(Doc Name h:\legwork\house\amend\h-wm\003\medicaid expan j smith.docx):
EXPLANATION: Medicaid Expansion
Amend the bill, as and if amended, Part IB, Section 33,
DEPARTMENT OF HEALTH & HUMAN SERVICES, page 409, after line
10, by adding an appropriately numbered paragraph to read:
/(DHHS: Medicaid Expansion) From the funds appropriated
and authorized to the Department of Health and Human Services,
including federal and other funds, the department shall
implement the following:
(A) All Medicaid authorizations and state plan amendments
required to implement the Medicaid expansion set out in
subparagraph (B); however, implementation of subparagraph (B) is
dependent upon the federal government providing one hundred
percent of the Medicaid funding necessary for expansion in
accordance with the Patient Protection and Affordable Care Act,
P.L. 111-148 of 2010, as amended by the Health Care and
Education Reconciliation Act, P.L. 111-152 of 2010.
(B) Beginning July 1, 2014, the following are eligible
for Medicaid pursuant to the provisions of the Patient
Protection and Affordable Care Act, P.L. 111-148 of 2010, as
amended by the Health Care and Education Reconciliation Act, P.
L. 111-152, of 2010:
(1) a family with income at or below one hundred
thirty-three percent of the federal poverty level; and
(2) a childless individual nineteen through
sixty-four years of age with income at or below one hundred
thirty-three percent of the federal poverty level.
(C) There is created the Contingency Fund for Continued
Care in the Office of the State Treasurer, a fund separate and
distinct from the general fund of the state for the purpose of
preserving funds for the continuation of Medicaid expansion if
authorized by the General Assembly pursuant to subparagraph
(D). The following must be deposited into this fund:
(1)
health care savings generated from programs, policies, and
procedures of the Department of Health and Human Services as
provided in the Healthy Outcomes Inititive during fiscal year
2015 ;
(2) savings realized from preventive services
provided to newly eligible Medicaid beneficiaries pursuant to
the Medicaid expansion during 2015:
(3) notwithstanding any other provision of law
providing for the disposition of any tax or fee, net state tax
revenue generated from implementation of the Medicaid expansion
and the commensurate growth in jobs and increased income and
purchasing.
To determine the funds to be deposited in the
Contingency Fund for Continued Care pursuant to this
subparagraph, the State Budget and Control Board, Research and
Statistics Division, shall work in conjunction with the
Department of Health and Human Services and in consultation with
the South Carolina Primary Care Association and the South
Carolina Hospital Association and shall submit their findings to
the State Budget and Control Board.
The Department of Revenue, in consultation with the
Board of Economic Advisors and other agencies as needed, shall
determine the funds to be deposited in the Contingency Fund for
Continued Care and shall submit its findings to the Budget and
Control Board.
The State Budget and Control Board shall certify to the
State Treasurer the transfer of funds pursuant to this
subparagraph to the Contingency Fund for Continued Care.
(D) It is the intention that the General Assembly may
authorize the continued participation of the State in Medicaid
expansion in subsequent appropriations acts through December 31
of the 2016-17 fiscal year, in accordance with the provisions of
the Patient Protection and Affordable Care Act, as amended, if
the General Assembly finds that Medicaid expansion has
substantially achieved its goals of providing Medicaid to newly
eligible beneficiaries and generating health care savings and
state tax revenue./
Renumber sections to conform.
Amend totals and titles to conform.