CHAPTER 335

FORMERLY

SENATE BILL NO. 482

AS AMENDED BY SENATE AMENDMENT NO. 1

AN ACT TO MAKE AN APPROPRIATION AND AUTHORIZE POSITIONS FOR THE DELAWARE HEALTH CARE COMMISSION AND RELATED PROGRAMS OF THE DEPARTMENT OF HEALTH AND SOCIAL SERVICES FOR THE FISCAL YEAR ENDING JUNE 30, 1991; SPECIFYING CERTAIN PROCEDURES, CONDITIONS AND LIMITATIONS FOR THE EXPENDITURE OF SUCH FUNDS; AND AMENDING CERTAIN PERTINENT AND STATUTORY PROVISIONS.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:

Section 1. Sums are hereby appropriated to the Department of Health and Social Services (35-00-00); Administration (35-01-00); Delaware Health Care Commission (35-01-50); Social Services (35-07-00) as follows:

Accounting Code Organization/Description Amount

35-00-00 Department of Health and Social Services

35-01-00 Administration

35-01-50 Delaware Health Care Commission

Personnel Costs (2.0) $ 78,000

Travel 2,000

Contractual Services 200,000

Supplies/Materials 5,000

Capital/Equipment 15,000

Other

Service Delivery Pilot Projects 1,213,400

Education/Outreach/Case Mgt. 400,000

Data and Program Evaluation 400,000

Subtotal Delaware $ 2,313,400

Health Care Commission

Accounting Code Organization/Description Amount

35-07-00 Social Services

35-07-01 Social Services

(8.0) NSF Personnel Costs (18.0) 360,000

Contractual Services 60,000

Capital 10,000

Medicaid Non-State 2,456,600

Subtotal Social Services $ 2,886,600

Total Section 1 $ 5,200,000

Section 2. A total of two (2.0) full time equivalent positions are authorized to the Department of Health and Social Services (35-00-00); Administration (35-01-00); Delaware Health Care Commission (35-01-50).

Section 3. A total of eighteen (18.0) full time equivalent positions are authorized to the Department of Health and Social Services (35-00-00); Social Services (35-07-00); Social Services (35-07-01). These positions shall be used to implement the Medicaid program expansions and the Health Care Coverage Program for General Assistance Clients.

Section 4. The sums appropriated in Section 1 of this Act to the Department of Health and Social Services (35-00-00); Administration (35-01-00); Delaware Health Care Commission (35-01-50) shall be used to establish the Delaware Health Care Commission (35-01-50) pursuant to the provisions of the Delaware Health Care Commission Act ("The Act"), Title 16, Del. C., Chapter 98. The Commission shall employ a Director and one additional staff person selected by the Commission to aid in performing the Commission's duties and responsibilities.

Section 5. The amount appropriated to the Department of Health and Social Services (35-00-00); Administration (35-01-00); Delaware Health Care Commission (35-01-50) in Section 1 of this Act for Service Delivery Pilot Projects shall be used to provide for the cost of increasing the availability and accessibility of efficient health care delivery sites to the currently uninsured population, by contracting, on a pilot basis, with new or existing managed care delivery systems for the provision of care and other costs associated with the development of Service Delivery Pilot Projects.

Section 6. The amount appropriated to the Department of Health and Social Services (35-00-00); Administration (35-01-00); Delaware Health Care Commission (35-01-50) in Section 1 of this Act for Education, Outreach and Case Management shall be used for the cost of Improving the coordination of services by providing supportive services for the medical assistance services; and by developing additional case management and managed care programs. In addition, sums appropriated for Education Outreach and Case Management shall be used to implement the Infant Mortality Task Forte recommendations.

Section 7. The amount appropriated to the Department of Health and Social Services (35-00-00); Administration (35-01-00); Delaware Health Care Commission (35-01-50) in Section 1 of the Act for Data and Program Evaluation shall be used for the cost of developing a data and management information system to develop, administer, and evaluate the Service Delivery Pilot Projects and other data and management information needs as determined by the Commission.

Section 8. The amount appropriated to the Department of Health and Social Services (35-00-00), Social Services (35-07-00), Social Services (35-07-01) in Section 1 shall be used for the cost of expanding Medicaid eligibility for pregnant women and infants up to age 1 from 133% to 185% of the federal poverty level; providing enhanced Medicaid services to additional high-risk pregnant women; extending Medicaid coverage to children aged 6 and 7 in families with income up to 100% of the Federal poverty level; and extend health care coverage as defined by the State to adults receiving support under the State's General Assistance program.

Section 9. The monies appropriated herein shall be paid from the General Fund of the State Treasury from monies not otherwise appropriated provided that legislation is enacted that increases the tax rate on cigarettes by an amount that is forecasted to be at least equal to the amounts appropriated by this Act. Any funds remaining unexpended and unencumbered on June 30, 1991 shall revert to the General Fund.

Section 10. This Act shall become effective July 1, 1990.

Approved July 11, 1990.