Senate Bill 1185 Summary

• Appropriates $3,733,364,400 to the Department of Health and Welfare Division of Medicaid for fiscal year 2022 (July 1, 2021 - June 30, 2022) across five programs: Medicaid Administration, Coordinated Plan, Enhanced Plan, Basic Plan, and Expansion Plan.

• Authorizes a maximum of 213.00 full-time equivalent positions for the Medicaid Administration and Medical Management Program, with any increases requiring Governor approval and Joint Finance-Appropriations Committee notification.

• Requires monthly tracking reports comparing budgeted Medicaid appropriations to actual expenditures and forecasted spending, with reports submitted to the Legislative Services Office and Division of Financial Management.

• Allows transfer of trustee and benefit payment funds in excess of 10% among the five Medicaid programs but prohibits transfers to other departmental programs or expense classes.

• Directs the Division of Medicaid to submit a report on managed care implementation progress by December 1, 2021, and implement cost-sharing requirements for Medicaid-eligible services for children with family incomes between 185% and 300% of the federal poverty limit.