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| To amend sections 191.02, 5162.01, 5162.13, 5162.131, | 1 |
| 5162.132, 5162.20, 5163.01, 5163.06, 5163.09, | 2 |
| 5163.0910, and 5164.911; to amend, for the purpose | 3 |
| of adopting a new section number as indicated in | 4 |
| parentheses, section 5163.0910 (5162.133); to | 5 |
| enact sections 103.41, 103.411, 103.412, 103.413, | 6 |
| 103.414, 103.415, 191.08, 193.01, 193.02, 193.03, | 7 |
| 193.04, 193.05, 193.06, 193.07, 5162.134, 5162.70, | 8 |
| 5162.71, and 5164.94; and to repeal sections | 9 |
| 101.39, 101.391, and 5163.099 of the Revised Code; | 10 |
| to amend Section 323.90 of Am. Sub. H.B. 59 of the | 11 |
| 130th General Assembly; to require implementation | 12 |
| of certain Medicaid revisions, reform systems, and | 13 |
| program oversight; to provide for government | 14 |
| programs that provide public benefits to | 15 |
| prioritize employment goals; to create the Ohio | 16 |
| Healthier Buckeye Council and the Ohio Healthier | 17 |
| Buckeye Grant Program; and to make an | 18 |
| appropriation. | 19 |
| Section 1. That sections 191.02, 5162.01, 5162.13, 5162.131, | 20 |
| 5162.132, 5162.20, 5163.01, 5163.06, 5163.09, 5163.0910, and | 21 |
| 5164.911 be amended; section 5163.0910 (5162.133) be amended for | 22 |
| the purpose of adopting a new section number as indicated in | 23 |
| parentheses; and sections 103.41, 103.411, 103.412, 103.413, | 24 |
| 103.414, 103.415, 191.08, 193.01, 193.02, 193.03, 193.04, 193.05, | 25 |
| 193.06, 193.07, 5162.134, 5162.70, 5162.71, and 5164.94 of the | 26 |
| Revised Code be enacted to read as follows: | 27 |
| Sec. 103.41. (A) As used in sections 103.41 to 103.415 of | 28 |
| the Revised Code: | 29 |
| (1) "JMOC" means the joint medicaid oversight committee | 30 |
| created under this section. | 31 |
| (2) "State and local government medicaid agency" means all of | 32 |
| the following: | 33 |
| (a) The department of medicaid; | 34 |
| (b) The office of health transformation; | 35 |
| (c) Each state agency and political subdivision with which | 36 |
| the department of medicaid contracts under section 5162.35 of the | 37 |
| Revised Code to have the state agency or political subdivision | 38 |
| administer one or more components of the medicaid program, or one | 39 |
| or more aspects of a component, under the department's | 40 |
| supervision; | 41 |
| (d) Each agency of a political subdivision that is | 42 |
| responsible for administering one or more components of the | 43 |
| medicaid program, or one or more aspects of a component, under the | 44 |
| supervision of the department or a state agency or political | 45 |
| subdivision described in division (A)(2)(c) of this section. | 46 |
| (B) There is hereby created the joint medicaid oversight | 47 |
| committee. JMOC shall consist of the following members: | 48 |
| (1) Five members of the senate appointed by the president of | 49 |
| the senate, three of whom are members of the majority party and | 50 |
| two of whom are members of the minority party; | 51 |
| (2) Five members of the house of representatives appointed by | 52 |
| the speaker of the house of representatives, three of whom are | 53 |
| members of the majority party and two of whom are members of the | 54 |
| minority party. | 55 |
| (C) The term of each JMOC member shall begin on the day of | 56 |
| appointment to JMOC and end on the last day that the member serves | 57 |
| in the house (in the case of a member appointed by the speaker) or | 58 |
| senate (in the case of a member appointed by the president) during | 59 |
| the general assembly for which the member is appointed to JMOC. | 60 |
| The president and speaker shall make the initial appointments not | 61 |
| later than fifteen days after the effective date of this section. | 62 |
| However, if this section takes effect before January 1, 2014, the | 63 |
| president and speaker shall make the initial appointments during | 64 |
| the period beginning January 1, 2014, and ending January 15, 2014. | 65 |
| The president and speaker shall make subsequent appointments not | 66 |
| later than fifteen days after the commencement of the first | 67 |
| regular session of each general assembly. JMOC members may be | 68 |
| reappointed. A vacancy on JMOC shall be filled in the same manner | 69 |
| as the original appointment. | 70 |
| (D) In odd-numbered years, the speaker shall designate one of | 71 |
| the majority members from the house as the JMOC chairperson and | 72 |
| the president shall designate one of the minority members from the | 73 |
| senate as the JMOC ranking minority member. In even-numbered | 74 |
| years, the president shall designate one of the majority members | 75 |
| from the senate as the JMOC chairperson and the speaker shall | 76 |
| designate one of the minority members from the house as the JMOC | 77 |
| ranking minority member. | 78 |
| (E) In appointing members from the minority, and in | 79 |
| designating ranking minority members, the president and speaker | 80 |
| shall consult with the minority leader of their respective houses. | 81 |
| (F) JMOC shall meet at the call of the JMOC chairperson. The | 82 |
| chairperson shall call JMOC to meet not less often than once each | 83 |
