HB1236 (2024) Detail

(Second Title) establishing a pilot recruitment and retention program within the department of health and human services and relative to the income eligibility for "in and out medical assistance" under the state Medicaid plan.


HB 1236 - VERSION ADOPTED BY BOTH BODIES

 

05/23/2024   1996s

05/23/2024   2174s

05/23/2024   2079s

13Jun2024... 2240CofC

2024 SESSION

24-2182

05/02

 

HOUSE BILL 1236

 

AN ACT establishing a pilot recruitment and retention program within the department of health and human services and relative to the income eligibility for "in and out medical assistance" under the state Medicaid plan.

 

SPONSORS: Rep. Hunt, Ches. 14

 

COMMITTEE: Commerce and Consumer Affairs

 

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AMENDED ANALYSIS

 

This bill establishes a pilot recruitment and retention program in the department of health and human services and authorizes the department of administrative services to establish certain positions at Hampstead Hospital Residential Treatment Facility for staff currently employed by Wellpath Recovery Solutions, LLC.

 

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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

05/23/2024   1996s

05/23/2024   2174s

05/23/2024   2079s

13Jun2024... 2240CofC 24-2182

05/02

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty Four

 

AN ACT establishing a pilot recruitment and retention program within the department of health and human services and relative to the income eligibility for "in and out medical assistance" under the state Medicaid plan.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

1 Department of Health and Human Services; Recruitment and Retention Program; Pilot.

I. The general court finds that the recruitment and retention of employees within the department of health and human services is necessary to maintaining a strong and vital workforce within the array of critical service deliveries within its jurisdiction including those administered through the department’s division for children, youth and families and Hampstead hospital residential treatment facility (HHRTF).  The intent of this act is to proactively address vacancy rates, fluctuations experienced in census populations, acuity of care and reliance on contracted staff at the current Sununu youth services center (SYSC) and at the secured treatment facility to replace SYSC and at HHRTF.

II.  The department shall establish a pilot recruitment and retention program.  The program may include:  

(a) Any recruitment or retention incentives received by a department employee pursuant to this paragraph shall not be considered gifts under RSA 15-B.

(b) Any expenditures made for recruitment or retention incentives pursuant to this paragraph shall be considered a matter of legislatively enacted public policy that is designed to benefit certain department employees and the state, and that is confined exclusively to the public employer by statute as provided in RSA 273-A:1, XI, and which shall not be subject to collective bargaining.  Nothing in this paragraph shall be construed to invalidate any portion of a collective bargaining agreement entered into by the state.

III. On or before December 31, 2024, the department shall provide a report on the effectiveness of the pilot established in paragraph II for possible inclusion in the state operating budget for the biennium ending June 30, 2027, to the senate health and human services committee, the house health, human services and elderly affairs committee, the senate and house finance committees, the senate president, the speaker of the house of representatives, and the governor.

2  Department of Administrative Services; Hampstead Hospital Residential Treatment Facility; Establishing Certain Positions.

I.  For the biennium ending June 30, 2025, the department of administrative services shall have the authority to establish any temporary or permanent positions necessary for the department of health and human services to hire and retain the staff currently employed by Wellpath Recovery Solutions, LLC to work at Hampstead Hospital Residential Treatment Facility (HHRTF).

II.  Notwithstanding any law or rule to the contrary, staff working at HHRTF pursuant to paragraph I shall maintain current pay and vacation, sick, and leave time.  State health and dental benefits shall be available upon hire.  Accruals for vacation, sick, and leave time shall be determined based on a staff member's length of service at HHRTF, taking into account all years of service, no matter the employer.

3  Repeal.  Section 1 of this act, relative to a pilot recruitment and retention program within the department of health and human services, is repealed.

4  Department of Health and Human Services; Income Eligibility for "In and Out Medical Assistance."  Amend 2020, 39:1 to read as follows:

39:1  Department of Health and Human Services; Income Eligibility for "In and Out Medical Assistance."  The commissioner of the department of health and human services shall amend the income eligibility requirement for "in and out medical assistance" defined in section 625 of the department's medical assistance manual as less than or equal to 133 1/3 percent of the section 1931 income limit or using methodology as described in section 1902(r)(2) of the federal Social Security Act.  Subject to approval by the Centers for Medicare and Medicaid Services, effective January 1, 2025, the income eligibility limit shall be increased by 3.2 percent.  Beginning July 1, 2025, and annually thereafter each July 1, the income eligibility limit shall be adjusted in accordance with the federal Social Security Administration’s annual cost of living adjustment in effect on January 1 of the same respective calendar year.

