995146                                                     
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB2500                                                  AHS              5


Senator(s) Flores moved the following amendment:

Section: 03              EXPLANATION:

On Page: 050             Revises the behavioral health revenue maximization 
                         language in the Agency for Health Care 
Spec App:  192           Administration and in the Department of Children and 
                         Families to include coverage of targeted case 
                         management for adults with substance use disorders, 
                         and to further refine existing proviso.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
______________________________________________________________________________________

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals  68501400

        In Section 03  On Page 050
192     Special Categories  100616
        Community Mental Health Services  IOEE

INSERT:

From the funds in Specific Appropriation 192, $44,911,485 from the 
Medical Care Trust Fund is provided to eliminate Medicaid service 
limitations for the certain behavioral health services and to add 
coverage of targeted case management for adults diagnosed with substance 
use disorders. These funds are to be paid to the Substance Abuse and 
Mental Health Safety Net Network for services provided, contingent upon 
the passage of legislation creating this network, and subject to federal 
approval.

        In Section 03  On Page 054
204     Special Categories  102325
        Other Fee For Service  IOEE

In Section 03, on Page 54, DELETE the following:


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From  the  funds  in  Specific  Appropriation  204,  $1,010,745 from the
Medical  Care  Trust  Fund  is  provided for a rate increase for certain
Medicaid  behavioral  health services. These funds are to be paid to the
substance  abuse  and  mental  health  SafetyNet  Network  for  services
provided contingent on passage of legislation creating this network.

AND INSERT:

From  the  funds  in  Specific  Appropriation  204,  $1,010,745 from the
Medical  Care  Trust  Fund  is  provided for a rate increase for certain
Medicaid  behavioral  health services. This paragraph is contigent upon 
the passage of SB 2514 creating the Substance Abuse and Mental Health 
Safety Net Network or similar legislation in the same legislative 
session or an extension thereof becoming a law, and subject to federal 
approval. 

        In Section 03  On Page 056
207     Special Categories  102673
        Prepaid Health Plans  IOEE

In Section 03, on Page 56, DELETE the following:

From  the  funds  in  Specific  Appropriation  207, $19,204,161 from the
Medical  Care  Trust  Fund  is  provided for a rate increase for certain
Medicaid  behavioral  health services. These funds are to be paid to the
Substance  Abuse  and  Mental  Health  Safety  Net  Network for services
provided contingent on passage of legislation creating this network.

AND INSERT:

From  the  funds  in  Specific  Appropriation  207, $19,204,161 from the
Medical  Care  Trust  Fund  is  provided for a rate increase for certain
Medicaid  behavioral  health services. This paragraph is contingent upon 
the passage of SB 2514 creating the Substance Abuse and Mental Health 
Safety Net Network or similar legislation in the same legislative 
session or an extension thereof becoming a law, and subject to federal 
approval. 

        CHILDREN AND FAMILIES, DEPARTMENT OF
        Services
        Program: Community Services
        Community Substance Abuse And Mental 
        Health Services  60910950

        In Section 03  On Page 079
364     Special Categories  100610
        Grants And Aids - Community Mental Health                
        Services  IOEB

In Section 03, on Page 79, DELETE the following:

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From  the  funds  in  Specific Appropriation 364 and 366, the Department
of  Children  and  Families  shall  transfer  an  amount  not  to exceed
$17,241,519  from the General Revenue Fund to the Agency for Health Care
Administration  to be used as state matching funds to eliminate Medicaid
service  limitations  for  the  certain  behavioral  health services and
targeted  case  management  for  adults  diagnosed  with  substance  use
disorders.  This  paragraph is contingent upon the passage of SB 2514 or
similar  legislation  in  the  same  legislative session or an extension
thereof becoming a law.

From  the  funds  in  Specific Appropriation 364 and 366, the Department
of  Children  and  Families  shall  transfer  an  amount  not  to exceed
$7,758,481  from  the General Revenue Fund to the Agency for Health Care
Administration  to  be  used as state matching funds for a rate increase
for  certain  Medicaid  behavioral  health  services.  This paragraph is
contingent  upon  the  passage  of SB 2514 or similar legislation in the
same legislative session or an extension thereof becoming a law.

AND INSERT:

From the funds in Specific Appropriation 364 and 366, the Department
of Children and Families is authorized to transfer an amount not to 
exceed $17,241,519 from the General Revenue Fund to the Agency for 
Health Care Administration to be used as state matching funds to 
eliminate Medicaid service limitations for the certain behavioral  
health services and to add to coverage of targeted case management for  
adults diagnosed with substance use disorders. These funds are to be 
paid to the Substance Abuse and Mental Health Safety Net Network for 
services provided, contingent on passage of legislation creating this 
network, and subject to federal approval. 


From  the  funds  in  Specific Appropriation 364 and 366, the Department
of  Children  and  Families  is authorized to transfer an amount not to 
exceed $7,758,481 from the General Revenue Fund to the Agency for Health 
Care Administration to be used as state matching funds for a rate 
increase for certain Medicaid behavioral health services. This paragraph 
is contingent upon the passage of SB 2514 creating the Substance Abuse 
and Mental Health Safety Net Network or similar legislation in the same 
legislative session or an extension thereof becoming a law, and subject 
to federal approval. 









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