FISCAL NOTE
Date Requested: February 18, 2019
Time Requested: 11:48 AM |
| Agency: |
Health and Human Resources, WV Department of |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 3324 |
Introduced |
SB641 |
|
|---|
| CBD Subject: |
Health |
|---|
|
FUND(S):
5084 - MEDICAL SERVICES PROGRAM FUND
Sources of Revenue:
Other Fund Federal Funds
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to change the Primary Care Revolving Loan fund to a grant fund.
The Department shall alter the current Primary Care Revolving Loan fund to a grant program and secure federal Medicaid matching funds. This program has historically provided grant funding to primary care centers in need of immediate financial assistance. Those entities not designated as a federally qualified health center receiving grant funding at the time this program is created shall continue to receive grant funding annually. Upon approval by the secretary of the department, federally qualified health centers in need of immediate financial assistance may be granted funding annually. All remaining funds may be transferred to Medicaid for the purpose of securing federal medical assistance percentage funding.
By transferring the funding currently allocated to federally qualified health centers through the Bureau for Public Health (BPH) to Medicaid, an estimated matching amount of $12,058,866 for FY2020 and $11,824,349 for FY2021 could potentially be secured from the Centers from Medicaid and Medicare (CMS).
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2019
Increase/Decrease
(use"-") |
2020
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
0 |
0 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
12,058,866 |
11,824,349 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
0 |
0 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
The state dollars to be transferred to Medicaid and to be matched with federal dollars from CMS is $3,040,040. The calculation used the traditional Federal Medical Assistance Percentage (FMAP) rate of 74.79% for FY2020 and 74.29% estimated FMAP for FY2021. The estimated federal dollars received are $12,058,866 for FY2020 and $11,824,349 for FY2021.
Memorandum
Person submitting Fiscal Note: Bill J. Crouch
Email Address: Bill.J.Crouch@wv.ogv