MISSISSIPPI LEGISLATURE

2000 Regular Session

To: Appropriations

By: Representatives Holland, Peranich, Barnett (92nd), Bowles, Frierson, Gibbs, McBride, Mitchell, Moody, Scott (17th), Shows, 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 2001.

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, 2000, and ending June 30, 2001

$ 220,637,540.00.

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, 2000, and ending June 30, 2001

$ 189,978,008.00.

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, 2000, and ending June 30, 2001 $ 1,791,533,565.00.

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

SECTION 4. 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 Health Care Expendable Fund, for the purpose of defraying the expenses of the Governor's Office - Division of Medicaid for the fiscal year beginning July 1, 2000, and ending June 30, 2001 $ 27,830,000.00.

The above funds shall be allocated as follows:

CHIP Program at 200% level of poverty.....$7,500,000.00

Eyeglasses for adults.....................$1,700,000.00

Home and Community Waiver Program.........$4,795,000.00

Expand coverage for Poverty Level Aged and

Disabled group..........................$9,500,000.00

Disabled worker buy-in to the Medicaid

program.................................$1,835,000.00

Dental fee increase.......................$2,200,000.00

Miscellaneous.............................$ 300,000.00

SECTION 5. Of the funds appropriated under the provisions of Sections 1, 2, 3 and 4, 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 $ 15,839,786.00

Travel and Subsistence 605,000.00

Contractual Services 61,313,000.00

Commodities 609,000.00

Capital Outlay:

Other Than Equipment 0.00

Equipment 1,600,000.00

Subsidies, Loans and Grants 2,150,012,327.00

Total $ 2,229,979,113.00

FUNDING:

General Funds $ 220,637,540.00

Special Funds 2,009,341,573.00

Total $ 2,229,979,113.00

AUTHORIZED POSITIONS:

Permanent: Full Time 504

Part Time 0

Time-Limited: Full Time 0

Part Time 0

With the funds herein appropriated, it is the intention of the Legislature that it shall be the agency's responsibility to make certain that funds required to be appropriated for "Personal Services" for Fiscal Year 2002 do not exceed Fiscal Year 2001 funds appropriated for that purpose, unless programs or positions are added to the agency's Fiscal Year 2002 budget by the Mississippi Legislature. Based on data provided by the Legislative Budget Office, the State Personnel Board shall determine and publish the projected annual cost to fully fund all appropriated positions in compliance with the provisions of this act. It shall be the responsibility of the agency head to insure that no single personnel action increases this projected annual cost and/or the Fiscal Year 2001 appropriation for "Personal Services" when annualized. If, at the end of any calendar month, the State Personnel Board determines that the agency has taken action(s) which would cause the agency to exceed this projected annual cost or the Fiscal Year 2001 "Personal Services" appropriated level, when annualized, then only those actions which reduce the projected annual cost and/or the appropriation requirement will be processed by the State Personnel Board until such time as the requirements of this provision are met.

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 6. 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:

FY01

Performance Measures Target

Administrative Services

Administration as a percent of total budget 3.72

Medical Services

Recipients (persons) 500,000

Recipients in managed care 200,000

Primary care physicians 5,200

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 2002.

SECTION 7. None of the funds appropriated herein shall be expended until the Executive Director of the Division of Medicaid submits a waiver request to the Federal Health Care Finance Authority for an Assisted Living Program.

SECTION 8. 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 9. This act shall take effect and be in force from and after July 1, 2000.