Bill Text: NH HB1526 | 2022 | Regular Session | Amended
Bill Title: Relative to income eligibility for in and out medical assistance and relative to the executive committee for the mental health counseling compact.
Spectrum: Moderate Partisan Bill (Democrat 7-1)
Status: (Passed) 2022-06-29 - Signed by Governor Sununu 06/27/2022; Chapter 265; I. Sec 3 eff as provided in sec 4 II. Rem eff. 01/01/2023 House Journal 14 [HB1526 Detail]
Download: New_Hampshire-2022-HB1526-Amended.html
HB 1526-FN - AS AMENDED BY THE SENATE
31Mar2022... 1181h
05/05/2022 1833s
05/05/2022 1956s
2022 SESSION
22-2110
05/04
HOUSE BILL 1526-FN
AN ACT relative to income eligibility for in and out medical assistance.
SPONSORS: Rep. Snow, Hills. 19; Rep. Schapiro, Ches. 16; Rep. McMahon, Rock. 7; Rep. Marsh, Carr. 8; Rep. Langley, Hills. 8; Rep. Wallner, Merr. 10; Sen. Rosenwald, Dist 13; Sen. Sherman, Dist 24
COMMITTEE: Health, Human Services and Elderly Affairs
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AMENDED ANALYSIS
This bill:
I. Repeals the suspension for the biennium ending June 30, 2023, of 2020, 39:1, which required the department of health and human services to amend the income eligibility standard for the "in and out medical assistance" policy.
II. Makes an appropriation to the department of health and human services to implement the revised income eligibility standard.
III. Revises the duties of the executive committee established in the mental health counseling compact, contingent upon the compact becoming law.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
31Mar2022... 1181h
05/05/2022 1833s
05/05/2022 1956s 22-2110
05/04
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Two
AN ACT relative to income eligibility for in and out medical assistance.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Repeal. 2021, 91:424, suspending 2020, 39:1, which required the department of health and human services to amend the income eligibility standard for the "in and out medical assistance" policy, is repealed.
2 Appropriation; In and Out Medical Assistance. The sum of $2,685,192 for the fiscal year ending June 30, 2023 is hereby appropriated to the department of health and human services to implement 2020; 39:1. 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.
3 Mental Health Counseling Compact; Executive Committee Duties. RSA 330-D:8, IV is repealed and reenacted to read as follows:
IV. The executive committee shall:
(a) Have the power to act on behalf of the commission according to the terms of this compact;
(b) Be composed of up to 11 members:
(1) Seven voting members who are elected by the commission from the current membership of the commission; and
(2) Up to 4 ex-officio, non-voting members from 4 recognized national professional counselor organizations to be selected by their respective organizations;
(c) The commission may remove any member of the executive committee as provided in the bylaws;
(d) Meet at least annually; and
(e) Have the following duties and responsibilities:
(1) Recommend to the entire commission changes to the rules or bylaws, changes to this compact legislation, fees paid by the compact member states such as annual dues, and any commission compact fee charged to licensees for the privilege to practice;
(2) Ensure compact administration services are appropriately provided, contractual or otherwise;
(3) Prepare and recommend the budget;
(4) Maintain financial records on behalf of the commission;
(5) Monitor compact compliance of member states and provide compliance reports to the commission;
(6) Establish additional committees as necessary; and
(7) Other duties as provided in rules or the bylaws.
4 Contingency. If SB 397 of the 2022 legislative session becomes law, then section 3 of this act shall take effect at 12:01 AM on the date SB 397 takes effect. If SB 397 of the 2022 legislative session does not become law, then section 3 of this act shall not take effect.
I. Section 3 of this act shall take effect as provided in section 4 of this act.
II. The remainder of this act shall take effect January 1, 2023.
22-2110
Amended 4/26/22
HB 1526-FN- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2022-1181h)
AN ACT relative to income eligibility for in and out medical assistance.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| |||
| Estimated Increase / (Decrease) | |||
STATE: | FY 2022 | FY 2023 | FY 2024 | FY 2025 |
Appropriation | $0 | $2,685,192 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | $1.9 million - $3.8 million in state general funds; the same in matching federal funds | $0 | $0 |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ X ] Other - Matching federal funds | |||
METHODOLOGY:
This bill repeals Chapter 91:424, Laws of 2021, effective January 1, 2023. The section being repealed is a provision in the budget trailer bill that suspended changes to the Medicaid In & Out program for the FY 22/23 biennium. Originally, Chapter 39:1, Laws of 2020 would have required the Department of Health and Human Services to amend the income eligibility standard for the In & Out population to less than or equal to 133 1/3 percent of the income limit contained in Section 1931 of the federal Social Security Act. By suspending this provision, the budget trailer bill delayed the changes (and associated cost) until July 1, 2023. This bill would restore the changes effective January 1, 2023.
The Department states, as of October 2021, there were 6,073 individuals in the In & Out program, of whom 5,104 were in a household of one, 766 were in a household of two, and 203 were in a household of three or more. The current protected income limits are $591 and $675 for households of one and two, respectively.
The Department states that under the proposed change, the maximum protected income level under the In & Out program will increase from $591 to $901 for a household of one and from $675 to $1,047 for a household of two. This change would result in the elimination of the spend-down requirement for 998 individuals (920 in a household of one and 78 in a household of two), resulting in those individuals enrolling in a managed care organization rather than continuing to participate in the fee-for-service based In & Out program. The remaining 5,075 individuals will remain in the fee-for-service program, and will have their spend-down amounts decreased by varying amounts.
With respect to the 998 individuals transitioning to managed care, the Department states that depending on the percentage of individuals who are dually-eligible for both Medicaid and Medicare, total costs will be between $7.6 million and $15.4 million per full year of implementation, of which half (between $3.8 million and $7.7 million) would be paid for with state general funds and half with matching federal funds. The general fund cost of the bill as amended, with its effective date of January 1, 2023, would therefore be half of this amount, or a range of $1.9 million to $3.8 million. The Department is unable to determine the cost for those individuals who will remain in the In & Out program but whose spend-down requirements will be reduced as a result of the proposed change.
This bill contains an appropriation of $2,685,192 in FY23.
AGENCIES CONTACTED:
Department of Health and Human Services
