(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.