CHAPTER 1

HB 30-FN-A-LOCAL – FINAL VERSION

04Feb2009… 0026h

2009 SESSION

09-1011

09/01

HOUSE BILL 30-FN-A-LOCAL

AN ACT requiring operating budget reductions for fiscal year 2009.

SPONSORS: Rep. M. Smith, Straf 7; Sen. D'Allesandro, Dist 20

COMMITTEE: Finance

ANALYSIS

This bill requires certain operating budget reductions for fiscal year 2009.

This bill is a request of the office of the governor.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

04Feb2009… 0026h

09-1011

09/01

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Nine

AN ACT requiring operating budget reductions for fiscal year 2009.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1:1 Operating Budget; Judicial Branch. Notwithstanding 2007, 262:1, the appropriations for the judicial branch shall be reduced by an additional $441,000 for the fiscal year ending June 30, 2009. The reductions required by this section shall be in addition to the reductions required by 2008, 296:2 and the judicial branch's average historical lapse amount of $1,100,000 per fiscal year. The director of the administrative office of the courts shall submit to the fiscal committee of the general court and the commissioner of the department of administrative services an itemization of the reductions in expenditure classes made to implement this section on or before June 15, 2009.

1:2 Operating Budget; Legislative Branch. Notwithstanding 2007, 262:1, the appropriations for the legislative branch for the fiscal year ending June 30, 2009 shall be reduced by an additional $700,000. The reductions required by this section shall be in addition to the reductions required by 2008, 296:3. The legislative budget assistant shall submit to the fiscal committee of the general court an itemization of the reductions in expenditure classes made to implement this section on or before June 15, 2009.

1:3 Operating Budget; New Hampshire Retirement System. Notwithstanding 2007, 262:1, the appropriations for the New Hampshire retirement system, state contributions, classes 93 Normal Contribution Teachers, 94 Normal Contribution Police, and 95 Normal Contribution Firefighter, shall be reduced by a total of $1,500,000 in general funds for the fiscal year ending June 30, 2009. The executive director of the New Hampshire retirement system shall submit to the fiscal committee of the general court and the commissioner of the department of administrative services an itemization of the reductions in expenditure classes made to implement this section on or before June 15, 2009.

1:4 General Fund; Transfer to Highway Fund. Amend 2007, 262:26 to read as follows:

262:26 General Fund; Transfer to Highway Fund. The commissioner of administrative services shall cause to have transferred $6,750,000 from the general fund to the highway fund on January 1, 2008, and shall cause to have transferred $1,750,000 from the general fund to the highway fund on January 1, 2009.

1:5 Operating Budget; Transfer of Dedicated Funds. Notwithstanding RSA 6:12 and any other law to the contrary, the department of administrative services shall transfer funds from the following accounts or funds maintained separately on the books of the state to the general fund in the following amounts:

Police standards and training council $2,000,000

training fund,

RSA 188-F:30

Fire standards and training and $2,000,000

emergency medical services fund,

RSA 21-P:12-d

Department of Safety $700,000

Reflectorized plates inventory fund,

RSA 228:25

Education credentialing fund, $1,000,000

RSA 186:11, X

Radiation user and laboratory fees fund, $500,000

RSA 125-F:8-b

Low level radioactive $400,000

waste management fund,

RSA 125-F:8-a

1:6 Department of Health and Human Services; Medicaid Reimbursement for Outpatient Hospital Services. Amend RSA 126-A:3, VII to read as follows:

VII. Medicaid Hospital Outpatient Services; Designation in Operating Budget.

(a) Notwithstanding any other provision of law to the contrary, beginning with the biennium beginning July 1, 2005 and continuing thereafter, the department shall designate in its operating budget requests specific class lines for hospital outpatient services. The department shall not increase expenditures in approved budgets for such outpatient services without prior approval. If expenditures are projected to exceed the annual appropriation, the department may recommend rate reduction for providers to offset the amount of any such deficit. The department of health and human services shall submit to the legislative fiscal committee and to the finance committees of the house and the senate, the rates that it proposes to pay for hospital outpatient services. The rates shall be subject to the prior approval of the legislative fiscal committee.

(b) For the purpose of Medicaid reimbursement for outpatient hospital services, the only outpatient hospital services for which Medicaid reimbursement shall be provided are those outpatient hospital services which are:

(1) Preventive, diagnostic, therapeutic, rehabilitative, or palliative services that are furnished to outpatients;

(2) Furnished by or under the direction of a physician or dentist;

(3) Furnished in a facility that:

(A) Is licensed or formally approved as a hospital by an officially designated authority for state standard setting; and

(B) Meets the requirements for participation in Medicare as a hospital; CMS-2213-F 62; and

(4) Limited to the scope of facility services that:

(A) Would be included, in the setting delivered, in the Medicare outpatient prospective payment system (OPPS) as defined under 42 C.F.R. section 419.2(b) or are paid by Medicare as an outpatient hospital service under an alternate payment methodology;

(B) Are furnished by an outpatient hospital facility, including an entity that meets the standards for provider based status as a department of a provider set forth in 42 C.F.R. section 413.65; and

(C) Are not covered under the scope of another medical assistance service category under the state plan.

(c) The commissioner may exclude from the definition of outpatient hospital services under subparagraph (b) those types of items and services that are not generally furnished by most hospitals in the state.

1:7 Department of Health and Human Services; Human Immunodeficiency Virus Prevention Program. Amend 2007, 367:1 to read as follows:

367:1 Department of Health and Human Services; Human Immunodeficiency Virus Prevention Program. The department shall expend the sums of $500,000 in the fiscal year ending June 30, 2008 [and $500,000 in the fiscal year ending June 30, 2009] for the human immunodeficiency virus prevention program in the department of health and human services for the purchase of antiretroviral drugs. The department shall fund the program from funds appropriated to the department in the state operating budget in fiscal [years] year 2008 [and 2009].

1:8 Department of Health and Human Services; Reduction; Antiretroviral Drugs. Notwithstanding 2007, 262:1, the department of health and human services is hereby directed to reduce state general fund appropriations that were allocated pursuant to 2007, 367:1 for the purchase of antiretroviral drugs under the human immunodeficiency virus prevention program by $500,000 for the fiscal year ending June 30, 2009.

1:9 Positions Transferred in Department of Administrative Services to Fund 60. The source of funding for position numbers 42529, 43085, 16686, 43086, and 43084 is transferred from the general fund to the Fund 60 Self Funded Employee and Retiree Health Benefit Program. The source of funding for position number 41835 shall be 75 percent from the Fund 60 Self Funded Employee and Retiree Health Benefit Program and 25 percent from the general fund. The source of funding for position numbers 10101, 43180, 42528 shall be 50 percent from the Fund 60 Self Funded Employee and Retiree Health Benefit Program and 50 percent from the general fund.

1:10 Effective Date.

I. Section 4 of this act shall take effect December 31, 2008.

II. Section 9 of this act shall take effect July 1, 2008.

III. The remainder of this act shall take effect upon its passage.

Approved: February 20, 2009

Effective: I. Section 4 effective December 31, 2008.

II. Section 9 effective July 1, 2008

III. Remainder effective February 20, 2009.