AMENDMENT(S) PROPOSED BY THE SENATE

SEN. STOSCH

1. Page 280, after line 14, introduced

Health and Human Resources                                     Item  307 #18s        

Department of Medical Assistance Services                 Language

insert:

“JJJJ. 1. The Department of Medical Assistance Services shall seek federal authority through the necessary waiver(s) and/or State Plan authorization under Titles XIX and XXI of the Social Security Act to ensure that for newly eligible individuals who would be covered consistent with the federal Patient Protection and Affordable Care Act (PPACA) a) the services and benefits provided  are similar to the services and benefits provided by commercial insurers with the exception of non-traditional behavioral health and substance use disorder services, b) reasonable limitations on non-essential benefits such as transportation are implemented, and c) patient responsibility is required including reasonable cost-sharing and active engagement in health and wellness activities to improve health and control costs.

2. Contingent upon approval of the conditions in paragraph 1, the Department of Medical Assistance Services shall have authority to amend the State Plans for Medical Assistance under Titles XIX and XXI of the Social Security Act, and any waivers thereof, to implement requirements of (PPACA) as it pertains to the expansion of Medicaid eligibility. There is hereby appropriated sum sufficient nongeneral funds for this purpose.

3. A. There is hereby created in the state treasury a special nonreverting fund to be known as the Virginia Health Reform and Innovation Fund, hereafter referred to as the “Fund.” The Fund shall be established on the books of the Comptroller and any moneys remaining in the Fund at the end of each fiscal year shall not revert to the general fund but shall remain in the Fund. For purposes of the Comptroller’s preliminary and final annual reports required by § 2.2-813, however, all deposits to and disbursements from the Fund shall be accounted for as part of the general fund of the state treasury.

B. The Director of the Department of Medical Assistance Services, in consultation with the Director of the Department of Planning and Budget, shall identify general fund savings from behavioral health services, inmate health care, and indigent care, attributable to the expansion of Medicaid eligibility consistent with the PPACA, and transfer the savings into the state treasury and deposit them to the Fund. Interest earnings generated by the Fund shall be made available for health innovation grants to private and public entities in order to reduce the annual rate of growth in health care spending in the Commonwealth by no less than one percent.