COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 2016-01
Bill No.: SB 695
Subject: Appropriations; Medicaid
Type: Original
Date: March 18, 2003
FISCAL SUMMARY
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on General Revenue Fund |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on Other State Funds |
$0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Local Government | $0 | $0 | $0 |
ASSUMPTION
Officials from the Department of Elementary and Secondary Education and the Department of Corrections state this proposal would not fiscally impact their agencies.
Officials from the Department of Social Services - Division of Medical Services (DMS) state that the Medicaid program is an entitlement program. The DMS states it is mandated to provide services authorized by the Missouri General Assembly to Medicaid eligibles regardless of the amount of funding. The DMS states the language in this proposal attached to each section of statute dealing with appropriations seems to imply that statutorily authorized services can be discontinued without specific General Assembly action.
The DMS states adding the words "subject to appropriation" is not anticipated to cost the DMS more than today's operations of the Medicaid program. The DMS states savings are not anticipated either by adding the words "subject to appropriation" due to the ensuing litigation resulting from discontinued or limited services without specific legislative authorization. Therefore, the DMS assume no fiscal impact.
Officials from the Department of Health and Senior Services (DOH) state this proposal has an unknown fiscal impact because all funding for any services provided pursuant to all sections
ASSUMPTION (continued)
listed are limited to the appropriations made available for such services.
Officials from the Department of Mental Health (DMH) state the proposal adds the statement "Funding for any services provided pursuant to this section are limited to the appropriations made available for such services" to 35 statutory sections dealing with the Medicaid program. Several of these statutory sections involve Medicaid programs for which state match is provided from the DMH budget. The DMH assumes the new language is intended to limit increases in state Medicaid expenditures caused by statutory expansion of program eligibility and service coverage. The state match that comes from the DMH budget is for Medicaid program services provided or purchased by the DMH, including those administered under cooperative agreements with the Division of Medical Services. The DMH states it manages these dollars within appropriated limits. Therefore, the DMH assumes the proposed new statutory language has no fiscal impact on DMH.
| FISCAL IMPACT - State Government | FY 2004
(10 Mo.) |
FY 2005 | FY 2006 |
| $0 | $0 | $0 |
| FISCAL IMPACT - Local Government | FY 2004
(10 Mo.) |
FY 2005 | FY 2006 |
| $0 | $0 | $0 |
FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
DESCRIPTION
This act stipulates that funding for Medicaid services shall be limited to the appropriations made available for the services.
This legislation is not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.
SOURCES OF INFORMATION
Department of Social Services
Department of Health and Senior Services
Department of Mental Health
Department of Elementary and Secondary Education
Department of Corrections
Mickey Wilson, CPA
Director
March 18, 2003