| calendar month, unless the chairperson and ranking minority member | 84 |
| agree that the chairperson should not call JMOC to meet for a | 85 |
| particular month. | 86 |
| (G) JMOC may employ professional, technical, and clerical | 87 |
| employees as are necessary for JMOC to be able successfully and | 88 |
| efficiently to perform its duties. All such employees are in the | 89 |
| unclassified service and serve at JMOC's pleasure. JMOC may | 90 |
| contract for the services of persons who are qualified by | 91 |
| education and experience to advise, consult with, or otherwise | 92 |
| assist JMOC in the performance of its duties. | 93 |
| (H) The JMOC chairperson, when authorized by JMOC and the | 94 |
| president and speaker, may issue subpoenas and subpoenas duces | 95 |
| tecum in aid of JMOC's performance of its duties. A subpoena may | 96 |
| require a witness in any part of the state to appear before JMOC | 97 |
| at a time and place designated in the subpoena to testify. A | 98 |
| subpoena duces tecum may require witnesses or other persons in any | 99 |
| part of the state to produce books, papers, records, and other | 100 |
| tangible evidence before JMOC at a time and place designated in | 101 |
| the subpoena duces tecum. A subpoena or subpoena duces tecum shall | 102 |
| be issued, served, and returned, and has consequences, as | 103 |
| specified in sections 101.41 to 101.45 of the Revised Code. | 104 |
| (I) The JMOC chairperson may administer oaths to witnesses | 105 |
| appearing before JMOC. | 106 |
| Sec. 103.411. The JMOC chairperson may request that the | 107 |
| medicaid director appear before JMOC to provide information and | 108 |
| answer questions about the medicaid program. If so requested, the | 109 |
| medicaid director shall appear before JMOC at the time and place | 110 |
| specified in the request. | 111 |
| Sec. 103.412. (A) JMOC shall oversee the medicaid program on | 112 |
| a continuing basis. As part of its oversight, JMOC shall do all of | 113 |
| the following: | 114 |
| (1) Review how the medicaid program relates to the public and | 115 |
| private provision of health care coverage in this state and the | 116 |
| United States; | 117 |
| (2) Review the reforms implemented under section 5162.70 of | 118 |
| the Revised Code and evaluate the reforms' successes in achieving | 119 |
| their objectives; | 120 |
| (3) Recommend policies and strategies to encourage both of | 121 |
| the following: | 122 |
| (a) Medicaid recipients being physically and mentally able to | 123 |
| join and stay in the workforce and ultimately becoming | 124 |
| self-sufficient; | 125 |
| (b) Less use of the medicaid program. | 126 |
| (4) Recommend, to the extent JMOC determines appropriate, | 127 |
| improvements in statutes and rules concerning the medicaid | 128 |
| program; | 129 |
| (5) Develop a plan of action for the future of the medicaid | 130 |
| program. | 131 |
| (B) JMOC may do all of the following: | 132 |
| (1) Plan, advertise, organize, and conduct forums, | 133 |
| conferences, and other meetings at which representatives of state | 134 |
| agencies and other individuals having expertise in the medicaid | 135 |
| program may participate to increase knowledge and understanding | 136 |
| of, and to develop and propose improvements in, the medicaid | 137 |
| program; | 138 |
| (2) Prepare and issue reports on the medicaid program; | 139 |
| (3) Solicit written comments on, and conduct public hearings | 140 |
| at which persons may offer verbal comments on, drafts of its | 141 |
| reports. | 142 |
| Sec. 103.413. (A) JMOC may investigate state and local | 143 |
| government medicaid agencies. Subject to division (B) of this | 144 |
| section, all of the following apply to an investigation: | 145 |
| (1) JMOC, including its employees, may inspect the offices of | 146 |
| a state and local government medicaid agency as necessary for the | 147 |
| conduct of the investigation. | 148 |
| (2) No person shall deny JMOC or a JMOC employee access to | 149 |
| such an office when access is needed for such an inspection. | 150 |
| (3) Neither JMOC nor a JMOC employee is required to give | 151 |
| advance notice of, or to make prior arrangements before, such an | 152 |
| inspection. | 153 |
| (B) Neither JMOC nor a JMOC employee shall conduct an | 154 |
| inspection under this section unless the JMOC chairperson grants | 155 |
| prior approval for the inspection. The chairperson shall not grant | 156 |
| such approval unless JMOC, the president of the senate, and the | 157 |
| speaker of the house of representatives authorize the chairperson | 158 |
| to grant the approval. Each inspection shall be conducted during | 159 |
| the normal business hours of the office being inspected, unless | 160 |
| the chairperson determines that the inspection must be conducted | 161 |
| outside of normal business hours. The chairperson may make such a | 162 |
| determination only due to an emergency circumstance or other | 163 |
| justifiable cause that furthers JMOC's mission. If the chairperson | 164 |
| makes such a determination, the chairperson shall specify the | 165 |
| reason for the determination in the grant of prior approval for | 166 |
| the inspection. | 167 |
| Sec. 103.414. Before the beginning of each fiscal biennium, | 168 |
