(Doc Name COUNCIL\NBD\3710C009.NBD.AC13.DOCX):
EXPLANATION:
Amend the bill, as and if amended, Part IB, Section 33, DEPARTMENT OF HEALTH AND HUMAN SERVICES, page 389, after line 12, by inserting:
/33. (DHHS: Medicaid
Expansion) From the funds appropriated and authorized to the
Department of Health and Human Services, including the one
hundred percent federal match, the department shall implement
the following:
(A)
The Department of Health and Human Services shall make
all Medicaid authorizations required to implement the Medicaid
expansion set out in this 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 January 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, which
includes a five percent income disregard; 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, which
includes a five percent income disregard.
(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 newly implemented or expanded as an
alternative to Medicaid expansion during 2014;
(2)
savings realized from preventive services
provided to newly eligible Medicaid beneficiaries pursuant to
the Medicaid expansion during 2014:
(3)
notwithstanding any other provision of
law providing for the disposistion 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 of the General Assembly annually to
continue the Medicaid expansion provided for in this paragraph
in subsequent appropriations acts through December 31 of the
2016-2017 fiscal year./
Renumber sections to conform.
Amend totals and titles to conform.