminable |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ X ] Other - Federal funds | |||
METHODOLOGY:
This bill allows area agencies, when completing the wait list registry for developmental services, to include budgets older than 24 months where funds may be needed to cover additional expenditures. The Department of Health and Human Services assumes the intent of this change is not to allow for retroactive payments, but rather for the Department to review said budgets to determine whether the costs to provide services to individuals have increased. The bill requires the Department to use existing budget appropriations to negotiate reasonable wages and service budgets with area agencies and service providers. This provision itself does not create a fiscal impact, since it would only require the Department to work within the budgeted appropriations in place at any given time. However, to the extent that the bill's language compels an increase in funds paid for certain services, the Department notes that it could theoretically result in the creation of a wait list for services, as well as increased departmental budget requests in future years.
AGENCIES CONTACTED:
Department of Health and Human Services