HB 1593-FN - AS AMENDED BY THE HOUSE
22Feb2024... 0709h
11Apr2024... 1161h
2024 SESSION
24-2282
05/10
HOUSE BILL 1593-FN
SPONSORS: Rep. Stringham, Graf. 3; Rep. Edwards, Rock. 31
COMMITTEE: Health, Human Services and Elderly Affairs
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AMENDED ANALYSIS
This bill makes an appropriation to the department of health and human services to fund recreational activities for individuals with developmental disabilities.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
22Feb2024... 0709h
11Apr2024... 1161h 24-2282
05/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Department of Health and Human Services; Individuals with Developmental Disabilities; Funding for Recreational Services.
I. Recreational activities typically provide an opportunity for individuals with developmental disabilities to participate in their community in preferred settings, where individuals are able to work on skill development to aid health, wellness, socialization, and safety goals. However, the department of health and human services has received clarification from the Centers for Medicare and Medicaid Services that supports and services that are recreational in nature are not reimbursable services under the Medicaid program.
II. In order to ensure that costs to access recreational services are covered, and that individuals with developmental disabilities are able to participate in recreational activities within their communities, the sum of $500,000 is appropriated to the department of health and human services for the biennium ending June 30, 2025. This appropriation is in addition to any other funds appropriated to the department of health and human services. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated. Any unexpended funds shall lapse to the general fund on June 30, 2025.
III. In order to be eligible to receive funds for recreational services under this section, an individual shall have graduated or exited the school system and be receiving services under the 1915(c) developmental disabilities or acquired brain disorder waiver and shall be requesting payment for an activity or service that cannot be covered by the New Hampshire Medicaid State Plan or a 1915(c) Home and Community Based Waiver.
IV. The department of health and human services shall contract with one or more organizations, such as an area agency as defined in RSA 171-A, to assist in administering these funds. With the approval of the governor, the department may utilize a sole source procurement method to implement recreational services as quickly as possible.
V. Payment for recreational services shall be limited to $600 per individual.
VI. The department of health and human services shall include language in the contracts designated in subparagraph IV to prioritize services previously included in individualized budgets.
VII. The department shall issue an interim report to the fiscal committee on or before April 1, 2025. The report shall include data on utilization, including the number of individuals seeking services in accordance with paragraphs I, II and III, the number of individuals provided services, the types of specific services provided, the total cost of the services provided, and other relevant information necessary to enable the legislature to assess the program.
VIII. The department shall issue a final report to the fiscal committee on or before September 30, 2025. The final report shall include all the information listed in paragraph VII. 2 Effective Date. This act shall take effect upon its passage.
24-2282
Revised 3/6/24
Amended 3/6/24
HB 1593-FN- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2024-0709h)
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| |||||
Estimated State Impact - Increase / (Decrease) | ||||||
| FY 2024 | FY 2025 | FY 2026 | FY 2027 | ||
Revenue | $0 | $0 | $0 | $0 | ||
Revenue Fund(s) | None | |||||
Expenditures | $500,000 | $0 | $0 | |||
Funding Source(s) | General Fund | |||||
Appropriations | $500,000 | $0 | $0 | |||
Funding Source(s) | General Fund | |||||
• Does this bill provide sufficient funding to cover estimated expenditures? [X] Yes • Does this bill authorize new positions to implement this bill? [X] No | ||||||
METHODOLOGY:
This bill makes an appropriation to the Department of Health and Human Services for the purpose of funding recreational activities for individuals with developmental disabilities. Previously funded as part of the state's Medicaid program, the federal Centers for Medicare and Medicaid Services (CMS) has clarified that recreational activities are not eligible for federal reimbursement. This bill contains a $500,000 general fund appropriation in FY24 for the purpose of providing such services, which shall not lapse until July 1, 2025. The bill requires the Department to contract with one or more organizations, such as an area agency, to administer the funds. The Department assumes that any contracted entity will require payment for carrying out this function. Based on an existing contract to administer other, unrelated, services, the Department assumes approximately 12 percent of the funds paid to providers will be retained by the contracted entity. If this is the case, approximately $53,572 of the appropriated amount would be paid to the contractor and the remaining $446,428 would be used for services.
AGENCIES CONTACTED:
Department of Health and Human Services
| Date | Amendment |
|---|---|
| Feb. 14, 2024 | 2024-0709h |
| April 4, 2024 | 2024-1161h |
| Date | Body | Type |
|---|---|---|
| Jan. 10, 2024 | House | Hearing |
| Jan. 18, 2024 | House | Exec Session |
| Feb. 14, 2024 | House | Exec Session |
| Feb. 14, 2024 | House | Floor Vote |
| March 26, 2024 | House | Exec Session |
| March 27, 2024 | House | Floor Vote |
| April 30, 2024 | Senate | Hearing |
April 23, 2024: Hearing: 04/30/2024, Room 103, SH, 01:40 pm; SC 17
April 16, 2024: Introduced 04/11/2024 and Referred to Finance; SJ 10
April 11, 2024: Ought to Pass with Amendment 2024-1161h: MA VV 04/11/2024 HJ 11
April 11, 2024: Amendment # 2024-1161h: AA VV 04/11/2024 HJ 11
March 29, 2024: Committee Report: Ought to Pass with Amendment # 2024-1161h 03/27/2024 (Vote 23-1; RC) HC 14 P. 14
March 21, 2024: Executive Session: 03/26/2024 01:00 pm LOB 210-211
March 12, 2024: Division Work Session: 03/22/2024 12:00 pm LOB 210-211
March 12, 2024: Division Work Session: 03/18/2024 02:00 pm LOB 210-211
March 7, 2024: Division Work Session: 03/11/2024 01:00 pm LOB 210-211
Feb. 28, 2024: Division Work Session: 03/06/2024 02:30 pm LOB 210-211
Feb. 22, 2024: Referred to Finance 02/22/2024 HJ 6
Feb. 22, 2024: Ought to Pass with Amendment 2024-0709h: MA VV 02/22/2024 HJ 6
Feb. 22, 2024: Amendment # 2024-0709h: AA VV 02/22/2024 HJ 6
Feb. 14, 2024: Committee Report: Ought to Pass with Amendment # 2024-0709h 02/14/2024 (Vote RC; )
Feb. 7, 2024: ==CONTINUED== Executive Session: 02/14/2024 09:30 am LOB 210-211
Jan. 5, 2024: ==RECESSED== Executive Session: 01/18/2024 11:00 am LOB 210-211
Jan. 5, 2024: Public Hearing: 01/10/2024 01:00 pm LOB 210-211
Dec. 15, 2023: Introduced 01/03/2024 and referred to Health, Human Services and Elderly Affairs HJ 1