Journal of the House of Representatives of the Regular Session of the Seventy-Seventh Legislature of the State of Texas, Volume 2 Page: 1,070
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77th LEGISLATURE- REGULAR SESSION
and Human Services on the caseload projections that they have changed. Can
you discuss that?
EILAND: When the budget was put together in November that is what was
put in the original bill for Medicaid. In the February 1st update the figure
came out an estimated $567 million and then after the April update, they
upped that to $620 million and that's where it is right now. However, that
does not include $43 million for increased HMO contract payments that we
probably need to increase because of the increased caseloads. So, probably
$660 million total.
WOHLGEMUTH: So $660 million total is the revision upwards?
EILAND: Yes, since November.
WOHLGEMUTH: Since November-$660 million just in increase due to
caseloads. I'm also very, very, very concerned about the fact that Article XI
contains, on page 11 of Article XI of SB 1, the Medicaid cost growth: $739
million-between the Medicaid cost growth and the managed care cost
growth-$800 million that is funding current services. No expansions, no
nothing, this is funding current services and that funding of current services
is in the wish list?
EILAND: Yes.
WOHLGEMUTH: So we're not talking about new programs, we're not
talking about new people out there. Do we have an option about spending
this $800 million?
EILAND: I think, yes, there is some option in this $800 million. We
obviously have to fund Medicaid.
WOHLGEMUTH: But, that's the $660 million that you were just discussing.
The $660 million-there really is no option, is there, it's an entitlement
program?
EILAND: That's right. And of that $660 million, I believe, in the bill that
we are about to pass is $502 million in the bill already. So, we've funded
a good part of it. And, hopefully, the Medicaid work group next week will
take care of some of the issues.
WOHLGEMUTH: I hope so. It is my extreme hope. You mentioned, also,
the Olmstead case, which directly impacts the amendment that you have. Can
you explain about the Olmstead case?
EILAND: Yes, members, in June of 1999, the U.S. Supreme Court came
down with a ruling that says that for people that are institutionalized, if they
are able to live at home with assistance, then we must try to provide, within
budgetary constraints, to provide for those people in their community and in
their homes. And, Governor Bush appointed an interim committee to take a
look at those issues about what we need to do in Texas and they came out
with a $100 million proposal. That is not funded. Some of the things that
I address in my proposed amendment right now would address some of the
Olmstead issues.
WOHLGEMUTH: But not all.1070
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Texas. Legislature. House of Representatives. Journal of the House of Representatives of the Regular Session of the Seventy-Seventh Legislature of the State of Texas, Volume 2, legislative document, 2001; (https://texashistory.unt.edu/ark:/67531/metapth97447/m1/50/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.