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6 A B C D E F G H I J K L M N O P Q R S LBAO DAILY UPDATE 03/18/15 a.m. HOUSE VS GOVERNOR RECOMMENDED DIVISION III - CATEGORY 5 GOV'S HB1 Intro BIENNIAL ROW PAGE PAGE ACCT. UNIT AGENCY/COMMENT SOF FY 2016 FY 2017 TOTAL COMMENTS $10.1 million in FY 2017 and provide the option to privatize if necessary. (Related HB2 Section) DHHS - Human Services Sununu Youth Services Center Reduce SYSC budget G (3,443,721) (3,496,746) (6,940,467) Limit general fund budget to $9.8 million in FY 2016 and Health Protection Program to end 12/31/ Emergency Shelters G (2,000,000) (2,000,000) (4,000,000) Reduces general funds for emergency housing shelters by DHHS - Office of Medicaid Business & Policy 50%. NH Health Protection Program Sunset - Services G 0 (12,000,000) (12,000,000) Removal of Sections from HB2. New Hampshire NH Health Protection Program Sunset - G 0 (1,775,000) (1,775,000) See Above. Contracts NH Health Protection Program Sunset - Staffing G 0 (875,000) (875,000) See Above. Breast & Cervical Cancer Programs Reinstatement G 800, ,000 Reinstatement of Breast & Cervical Cancer program resulting from termination of the Health Protection Program. Breast & Cervical Cancer Programs Reinstatement Substance Use Disorder Services - Medicaid Option F 0 800, ,000 See Above. G 0 (3,300,000) (3,300,000) Removal of section 338 from HB2. Medicaid substance use disorder benefit. F 0 (3,300,000) (3,300,000) See Above. Medicaid Caseload Reduction G (1,950,000) (2,687,000) (4,637,000) Reduces caseload assumption from -1.4% to -2.0%. preferred drug list instead of the State's list. (Related HB2 amendment pending) Medicaid Caseload Reduction F (1,950,000) (2,687,000) (4,637,000) See Above. Managed Care Organizations' PDL G (2,500,000) (2,500,000) (5,000,000) Allows managed care organizations to use their own Managed Care Organizations' PDL F (2,500,000) (2,500,000) (5,000,000) See Above. Managed Care Step 2 Savings G 0 (7,050,000) (7,050,000) Recognizes savings from Step 2. (HB2 language needed) HIPP contract G (2,000,000) 0 (2,000,000) Eliminates the contract for the HIPP program July 1, 2015 (HB2 language needed) (HB2 language needed) F (2,000,000) 0 (2,000,000) See Above. Medicaid Optional Services G 0 (8,600,000) (8,600,000) Eliminates "Other" Medicaid optional services for adults. F 0 (8,600,000) (8,600,000) See Above. Retain Medicaid Enhancement Tax G (2,000,000) (4,200,000) (6,200,000) Retain Medicaid Enhancement Tax at 5.5 percent for the biennium. Current rates in law are 5.45 and 5.4 for FY2016 and FY2017 respectively. Action generates $6.2 million in general funds over biennium. (HB2 language needed)

7 A B C D E F G H I J K L M N O P Q R S LBAO DAILY UPDATE 03/18/15 a.m. HOUSE VS GOVERNOR RECOMMENDED DIVISION III - CATEGORY 5 supplants general fund Medicaid expenditures by $31.3 million over the biennium. (HB2 language needed) GOV'S HB1 Intro BIENNIAL ROW PAGE PAGE ACCT. UNIT AGENCY/COMMENT SOF FY 2016 FY 2017 TOTAL COMMENTS Reduce Uncompensated Care Payments to Non- G (15,200,000) (16,100,000) (31,300,000) Reduce uncompensated care payments to non-critical CAHs Access Hospitals from 50% to 40% for the biennium. This Elderly & Adult Services Social Services G (5,200,000) (5,350,000) (10,550,000) Funds social services at 50% for non-medicaid eligible elderly clients County Cap G (3,200,000) (3,200,000) (6,400,000) Increases the county cap by $6.4 million over the biennium. (Related HB2 Section) (Related footnote to be revised) O 3,200,000 3,200,000 6,400,000 See Above. Servicelink G (1,300,000) (1,300,000) (2,600,000) Eliminates general funds for Servicelink Crotched Mountain G (250,000) (250,000) (500,000) Removes supplemental funds fro Crotched Mountain. 6%. ( Related HB2 Section) Medicaid Quality Incentive Payments. (Related HB2 Section) appropriation to general fund unrestricted revenue. (HB2 adults with low service utilization. (Related HB2 Section) fund expenditures by $2 million for the biennium. Services, Acquired Brain Disorder, In-Home Supports for Children, and Family Supports. Reduction proportional to the Department's list and non-lapsing footnote included. (Related HB2 Section) MQIP 0 3,432,237 3,466,559 6,898,796 Raises the Nursing Facility Quality Assessment from 5.5% to O (6,864,473) (6,933,118) (13,797,591) Reduced amount of assessment revenue available to make F (6,864,473) (6,933,118) (13,797,591) See Above. LTC - County Participation G (10,297,059) (10,399,640) (20,696,699) MQIP funds used to supplant general funds. O 10,297,059 10,339,640 20,636,699 See Above DHHS - Div. of Community Based Care Svcs. Governor's Commission G (2,000,000) (4,000,000) (6,000,000) Removes the additional $6 million for the biennium DHHS - Division of Public Health Food Protection G 945, ,457 1,945,018 Moved food service revenue from the general fund O (945,561) (999,457) (1,945,018) See Above. Community Health Centers G (1,000,000) (1,000,000) (2,000,000) Eliminates general funds for Community Health Centers DHHS - Behavioral Health Low Utilizers G (125,366) (125,366) (250,732) Reduce the limit on benefit cost from $4,000 to $2,000 for F (125,366) (125,366) (250,732) See Above. Infrastructure Funding G (500,000) (500,000) (1,000,000) Reduce infrastructure funds Non-Service Expenditures G (1,000,000) (1,000,000) (2,000,000) Reduce Bureau of Behavioral Health non-service general DHHS - Division of Developmental Services G (4,000,000) (8,000,000) (12,000,000) Consolidate Medicaid waiver accounts for Developmental F (4,000,000) (8,000,000) (12,000,000) See Above.

8 A B C D E F G H I J K L M N O P Q R S LBAO DAILY UPDATE 03/18/15 a.m. HOUSE VS GOVERNOR RECOMMENDED DIVISION III - CATEGORY 5 section) million over the biennium. million over the biennium. GOV'S HB1 Intro BIENNIAL ROW PAGE PAGE ACCT. UNIT AGENCY/COMMENT SOF FY 2016 FY 2017 TOTAL COMMENTS Health Facilities Administration G (1,000,000) (1,000,000) (2,000,000) Raises license fees and reduces general funds. (Related HB2 O 1,000,000 1,000,000 2,000,000 See Above Reduction Across Division Accounts G (7,000,000) (7,000,000) (14,000,000) Reduce general fund expenditures across all accounts by $14 F (7,000,000) (7,000,000) (14,000,000) Reduce federal fund expenditures across all accounts by $14 Total Funds (79,341,162) (134,181,155) (213,522,317) General Funds (65,020,585) (105,909,295) (170,929,880) Federal Funds (24,439,839) (38,345,484) (62,785,323) Other Funds 6,687,025 6,607,065 13,294,090