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F I S C A L I M P A C T R E P O R T

SPONSOR Jennings

DATE TYPED 2/23/05

HB

SHORT TITLE Increase Health Care Professional Payments

SB 611

ANALYST Weber

APPROPRIATION

Appropriation Contained Estimated Additional Impact Recurring

or Non-Rec

Fund

Affected

FY05

FY06

FY05

FY06

$100.0

Recurring General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

Relates to SB 339

Relates to Appropriation in the General Appropriation Act

REVENUE

Estimated Revenue

Subsequent

Years Impact

Recurring

or Non-Rec

Fund

Affected

FY05

FY06

$256.4

Federal Medicaid

(Parenthesis ( ) Indicate Revenue Decreases)

SOURCES OF INFORMATION

LFC Files

Responses Received From

Human Services Department (HSD)

SUMMARY

Synopsis of Bill

Senate Bill 611 appropriates $100 thousand from the general fund to the Human Services De-

partment for the purpose of increasing payments to Medicaid anesthesia services physicians to

ensure access to these essential services.

Senate Bill 611 -- Page 2

Significant Issues

The bill specifies payment should be made in fiscal year 2006 implying this may not be a recur-

ring expense. However, it would seem if the purpose is to ensure access to these services this

would need to be a recurring effort beyond FY06. Also, it is not specified if both fee-for-service

and managed care physicians should be included in the increase.

PERFORMANCE IMPLICATIONS

Some performance measures should be added to determine the success of the effort to ensure

service access.

FISCAL IMPLICATIONS

The appropriation of $100 contained in this bill is a recurring expense to the general fund. Any

unexpended or unencumbered balance remaining at the end of FY06 shall revert to the general

fund.

POSSIBLE QUESTIONS

Are there factors other than money restricting access to anesthesia services.

MW/yr:lg