| JMOC shall contract with an actuary to determine the projected | 169 |
| medical inflation rate for the upcoming fiscal biennium. The | 170 |
| contract shall require the actuary to make the determination using | 171 |
| the same types of classifications and sub-classifications of | 172 |
| medical care that the United States bureau of labor statistics | 173 |
| uses in determining the inflation rate for medical care in the | 174 |
| consumer price index. The contract also shall require the actuary | 175 |
| to provide JMOC a report with its determination at least one | 176 |
| hundred twenty days before the governor is required to submit a | 177 |
| state budget for the fiscal biennium to the general assembly under | 178 |
| section 107.03 of the Revised Code. | 179 |
| On receipt of the actuary's report, JMOC shall determine | 180 |
| whether it agrees with the actuary's projected medical inflation | 181 |
| rate. If JMOC disagrees with the actuary's projected medical | 182 |
| inflation rate, JMOC shall determine a different projected medical | 183 |
| inflation rate for the upcoming fiscal biennium. | 184 |
| The actuary and, if JMOC determines a different projected | 185 |
| medical inflation rate, JMOC shall determine the projected medical | 186 |
| inflation rate for the state unless that is not practicable in | 187 |
| which case the determination shall be made for the midwest region. | 188 |
| Regardless of whether it agrees with the actuary's projected | 189 |
| medical inflation rate or determines a different projected medical | 190 |
| inflation rate, JMOC shall complete a report regarding the | 191 |
| projected medical inflation rate. JMOC shall include a copy of the | 192 |
| actuary's report in JMOC's report. JMOC's report shall state | 193 |
| whether JMOC agrees with the actuary's projected medical inflation | 194 |
| rate and, if JMOC disagrees, the reason why JMOC disagrees and the | 195 |
| different medical inflation rate JMOC determined. At least ninety | 196 |
| days before the governor is required to submit a state budget for | 197 |
| the upcoming fiscal biennium to the general assembly under section | 198 |
| 107.03 of the Revised Code, JMOC shall submit a copy of the report | 199 |
| to the general assembly in accordance with section 101.68 of the | 200 |
| Revised Code and to the governor and medicaid director. | 201 |
| Sec. 103.415. JMOC may review bills and resolutions | 202 |
| regarding the medicaid program that are introduced in the general | 203 |
| assembly. JMOC may submit a report of its review of a bill or | 204 |
| resolution to the general assembly in accordance with section | 205 |
| 101.68 of the Revised Code. The report may include JMOC's | 206 |
| determination regarding the bill's or resolution's desirability as | 207 |
| a matter of public policy. | 208 |
| JMOC's decision on whether and when to review a bill or | 209 |
| resolution has no effect on the general assembly's authority to | 210 |
| act on the bill or resolution. | 211 |
| Sec. 191.02. The executive director of the office of health | 212 |
| transformation, in consultation with all of the following | 213 |
| individuals, shall identify each government program administered | 214 |
| by a state agency that is to be considered a government program | 215 |
|
providing public benefits for purposes of | 216 |
| and 191.08 of the Revised Code: | 217 |
| (A) The director of administrative services; | 218 |
| (B) The director of aging; | 219 |
| (C) The director of development services; | 220 |
| (D) The director of developmental disabilities; | 221 |
| (E) The director of health; | 222 |
| (F) The director of job and family services; | 223 |
| (G) The | 224 |
| (H) The director of mental health and addiction services; | 225 |
| (I) The director of rehabilitation and correction; | 226 |
| (J) The director of veterans services; | 227 |
| (K) The director of youth services; | 228 |
| (L) The executive director of the opportunities for Ohioans | 229 |
| with disabilities agency; | 230 |
| (M) The administrator of workers' compensation; | 231 |
| (N) The superintendent of insurance; | 232 |
| (O) The superintendent of public instruction; | 233 |
| (P) The tax commissioner. | 234 |
| Sec. 191.08. The executive director of the office of health | 235 |
| transformation shall adopt strategies that prioritize employment | 236 |
| as a goal for individuals participating in government programs | 237 |
| providing public benefits. | 238 |
| Sec. 193.01. As used in this chapter: | 239 |
| "Care coordination" means assisting an individual to access | 240 |
| available physical health, behavioral health, social, employment, | 241 |
| education, and housing services the individual needs. | 242 |
| "Care coordinator" means a person who provides care | 243 |
| coordination. | 244 |
| "Political subdivision" has the same meaning as in section | 245 |
| 2744.01 of the Revised Code. | 246 |
| "Publicly funded assistance programs" include physical | 247 |
| health, behavioral health, social, employment, education, and | 248 |
| housing programs funded or provided by the state or a political | 249 |
| subdivision of the state. | 250 |
| Sec. 193.02. (A) There is hereby created the Ohio healthier | 251 |
| buckeye council. The council shall consist of the following | 252 |
