Medicaid mgmt info systems ded fund
MEDICAID – Adds to existing law to establish the Medicaid Management Information Systems Dedicated Fund in the state treasury.

RS29915C1 / S1097

This legislation creates a dedicated fund, using one-time general funds resulting from the Public Health Emergency (PHE) enhanced federal match for the Medicaid MMIS (Medicaid Management Information Systems) procurement project. Through the creation of a dedicated fund, unexpended one-time funds from the PHE would be made available to support procurement and installation resource needs as part of this multi-year project.

On March 18, 2020 the Families First Coronavirus Response Act was passed by Congress in response to the COVID-19 pandemic. This legislation carries an increase in the Federal Medical Assistance Percentage (FMAP), the federal match for the Medicaid program tied to the duration of the national public health emergency. During the national public health emergency declarations, FMAP is increased by six point two percent (6.2%), which results in approximately $10 to $12 million more in federal Medicaid funding per month. Per the Consolidated Appropriations Act (2023), the 6.2% enhanced FMAP will end after March 2023 and the enhanced federal match will be phased down over calendar year 2023.

The Department of Health and Welfare, Division of Medicaid is underway with modernization of existing software systems and platforms. This project is a multi-year/multi-phase modular implementation that will span through calendar year 2031. This effort will replace dated technology with a current estimated cost of $186,564,000 million (All Funds), which only accounts for estimated costs for Design, Development, and Installation of new systems.

This legislation preserves general funds for future mandatory Medicaid MMIS procurement and installation requirements without requiring a separate request for funding. This legislation allows surplus general funds to be retained in a dedicated fund which may only be accessed by legislative appropriation and may only accept surplus funds generated through the Medicaid budget.

Bill Events
Date Description
02/13 Introduced; read first time; referred to JR for Printing
02/14 Reported Printed; referred to Health & Welfare
03/02 Reported out of Committee with Do Pass Recommendation; Filed for second reading
03/03 Read second time; filed for Third Reading
03/08 Read third time in full – PASSED - 23-12-0
AYES – Anthon, Bjerke, Burtenshaw, Cook, Den Hartog, Grow, Guthrie, Harris, Hartgen, Just, Lakey, Lee, Lent, Rabe, Ricks, Ruchti, Schroeder, Semmelroth, Taylor, VanOrden, Ward-Engelking, Winder, Wintrow
NAYS – Adams, Bernt, Dunn(Carlson), Foreman, Hart, Herndon, Lenney, Nichols, Okuniewicz, Toews, Trakel, Zuiderveld
Absent and excused – None
Floor Sponsor - Cook
Title apvd - to House
03/13 Received from the Senate, Filed for First Reading
Read First Time, Referred to Health & Welfare
03/16 Reported out of Committee with Do Pass Recommendation, Filed for Second Reading
03/17 Read second time; Filed for Third Reading
03/20 U.C. to hold place on third reading calendar one legislative day
03/21 Read Third Time in Full – PASSED - 40-27-3
AYES – Berch, Blanksma, Bundy, Burns, Cheatum, Chew, Clow, Cornilles, Dixon(24), Durrant, Ehlers, Erickson, Furniss, Galaviz, Gannon, Garner, Handy, Healey, Horman, Lanting, Manwaring, Mathias, McCann, Mickelsen, Miller, Nash, Necochea, Nelsen, Palmer, Petzke, Pickett, Raybould, Raymond, Roberts, Sauter, Vander Woude, Weber, Wheeler, Wroten, Yamamoto
NAYS – Allgood, Andrus, Barbieri, Boyle, Cannon, Crane(12), Crane(13), Dixon(1), Ehardt, Gallagher, Hawkins, Hill, Holtzclaw, Kingsley, Lambert, Mendive, Mitchell, Monks, Price, Redman, Scott, Shepherd, Skaug, Tanner, Wisniewski, Young, Mr. Speaker
Absent – Alfieri, Green, Rubel
Floor Sponsor - Raybould
Title apvd - to Senate
03/22 Returned From House Passed; referred to enrolling
Reported enrolled; signed by President; to House for signature of Speaker
03/23 Received from Senate; Signed by Speaker; Returned to Senate
Reported signed by the Speaker & ordered delivered to Governor
03/24 Reported delivered to Governor at 8:25 a.m. on 03/24/23
03/28 Signed by Governor on 03/27/23
Session Law Chapter 154
Effective: 03/27/2023