It has been a busy week in the New Hampshire Legislature!! Here is a brief overview of where some of the key bills stand that CSNI is following at this time:
SB590 has an appropriation that would support the developmental disability wait list. The bill has passed the Senate and is currently being worked on in the House Finance Committee. At the end of the biennium, it is expected that 340 will be on the wait list without additional funding to the wait list.
The 2018 legislative session is more than halfway through. For a non-budget year it has still been a busy one! Some of the bills that we have considered to be of high importance or priority are still going through the legislative process.
There is a Public Hearing that will be held tomorrow, Thursday February 1st at 10:00am on HB1816 which is relative to Medicaid managed care. The hearing is at the Legislative Office Building (LOB) at 33 North State Street in Concord, NH (Directly behind the State House). CSNI supports this bill, specific to stopping the implementation of the community based services that the area agencies provide, also known as Step 2.
The 2018 legislative session has kicked off and is off to a busy start. CSNI is following more than 85 bills at this time, though that number could be adjusted up or down depending on many different factors. The bill language is hyperlinked into the bill number and the docket (information regarding where the bill is in the process) is hyperlinked into the status. Some of our priorities this year include Medicaid Managed Care, workforce development, and supporting the family and medical leave insurance program. To see some information regarding some of the important bills you can view our public policy positions.
The STABLE NH accounts have gone live online as of today! The Federal Achieving a Better Life Experience Act has made it into New Hampshire! These accounts will allow individuals with disabilities to be able to save and invest money without losing eligibility public benefits like their social security income or Medicaid benefits! This is a tax-free savings plan for disability-related expenses.
There is a press conference taking place on Wednesday November 8th at 10am at the Legislative Office Building in Concord, NH related to the ABLE Accounts.
As some of you may know there is a new federal bill that has been introduced into the US Congress, the Graham-Cassidy Bill, related to repealing and replacing the Affordable Care Act (ACA.)
The Congressional Budget Office expects to have a preliminary assessment of the implications of the bill next week. The plan, however is to get this passed before September 30th when they would then need 60 votes to pass a budget bill rather than the 51 votes needed now. They are moving fast on this action.
In a press release published on September 18th by NH Governor Chris Sununu, he does not support the bill as it is currently crafted. He states “Unfortunately, under this plan, New Hampshire could possibly lose over a $1 billion in Medicaid funding between 2020-2026.”
See the full statement from Governor Sununu below.
The SB553 workgroup convened on August 9th. DHHS Commissioner Jeff Meyers reviewed the SB155 language, articulating that CFI and Nursing Facilities SHALL be incorporated into managed Medicaid on July 1, 2019. He quickly went on to state that there is NO plan for incorporating DD, ABD or IHS into managed care at this time, nor does he expect there to be one at any time in the near future. The focus of SB553 work is solely on CFI and NF at this time. There were presentations given outlining different managed Medicaid models such as ACOs, provider-run ACOs and hybrid MCO-ACOs.
The bill states that services provided under the Choices for Independence waiver (CFI) and nursing facilities shall be incorporated into the Medicaid managed care delivery system beginning on July 1, 2019.
The remaining provisions of step 2 of the Medicaid managed care program, (this includes the services under the three waivers DD/IHS/ABD) shall not be implemented before July 1, 2019.