| members: | 253 |
| (1) The director of development services, or the director's | 254 |
| designee; | 255 |
| (2) The auditor of state, or the auditor's designee; | 256 |
| (3) Two members representing administrative departments | 257 |
| enumerated in section 121.02 of the Revised Code, appointed by the | 258 |
| governor; | 259 |
| (4) One member representing a law enforcement agency, | 260 |
| appointed by the governor; | 261 |
| (5) One member representing the interests of nongovernmental | 262 |
| economic development entities, appointed by the governor; | 263 |
| (6) Two members of the senate, one of whom shall be appointed | 264 |
| by the president of the senate and the other shall be appointed by | 265 |
| the minority leader of the senate; | 266 |
| (7) One member representing health care providers, appointed | 267 |
| by the president of the senate; | 268 |
| (8) One member representing the interests of business and | 269 |
| development, appointed by the president of the senate; | 270 |
| (9) Two members of the house of representatives, one of whom | 271 |
| shall be appointed by the speaker of the house of representatives | 272 |
| and the other shall be appointed by the minority leader of the | 273 |
| house of representatives; | 274 |
| (10) One member representing health care insurers, appointed | 275 |
| by the speaker of the house of representatives; | 276 |
| (11) One member representing faith-based organizations, | 277 |
| appointed by the speaker of the house of representatives; | 278 |
| (12) One member representing the judicial branch of | 279 |
| government, appointed by the chief justice of the supreme court. | 280 |
| (B) Initial appointments to the council shall be made not | 281 |
| later than March 31, 2014. | 282 |
| The members appointed under divisions (A)(4) and (5) of this | 283 |
| section shall serve an initial term of one year. The members | 284 |
| appointed under divisions (A)(7) and (8) of this section shall | 285 |
| serve an initial term of two years. The members appointed under | 286 |
| divisions (A)(10), (11), and (12) of this section shall serve an | 287 |
| initial term of three years. Thereafter, each member appointed | 288 |
| under those divisions shall serve a four-year term. Each member | 289 |
| appointed under division (A)(3) of this section shall serve a | 290 |
| four-year term. A member appointed under divisions (A)(6) and (9) | 291 |
| of this section shall serve a four-year term or during the | 292 |
| member's tenure in the general assembly, whichever period is | 293 |
| shorter. Members may be reappointed to the council. | 294 |
| Vacancies on the council shall be filled in the same manner | 295 |
| as the original appointments. | 296 |
| (C) At its first meeting, the council shall select a | 297 |
| chairperson from among its members. After the first meeting, the | 298 |
| council shall meet at the call of the chairperson or upon the | 299 |
| request of a majority of the council's members. A majority of the | 300 |
| council constitutes a quorum. | 301 |
| (D) The development services agency shall provide | 302 |
| administrative assistance to the council until June 30, 2015. | 303 |
| Starting July 1, 2015, the joint medicaid oversight committee | 304 |
| established in section 103.41 of the Revised Code shall provide | 305 |
| administrative assistance to the council. | 306 |
| (E) Council members shall receive no compensation but shall | 307 |
| be reimbursed for actual and necessary expenses incurred in the | 308 |
| performance of council duties. | 309 |
| Sec. 193.03. The Ohio healthier buckeye council shall do all | 310 |
| of the following: | 311 |
| (A) Promote the establishment of county healthier buckeye | 312 |
| councils throughout this state through whatever means the council | 313 |
| determines to be most efficient; | 314 |
| (B) Develop and promote means by which the county councils | 315 |
| may reduce the reliance of individuals on publicly funded | 316 |
| assistance programs using both of the following: | 317 |
| (1) Programs that have been demonstrated to be effective and: | 318 |
| (a) Have low costs; | 319 |
| (b) Use volunteer workers; | 320 |
| (c) Use incentives to encourage designated behaviors; and | 321 |
| (d) Are led by peers. | 322 |
| (2) Identification and elimination of eligibility | 323 |
| requirements for publicly funded assistance programs that are | 324 |
| barriers to achieving greater financial independence for | 325 |
| participants in those programs. | 326 |
| (C) Establish eligibility criteria, application processes, | 327 |
| and maximum grant amounts for the Ohio healthier buckeye grant | 328 |
| program established in section 193.04 of the Revised Code and | 329 |
| award grants under the program; | 330 |
| (D) Collect and analyze the data submitted to the council | 331 |
| under section 193.07 of the Revised Code; | 332 |
| (E) Develop the best practices for the administration of | 333 |
| publicly funded assistance programs in the state; | 334 |
| (F) Issue the annual reports required under section 193.05 of | 335 |
| the Revised Code. | 336 |
| Sec. 193.04. (A) There is hereby created the Ohio healthier | 337 |
| buckeye grant program to be administered by the Ohio healthier | 338 |
