Medicaid pharmacy plus program.

03LSO-0187.C1

                                                         

FISCAL NOTE (HB0043)

 

This bill contains an appropriation of $1,445,046 from the GENERAL FUND to the Department of Health.  To the extent any state appropriation from any other revenue source becomes available to implement the purposes of this act, this appropriation is void. 

 

 

FY 2004

FY 2005

FY 2006

NON-ADMINISTRATIVE IMPACT

 

 

 

Anticipated Expenditure Increase:

 

 

 

FEDERAL FUNDS

2,272,174

4,208,764

4,208,764

GENERAL FUND

1,463,726

2,832,836

2,832,836

 

Source of Expenditure Increase: Legislation authorizes the Department of Health to apply for a federal Medicaid waiver to allow specified individuals to participate in a pharmacy plus program.

 

Assumptions: The data for this bill was derived by using 2000 Census data to determine the number of seniors (65 years of age and older) in Wyoming up to 200% of poverty.  Then, 38% of the senior population (reference:  Kaiser Family Foundation July, 2002, study titled “Seniors and Prescription Drugs”) was estimated as the uninsured population to arrive at the “potential uninsured” senior population. 

 

For the first year of the program, a staggered enrollment would occur. The staggered enrollment figures were multiplied by the average monthly expenditures of $150/month per client to project expenditures. The projected expenditures for the program increase the second year as the staggered enrollment will level off and overall, more seniors will be enrolled in the program. 

 

The projected federal match was used to determine the state and federal share.  60.82% in FY04.  The federal match is projected to decrease the second year to 59.77%.

 

These figures do not include any client cost sharing which could reduce expenditures further. Furthermore the estimate for FY 2006 is same as FY 2005 pending federal legislation regarding Medicare and prescription drugs.

 

This bill has administrative impact that appears to increase (or decrease) duties or responsibilities of one or more state agencies and may impact agency spending or staffing requirements. The following state agencies may be affected administratively:

 

Department of Health

 

 

Prepared by:     Wendy Madsen, LSO            Phone:  777-7881

 

(Information provided by Roxanne Homar, Department of Health, 777-6032)