Idaho Eagle Forum
Legislative Opinion - H0776 Medicaid Simplification
Idaho Eagle Forum urges a NO vote on H0776 - Medicaid Simplification Act.
This legislation splits the Medicaid program into three different programs to serve three separate and distinct populations. That is hardly simplification. What it does do is to pave the way for different eligibility rules and benefit structures to be defined for each population.
In November of last year, the Governor produced a report claiming ‘skyrocketing costs’ for Medicaid but on the first day of the legislature, the budget report to the Idaho legislature stated that Medicaid costs were stable or had declined. The costs that were in fact skyrocketing were for costs incurred by the medically indigent.
In the opinion of Idaho Eagle Forum, the legislature needs to call a halt to the implementation of both the Education and Medicaid legislation until they have taken the time to study the direction of the entire concept of the schools as the center of community (i.e. global village), schools being the coordinator and provider of health services for children and their parents, and the ‘Total Information Awareness’ computer information system (H752) integrated into the Workforce Development system that is planned for the students.
H 776 - Medicaid Simplification Act Related to S 1341
Though not specifically stated in this, the purpose of H 776 is to support the Early Childhood program as defined by Senate Bill 1341. Children and working age adults must be segregated from the rest of the Medicaid population in order to provide benefits under the ‘Care Management System’ through the schools - which in turn gives the schools (see specific language below) the information to keep health records on students in the Student Information Management System (SIMS H752).
Section 56-253 - Powers and Duties of the Director
(3) Each state plan shall
include explicit policy goals for the covered
30 (6) The director may, subject to federal approval, enter into contracts
31 for medical and other services when such contracts are beneficial to partici-
32 pant health outcomes as well as economically prudent for the medicaid program.
33 (7) The director may obtain agreements from medicare, school districts
34 and other entities to provide medical care if it is practical and cost-effec-
Section 56-255 - Medical Assistance Program - Services To Be Provided
27 (2) Specific health benefits and limitations for low-income children and 28 working-age adults include: 29 (a) All services described in subsection (5) of this section; 30 (b) Early and periodic screening, diagnosis and treatment services for 31 individuals under age twenty-one (21) years, and treatment of conditions 32 found; and 33 (c) Cost-sharing required of participants. Participants in the low-income 34 children and working-age adult group are subject to the following premium 35 payments, as stated in department rules:
(3) Each state plan shall include explicit policy goals for the covered
16 population identified in the plan, as well as specific benefit packages,
17 delivery system components and performance measures in accordance with section
18 67-1904, Idaho Code.
Senate Bill 1341 - Early Childhood
Note: Early childhood is defined as ALL children - not just disabled children. The intent is obvious by reviewing a few of the changes to existing law as defined in Senate Bill S1341.
Section 16-103 - Definitions
43 structure established in this chapter, comprised of the interdependent contin-
44 uum of services and activities for the provision of a statewide, comprehen-
45 sive, coordinated, multidisciplinary, interagency program for young children
47 (8) "Early childhood services" means services delivered by entities which
48 meet current nationally recognized standards applicable to them, or other com-
49 parable standards adopted by promulgated rules.
53 the facilities where
55 limited to, the dimensions or size of a facility, communicable disease, social
environment, nutrition, immunization, and fire codes.
See the attached analysis of S.1341 for more on the nature of this program and why they need to create three separate Medicaid programs to implement Early Childhood.
March 8, 2006