| buckeye council. The program shall provide grants to county | 339 |
| healthier buckeye councils for the following: | 340 |
| (1) To assist county councils with costs associated with | 341 |
| gathering data regarding enrollment and outcome information | 342 |
| related to publicly funded assistance programs; | 343 |
| (2) To provide funding to county councils to enable care | 344 |
| coordinators to seek relevant certification. | 345 |
| (B) Not later than June 30, 2014, the council shall establish | 346 |
| all of the following: | 347 |
| (1) The application processes, eligibility criteria, and | 348 |
| grant amounts to be awarded under the program; | 349 |
| (2) The form and manner to be used by county councils when | 350 |
| submitting enrollment and outcome data to the council; | 351 |
| (3) Eligible certification programs for which county council | 352 |
| care coordinators may receive a grant. | 353 |
| Sec. 193.05. Not later than January 31, 2015, and every year | 354 |
| thereafter, the Ohio healthier buckeye council shall submit a | 355 |
| report to the joint medicaid oversight committee established in | 356 |
| section 103.41 of the Revised Code. A copy of the report shall be | 357 |
| submitted to each county healthier buckeye council. The report | 358 |
| shall include the following: | 359 |
| (A) Information regarding the enrollment and outcome data | 360 |
| submitted by county healthier buckeye councils under section | 361 |
| 193.07 of the Revised Code, including information comparing past | 362 |
| data, if available; | 363 |
| (B) Recommendations developed by the council regarding the | 364 |
| best practices for the administration of publicly funded | 365 |
| assistance programs. | 366 |
| Sec. 193.06. Each board of county commissioners may adopt a | 367 |
| resolution to establish a county healthier buckeye council. The | 368 |
| board may invite any public or private agency or group that funds, | 369 |
| advocates, or provides care coordination services or operates | 370 |
| publicly funded assistance programs to individuals to become a | 371 |
| member of the county council. | 372 |
| Sec. 193.07. A county healthier buckeye council shall do all | 373 |
| of the following: | 374 |
| (A) Promote care coordination among physical health, | 375 |
| behavioral health, social, employment, education, and housing | 376 |
| service providers within the county; | 377 |
| (B) Report to the Ohio healthier buckeye council enrollment | 378 |
| and outcome data related to publicly funded assistance programs | 379 |
| provided within the county; | 380 |
| (C) Seek care coordination certification for individuals | 381 |
| within the county. | 382 |
| Sec. 5162.01. (A) As used in the Revised Code: | 383 |
| (1) "Medicaid" and "medicaid program" mean the program of | 384 |
| medical assistance established by Title XIX of the "Social | 385 |
| Security Act," 42 U.S.C. 1396 et seq., including any medical | 386 |
| assistance provided under the medicaid state plan or a federal | 387 |
| medicaid waiver granted by the United States secretary of health | 388 |
| and human services. | 389 |
| (2) "Medicare" and "medicare program" mean the federal health | 390 |
| insurance program established by Title XVIII of the "Social | 391 |
| Security Act," 42 U.S.C. 1395 et seq. | 392 |
| (B) As used in this chapter: | 393 |
| (1) "Dual eligible individual" has the same meaning as in | 394 |
| section 5160.01 of the Revised Code. | 395 |
| (2) "Exchange" has the same meaning as in 45 C.F.R. 155.20. | 396 |
| (3) "Federal financial participation" has the same meaning as | 397 |
| in section 5160.01 of the Revised Code. | 398 |
| | 399 |
| defined by the United States office of management and budget based | 400 |
| on the most recent data available from the United States bureau of | 401 |
| the census and revised by the United States secretary of health | 402 |
| and human services pursuant to the "Omnibus Budget Reconciliation | 403 |
| Act of 1981," section 673(2), 42 U.S.C. 9902(2). | 404 |
| | 405 |
| medicaid program that covers pregnant women and children and is | 406 |
| identified in rules adopted under section 5162.02 of the Revised | 407 |
| Code as the healthy start component. | 408 |
| | 409 |
| provided under a home and community-based services medicaid waiver | 410 |
| component. | 411 |
| (7) "Home and community-based services medicaid waiver | 412 |
| component" has the same meaning as in section 5166.01 of the | 413 |
| Revised Code. | 414 |
| (8) "ICF/IID" has the same meaning as in section 5124.01 of | 415 |
| the Revised Code. | 416 |
| | 417 |
| meaning as in section 5167.01 of the Revised Code. | 418 |
| | 419 |
| section 5164.01 of the Revised Code. | 420 |
| | 421 |
| section 5164.01 of the Revised Code. | 422 |
| | 423 |
|
services" have the same | 424 |
| the Revised Code. | 425 |
| | 426 |
| corporation, township, county, school district, or other body | 427 |
| corporate and politic responsible for governmental activities only | 428 |
| in a geographical area smaller than that of the state. | 429 |
| | 430 |
| 5164.01 of the Revised Code. | 431 |
| | 432 |
| section 5164.01 of the Revised Code. | 433 |
| | 434 |
| of education of a city, local, or exempted village school | 435 |
| district, the governing authority of a community school | 436 |