5  Department of Health and Human Services; Income Eligibility for "In and Out Medical Assistance;” Supplemental Appropriation.  The sum of $671,298 for the fiscal year ending June 30, 2025, is hereby appropriated to the department of health and human services for the purposes of implementing section 4 of this act.  The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated.  The department may accept and expend matching federal funds for this purpose without prior approval of the fiscal committee.

6  Effective Date.

I.  Section 2 of this act shall take effect July 1, 2024.

II.  Sections 3 of this act shall take effect September 15, 2025.

III. Sections 4-5 of this act shall take effect July 1, 2024.

IV.  The remainder of this act shall take effect upon its passage.

 

LBA

24-2182

Amended 5/31/24

 

HB 1236- FISCAL NOTE

AS AMENDED BY THE SENATE (AMENDMENTS #2024-1996s, #2024-2174s, and #2024-2089s)

 

AN ACT establishing a pilot recruitment and retention program within the department of health and human services and relative to the income eligibility for "in and out medical assistance" under the state Medicaid plan.

 

FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None

 

 

Estimated State Impact - Increase / (Decrease)

 

FY 2024

FY 2025

FY 2026

FY 2027

Revenue

$0

$0

$0

$0

Revenue Fund(s)

None

Expenditures

$0

$860,000 - $910,000 (Sections 1-3); $671,298 (Section 4)

Indeterminable Increase

Indeterminable Increase

Funding Source(s)

General Fund

Appropriations

$0

$671,298

$0

$0

Funding Source(s)

General Fund

Does this bill provide sufficient funding to cover estimated expenditures? [X] See Below

Does this bill authorize new positions to implement this bill? [X] Yes

 

METHODOLOGY:

Sections 1-3 of this bill establish a pilot recruitment and retention program in the Department of Health and Human Services.  The program is effective upon passage, with a sunset provision of September 15, 2025.  Generally, the program will be directed at 24/7 facilities, with the intent to address vacancy rates, fluctuations experienced in census populations, acuity of care, and reliance on contracted staff at the current Sununu youth services center (SYSC), the secured treatment facility to replace SYSC, and the Hampstead hospital residential treatment facility (HHRTF).  Although there is no funding provided in the bill, the Department anticipates using funding within the agency’s existing operating budget for the FY24/25 biennium. The Department anticipates the cost in FY25 to be between $860,000 and $910,000, as follows:

 

• SYSC or replacement facility a range of $500,000 to $550,000

• HHRTF estimated $360,000 for hiring bonus, retention and weekend shift bonuses

 

The Department anticipates the cost in FY 2026 to be approximately 21 percent of FY 2025 (76 days / 365 days = 21%) expenses, or $180,600 to $191,100.

 

Section 4 requires the Department of Health and Human Services to increase the income eligibility limit for In and Out Medical Assistance by 3.2 percent effective January 1, 2025. Beginning July 1, 2025 and each year thereafter, the limit shall be adjusted in accordance with the federal Social Security Administration's annual cost of living adjustment.  The bill, in section 5, appropriates $671,298 in FY25 for the purposes of this section.

 

AGENCIES CONTACTED:

Department of Health and Human Services

 

Amendments

Date Amendment
May 8, 2024 2024-1745s
May 15, 2024 2024-1996s
May 23, 2024 2024-2079s
May 23, 2024 2024-2174s

Links


Date Body Type
Jan. 18, 2024 House Hearing
March 13, 2024 House Exec Session
March 13, 2024 House Floor Vote
May 15, 2024 Senate Hearing
May 15, 2024 Senate Hearing
May 23, 2024 Senate Floor Vote
May 22, 2024 Senate Floor Vote
June 13, 2024 Senate Floor Vote
June 13, 2024 Senate Floor Vote
June 13, 2024 House Floor Vote

Bill Text Revisions

HB1236 Revision: 42621 Date: June 13, 2024, 2 p.m.
HB1236 Revision: 42449 Date: May 31, 2024, 2:20 p.m.
HB1236 Revision: 42328 Date: May 23, 2024, 3:48 p.m.
HB1236 Revision: 42329 Date: May 23, 2024, 3:48 p.m.
HB1236 Revision: 42035 Date: May 15, 2024, 2:41 p.m.
HB1236 Revision: 41909 Date: May 8, 2024, 9:28 a.m.
HB1236 Revision: 39705 Date: Dec. 1, 2023, 3:21 p.m.

