MISSISSIPPI LEGISLATURE

1998 Regular Session

To: Appropriations

By: Representatives Holland, Nettles, Barnett (92nd), Frierson, Moody, Read, Scott (17th), Stevens

AN ACT MAKING AN APPROPRIATION TO THE GOVERNOR'S OFFICE - DIVISION OF MEDICAID FOR THE PURPOSE OF PROVIDING MEDICAL ASSISTANCE UNDER THE MISSISSIPPI MEDICAID LAW AND DEFRAYING THE EXPENSES OF THE ADMINISTRATION OF SUCH LAW FOR THE FISCAL YEAR 1999.  

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1. The following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in the State General Fund not otherwise appropriated, to the Governor's Office - Division of Medicaid for the purpose of providing medical assistance under the Mississippi Medicaid Law and defraying the expenses of the administration of such law, as provided in Section 43-13-101 et seq., Mississippi Code of 1972, for the fiscal year beginning July 1, 1998, and ending June 30, 1999

$ 216,202,195.00.

SECTION 2. The following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in the State Treasury to the credit of the Medical Care Fund created by Section 43-13-143, Mississippi Code of 1972, for the purpose of providing medical assistance under the Mississippi Medicaid Law for the fiscal year beginning July 1, 1998, and ending June 30, 1999

$ 173,142,760.00.

SECTION 3. The following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in any special fund in the State Treasury to the credit of the Governor's Office - Division of Medicaid which is comprised of special source funds collected by or otherwise available to the commission, for the purpose of providing medical assistance under the Mississippi Medicaid Law and defraying the expenses of the administration of such law, for the fiscal year beginning July 1, 1998, and ending June 30, 1999 $ 1,605,650,916.00.

Prior period recovery of funds may be maintained and expended by the division when the recovery is received or finalized.

SECTION 4. Of the funds appropriated under the provisions of Sections 1, 2 and 3, not more than the amounts set forth below shall be expended for the respective major objects or purposes of expenditure:

MAJOR OBJECTS OF EXPENDITURE:

Personal Services:

Salaries, Wages and Fringe Benefits $ 13,899,021.00

Travel and Subsistence 415,000.00

Contractual Services 50,600,000.00

Commodities 525,000.00

Capital Outlay:

Other Than Equipment 0.00

Equipment 2,188,650.00

Subsidies, Loans and Grants 1,927,368,200.00

Total $ 1,994,995,871.00

FUNDING:

General Funds $ 216,202,195.00

Special Funds 1,778,793,676.00

Total $ 1,994,995,871.00

AUTHORIZED POSITIONS:

Permanent: Full Time. . . . . . . . . 385

Part Time. . . . . . . . . 0

Time-Limited: Full Time. . . . . . . . . 23

Part Time. . . . . . . . . 0

From the funds provided in the budget category "Personal Services: Salaries, Wages and Fringe Benefits," funds may be expended for the following purposes, in compliance with the policies established by the State Personnel Board and any conditions placed on such expenditures:

(a) The components of the Variable Compensation Plan shall be maintained within the constraints of the funds appropriated herein, including the implementation of the Information Technology Special Compensation Plan as approved by the State Personnel Board. Unless otherwise permitted by law, no single event, including appointment, promotion, reclassification, reallocation, or other employee salary increase shall exceed the greater of (1) the difference between the starting salary of the current classification and the new classification added to the current salary, or (2) the salary that could be paid to an equally qualified newly hired employee.

(b) Funds are provided herein to fund MH-Direct Care Worker classification increases resulting from implementing the provisions of Senate Bill No. 2100 passed by the 1997 Legislature.

(c) Funds are provided herein to fund all eligible state employees a One Thousand Five Hundred Dollar ($1,500.00) "In-Service" COLA base salary increase effective July 1, 1998.

It is the agency's responsibility to make certain that funds required to be appropriated for Personal Services for Fiscal Year 1999 do not exceed Fiscal Year 1999 funds appropriated for that purpose unless programs and/or positions are added to the agency's budget by the Mississippi Legislature.

Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law.

No general funds authorized to be expended herein shall be used to replace federal funds and/or other special funds which are being used for salaries authorized under the provisions of this act and which are withdrawn and no longer available.

It is the intent of the Legislature that the Health-Max Program be expanded statewide.

SECTION 5. In compliance with the "Mississippi Performance Budget and Strategic Planning Act of 1994," it is the intent of the Legislature that the funds provided herein shall be utilized in the most efficient and effective manner possible to achieve the intended mission of this agency. Based on the funding authorized, this agency shall make every effort to attain the targeted performance measures provided below:

FY99

Performance Measures Target

Administrative Services

Administration as a percent of total budget 3.3

Medical Services

Recipients (persons) 540,000

Recipients in managed care 125,000

Primary care physicians 4,700

A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 1999.

SECTION 6. It is the intent of the Legislature that there shall be no further expansion of the Capitated Managed Care Program beyond the six (6) counties that the Capitated Managed Care Program is currently in.

SECTION 7. None of the funds provided herein may be spent after December 31, 1998, unless the Division of Medicaid applies to the federal Health Care Financing Administration (HCFA) for a waiver covering persons with catastrophic illnesses.

SECTION 8. It is the intent of the Legislature that the Division of Medicaid shall occupy an additional one and one-half (1 1/2) floors in the Robert E. Lee State Office Building. Any and all state agencies and boards occupying the needed space shall be vacated from that space.

SECTION 9. With the funds provided herein, it is the intention of the Legislature that Thirteen Thousand Seven Hundred Eighty-six Dollars ($13,786.00) shall be transferred to the Mississippi Department of Information Technology Services for the statewide data network backbone.

SECTION 10. Of the funds provided herein, Six Million Three Hundred Thousand Two Hundred Dollars ($6,300,200.00) is provided to match federal funds for the State Child Health Insurance Program (SCHIP).

SECTION 11. The money herein appropriated shall be paid by the State Treasurer out of any money in the State Treasury to the credit of the proper fund or funds as set forth in this act, upon warrants issued by the State Fiscal Officer; and the State Fiscal Officer shall issue his warrants upon requisitions signed by the proper person, officer or officers in the manner provided by law.

SECTION 12. This act shall take effect and be in force from and after July 1, 1998.