| established under Chapter 3314. of the Revised Code, the state | 437 |
| school for the deaf, and the state school for the blind to which | 438 |
| both of the following apply: | 439 |
| (a) It holds a valid provider agreement. | 440 |
| (b) It meets all other conditions for participation in the | 441 |
| medicaid school component of the medicaid program established in | 442 |
| rules authorized by section 5162.364 of the Revised Code. | 443 |
| | 444 |
| or agency, other than the department of medicaid, established by | 445 |
| the laws of the state for the exercise of any function of state | 446 |
| government. | 447 |
| | 448 |
| payment to a medicaid provider to correct a previous, incorrect | 449 |
| medicaid payment to that provider. | 450 |
| Sec. 5162.13. On or before the first day of January of each | 451 |
|
year, the department of medicaid shall | 452 |
| 453 | |
| 454 | |
| 455 | |
| program in meeting the health care needs of low-income pregnant | 456 |
| women, infants, and children. The report shall include: the | 457 |
| estimated number of pregnant women, infants, and children eligible | 458 |
| for the program; the actual number of eligible persons enrolled in | 459 |
| the program; the number of prenatal, postpartum, and child health | 460 |
| visits; a report on birth outcomes, including a comparison of | 461 |
| low-birthweight births and infant mortality rates of medicaid | 462 |
| recipients with the general female child-bearing and infant | 463 |
| population in this state; and a comparison of the prenatal, | 464 |
| delivery, and child health costs of the program with such costs of | 465 |
| similar programs in other states, where available. The department | 466 |
| shall submit the report to the general assembly in accordance with | 467 |
| section 101.68 of the Revised Code and to the joint medicaid | 468 |
| oversight committee. The department also shall make the report | 469 |
| available to the public. | 470 |
| Sec. 5162.131. Semiannually, the medicaid director shall | 471 |
| 472 | |
| 473 | |
| 474 | |
| 475 | |
| 476 | |
| implementation of programs designed to control the increase of the | 477 |
| cost of the medicaid program, increase the efficiency of the | 478 |
| medicaid program, and promote better health outcomes. The director | 479 |
| shall submit the report to the general assembly in accordance with | 480 |
| section 101.68 of the Revised Code and to the joint medicaid | 481 |
| oversight committee. In each calendar year, one report shall be | 482 |
| submitted not later than the last day of June and the subsequent | 483 |
| report shall be submitted not later than the last day of December. | 484 |
| Sec. 5162.132. Annually, the department of medicaid shall | 485 |
| prepare a report on the department's efforts to minimize fraud, | 486 |
| waste, and abuse in the medicaid program. | 487 |
| Each report shall be made available on the department's web | 488 |
| site. The department shall submit a copy of each report to the | 489 |
|
governor, general assembly, and | 490 |
| committee. The copy to the general assembly shall be submitted in | 491 |
|
accordance with section 101.68 of the Revised Code | 492 |
| 493 | |
| public on request. | 494 |
| | 495 |
| medicaid director shall submit a report on the medicaid buy-in for | 496 |
|
workers with disabilities program to the governor, | 497 |
| 498 | |
| 499 | |
| 500 | |
| 501 | |
| The copy to the general assembly shall be submitted in accordance | 502 |
| with section 101.68 of the Revised Code. The report shall include | 503 |
| all of the following information: | 504 |
| (A) The number of individuals who participated in the | 505 |
| medicaid buy-in for workers with disabilities program; | 506 |
| (B) The cost of the program; | 507 |
| (C) The amount of revenue generated by premiums that | 508 |
| participants pay under section 5163.094 of the Revised Code; | 509 |
| (D) The average amount of earned income of participants' | 510 |
| families; | 511 |
| (E) The average amount of time participants have participated | 512 |
| in the program; | 513 |
| (F) The types of other health insurance participants have | 514 |
| been able to obtain. | 515 |
| Sec. 5162.134. Not later than the first day of each July, | 516 |
| the medicaid director shall complete a report of the evaluation | 517 |
| conducted under section 5164.911 of the Revised Code regarding the | 518 |
| integrated care delivery system. The director shall provide a copy | 519 |
| of the report to the general assembly and joint medicaid oversight | 520 |
| committee. The copy to the general assembly shall be provided in | 521 |
| accordance with section 101.68 of the Revised Code. The director | 522 |
| also shall make the report available to the public. | 523 |
| Sec. 5162.20. (A) The department of medicaid shall institute | 524 |
|
cost-sharing requirements for the medicaid program. | 525 |
| 526 | |
| 527 | |
| 528 | |
| 529 | |
| 530 | |
| 531 | |
| requirements in a manner that disproportionately impacts the | 532 |
| ability of medicaid recipients with chronic illnesses to obtain | 533 |
| medically necessary medicaid services. | 534 |
| (B)(1) No provider shall refuse to provide a service to a | 535 |
| medicaid recipient who is unable to pay a required copayment for | 536 |