Docket


June 13, 2024: Conference Committee Report 2024-2240c: Adopted, VV 06/13/2024 HJ 16


June 12, 2024: Conference Committee Report # 2024-2240c, Adopted, VV; 06/13/2024; SJ 17


June 6, 2024: Conference Committee Report Filed, # 2024-2240c; 06/13/2024


June 4, 2024: Conference Committee Meeting: 06/04/2024 10:00 am LOB 302-304


May 30, 2024: President Appoints: Senators Bradley, Birdsell, Prentiss; 05/30/2024; SJ 16


May 30, 2024: Speaker Appoints: Reps. Hunt, Ammon, Burroughs, Beaulieu 05/30/2024 HJ 15


May 30, 2024: Sen. Birdsell Accedes to House Request for Committee of Conference, MA, VV; 05/30/2024; SJ 16


May 30, 2024: House Non-Concurs with Senate Amendment 2024-1996s 2024-2174s and 2024-2079s and Requests CofC (Rep. Weber): MA VV 05/30/2024 HJ 15


May 30, 2024: Speaker Appoints: Reps. Hunt, Ammon, Burroughs, Beaulieu 05/30/2024 HJ 15


May 30, 2024: House Concurs with Senate Amendment 2024-1996s 2024-2174s and 2024-2079s (Rep. Hunt): MF DV 175-194 05/30/2024 HJ 15


May 30, 2024: House Non-Concurs with Senate Amendment 2024-1996s 2024-2174s and 2024-2079s and Requests CofC (Rep. Weber): MA VV 05/30/2024 HJ 15


May 30, 2024: President Appoints: Senators Bradley, Birdsell, Prentiss; 05/30/2024; SJ 16


May 30, 2024: Sen. Birdsell Accedes to House Request for Committee of Conference, MA, VV; 05/30/2024; SJ 16


May 30, 2024: House Concurs with Senate Amendment 2024-1996s 2024-2174s and 2024-2079s (Rep. Hunt): MF DV 175-194 05/30/2024 HJ 15


May 23, 2024: Without Objection, the Clerk is authorized to make technical and administrative corrections which are necessary to reflect the intent of the Senate, MA; 05/23/2024; SJ 15


May 23, 2024: Ought to Pass with Amendments 2024-1996s, 2024-2174s, and 2024-2079s, MA, VV; OT3rdg; 05/23/2024; SJ 15


May 23, 2024: Sen. Bradley Floor Amendment # 2024-2079s, AA, VV; 05/23/2024; SJ 15


May 23, 2024: Sen. Bradley Floor Amendment # 2024-2174s, AA, VV; 05/23/2024; SJ 15


May 23, 2024: Committee Amendment # 2024-1996s, AA, VV; 05/23/2024; SJ 15


May 22, 2024: Special Order to the end of the calendar on 05/23/2024, Without Objection, MA; 05/22/2024; SJ 14


May 22, 2024: Sen. Birdsell Moved to Remove HB 1236 from the Consent Calendar; 05/22/2024; SJ 14


May 16, 2024: Committee Report: Ought to Pass with Amendment # 2024-1996s, 05/22/2024; Vote 5-0; CC; SC 20


May 8, 2024: Hearing: 05/15/2024, Room 101, LOB, 09:15 am, on proposed non-germane amendment # 2024-1745s; SC 19


May 8, 2024: Hearing: 05/15/2024, Room 101, LOB, 09:00 am; SC 19


April 2, 2024: Introduced 03/21/2024 and Referred to Health and Human Services; SJ 8


March 28, 2024: Ought to Pass: MA VV 03/28/2024 HJ 10


March 20, 2024: Committee Report: Ought to Pass 03/13/2024 (Vote 18-0; CC) HC 12 P. 6


March 7, 2024: Executive Session: 03/13/2024 10:00 am LOB 302-304


Feb. 7, 2024: Subcommittee Work Session: 02/14/2024 10:00 am LOB 302-304


Jan. 9, 2024: Public Hearing: 01/18/2024 10:00 am LOB 302-304


Dec. 1, 2023: Introduced 01/03/2024 and referred to Commerce and Consumer Affairs