| the service. | 537 |
| (2) Division (B)(1) of this section shall not be considered | 538 |
| to do either of the following with regard to a medicaid recipient | 539 |
| who is unable to pay a required copayment: | 540 |
| (a) Relieve the medicaid recipient from the obligation to pay | 541 |
| a copayment; | 542 |
| (b) Prohibit the provider from attempting to collect an | 543 |
| unpaid copayment. | 544 |
| (C) Except as provided in division (F) of this section, no | 545 |
| provider shall waive a medicaid recipient's obligation to pay the | 546 |
| provider a copayment. | 547 |
| (D) No provider or drug manufacturer, including the | 548 |
| manufacturer's representative, employee, independent contractor, | 549 |
| or agent, shall pay any copayment on behalf of a medicaid | 550 |
| recipient. | 551 |
| (E) If it is the routine business practice of a provider to | 552 |
| refuse service to any individual who owes an outstanding debt to | 553 |
| the provider, the provider may consider an unpaid copayment | 554 |
| imposed by the cost-sharing requirements as an outstanding debt | 555 |
| and may refuse service to a medicaid recipient who owes the | 556 |
| provider an outstanding debt. If the provider intends to refuse | 557 |
| service to a medicaid recipient who owes the provider an | 558 |
| outstanding debt, the provider shall notify the recipient of the | 559 |
| provider's intent to refuse service. | 560 |
| (F) In the case of a provider that is a hospital, the | 561 |
| cost-sharing program shall permit the hospital to take action to | 562 |
| collect a copayment by providing, at the time services are | 563 |
| rendered to a medicaid recipient, notice that a copayment may be | 564 |
| owed. If the hospital provides the notice and chooses not to take | 565 |
| any further action to pursue collection of the copayment, the | 566 |
| prohibition against waiving copayments specified in division (C) | 567 |
| of this section does not apply. | 568 |
| (G) The department of medicaid may collaborate with a state | 569 |
| agency that is administering, pursuant to a contract entered into | 570 |
| under section 5162.35 of the Revised Code, one or more components, | 571 |
| or one or more aspects of a component, of the medicaid program as | 572 |
| necessary for the state agency to apply the cost-sharing | 573 |
| requirements to the components or aspects of a component that the | 574 |
| state agency administers. | 575 |
| Sec. 5162.70. (A) As used in this section: | 576 |
| (1) "CPI" means the consumer price index for all urban | 577 |
| consumers as published by the United States bureau of labor | 578 |
| statistics. | 579 |
| (2) "CPI medical inflation rate" means the inflation rate for | 580 |
| medical care, or the successor term for medical care, for the | 581 |
| midwest region as specified in the CPI. | 582 |
| (3) "JMOC projected medical inflation rate" means the | 583 |
| following: | 584 |
| (a) The projected medical inflation rate for a fiscal | 585 |
| biennium determined by the actuary with which the joint medicaid | 586 |
| oversight committee contracts under section 103.414 of the Revised | 587 |
| Code if the committee agrees with the actuary's projected medical | 588 |
| inflation rate for that fiscal biennium; | 589 |
| (b) The different projected medical inflation rate for a | 590 |
| fiscal biennium determined by the joint medicaid oversight | 591 |
| committee under section 103.414 of the Revised Code if the | 592 |
| committee disagrees with the projected medical inflation rate | 593 |
| determined for that fiscal biennium by the actuary with which the | 594 |
| committee contracts under that section. | 595 |
| (4) "Successor term" means a term that the United States | 596 |
| bureau of labor statistics uses in place of another term in | 597 |
| revisions to the CPI. | 598 |
| (B) The medicaid director shall implement reforms to the | 599 |
| medicaid program that do all of the following: | 600 |
| (1) Limit the growth in the per recipient per month cost of | 601 |
| the medicaid program, as determined on an aggregate basis for all | 602 |
| eligibility groups, for a fiscal biennium to not more than the | 603 |
| lesser of the following: | 604 |
| (a) The average annual increase in the CPI medical inflation | 605 |
| rate for the most recent three-year period for which the necessary | 606 |
| data is available as of the first day of the fiscal biennium, | 607 |
| weighted by the most recent year of the three years; | 608 |
| (b) The JMOC projected medical inflation rate for the fiscal | 609 |
| biennium. | 610 |
| (2) Achieve the limit in the growth of the per recipient per | 611 |
| month cost of the medicaid program under division (B)(1) of this | 612 |
| section by doing all of the following: | 613 |
| (a) Improving the physical and mental health of medicaid | 614 |
| recipients; | 615 |
| (b) Providing for medicaid recipients to receive medicaid | 616 |
| services in the most cost-effective and sustainable manner; | 617 |
| (c) Removing barriers that impede medicaid recipients' | 618 |
| ability to transfer to lower cost, and more appropriate, medicaid | 619 |
| services, including home and community-based services; | 620 |
| (d) Establishing medicaid payment rates that encourage value | 621 |
| over volume and result in medicaid services being provided in the | 622 |
| most efficient and effective manner possible; | 623 |
| (e) Implementing fraud and abuse prevention and cost | 624 |
| avoidance mechanisms to the fullest extent possible; | 625 |
| (f) Integrating in the care management system established | 626 |
| under section 5167.03 of the Revised Code the delivery of physical | 627 |
| health, behavioral health, nursing facility, and home and | 628 |
| community-based services covered by medicaid. | 629 |
| (3) Reduce the prevalence of comorbid health conditions | 630 |
| among, and the mortality rates of, medicaid recipients; | 631 |
| (4) Reduce infant mortality rates among medicaid recipients. | 632 |
| (C) The medicaid director shall implement the reforms under | 633 |
| this section in accordance with evidence-based strategies that | 634 |
| include measurable goals. | 635 |
| (D) The reforms implemented under this section shall, without | 636 |
| making the medicaid program's eligibility requirements more | 637 |
| restrictive, reduce the relative number of individuals enrolled in | 638 |
| the medicaid program who have the greatest potential to obtain the | 639 |
| income and resources that would enable them to cease enrollment in | 640 |
| medicaid and instead obtain health care coverage through | 641 |
| employer-sponsored health insurance or an exchange. | 642 |
| Sec. 5162.71. The medicaid director shall implement within | 643 |
| the medicaid program systems that do both of the following: | 644 |
| (A) Improve the health of medicaid recipients through the use | 645 |
| of population health measures; | 646 |
| (B) Reduce health disparities, including, but not limited to, | 647 |
| those within racial and ethnic populations. | 648 |
| Sec. 5163.01. As used in this chapter: | 649 |
| "Caretaker relative" has the same meaning as in 42 C.F.R. | 650 |
| 435.4 as that regulation is amended effective January 1, 2014. | 651 |
| "Children's hospital" has the same meaning as in section | 652 |
| 2151.86 of the Revised Code. | 653 |
| "Federal financial participation" has the same meaning as in | 654 |
| section 5160.01 of the Revised Code. | 655 |
| "Federally qualified health center" has the same meaning as | 656 |
| in the "Social Security Act," section 1905(l)(2)(B), 42 U.S.C. | 657 |
| 1396d(l)(2)(B). | 658 |
| "Federally qualified health center look-alike" has the same | 659 |
| meaning as in section 3701.047 of the Revised Code. | 660 |
| "Federal poverty line" has the same meaning as in section | 661 |
| 5162.01 of the Revised Code. | 662 |
| "Healthy start component" has the same meaning as in section | 663 |
| 5162.01 of the Revised Code. | 664 |
| "Home and community-based services medicaid waiver component" | 665 |
| has the same meaning as in section 5166.01 of the Revised Code. | 666 |
| "Intermediate care facility for individuals with intellectual | 667 |
| disabilities" and "ICF/IID" have the same meanings as in section | 668 |
| 5124.01 of the Revised Code. | 669 |
| "Mandatory eligibility groups" means the groups of | 670 |
| individuals that must be covered by the medicaid state plan as a | 671 |
| condition of the state receiving federal financial participation | 672 |
| for the medicaid program. | 673 |
| "Medicaid buy-in for workers with disabilities program" means | 674 |
| the component of the medicaid program established under sections | 675 |
|
5163.09 to | 676 |
| "Medicaid services" has the same meaning as in section | 677 |
| 5164.01 of the Revised Code. | 678 |
| "Medicaid waiver component" has the same meaning as in | 679 |
| section 5166.01 of the Revised Code. | 680 |
| "Nursing facility" and "nursing facility services" have the | 681 |
| same meanings as in section 5165.01 of the Revised Code. | 682 |
| "Optional eligibility groups" means the groups of individuals | 683 |
| who may be covered by the medicaid state plan or a federal | 684 |
| medicaid waiver and for whom the medicaid program receives federal | 685 |
| financial participation. | 686 |
| "Other medicaid-funded long-term care services" has the | 687 |
| meaning specified in rules adopted under section 5163.02 of the | 688 |
| Revised Code. | 689 |
| "Supplemental security income program" means the program | 690 |
| established by Title XVI of the "Social Security Act," 42 U.S.C. | 691 |
| 1381 et seq. | 692 |
| Sec. 5163.06. The medicaid program shall cover all of the | 693 |
| following optional eligibility groups: | 694 |
| (A) The group consisting of children placed with adoptive | 695 |
| parents who are specified in the "Social Security Act," section | 696 |
| 1902(a)(10)(A)(ii)(VIII), 42 U.S.C. 1396a(a)(10)(A)(ii)(VIII); | 697 |
| (B) Subject to section 5163.061 of the Revised Code, the | 698 |
| group consisting of women during pregnancy and the sixty-day | 699 |
| period beginning on the last day of the pregnancy, infants, and | 700 |
| children who are specified in the "Social Security Act," section | 701 |
| 1902(a)(10)(A)(ii)(IX), 42 U.S.C. 1396a(a)(10)(A)(ii)(IX); | 702 |
| (C) Subject to sections 5163.09 to | 703 |
| Revised Code, the group consisting of employed individuals with | 704 |
| disabilities who are specified in the "Social Security Act," | 705 |
| section 1902(a)(10)(A)(ii)(XV), 42 U.S.C. 1396a(a)(10)(A)(ii)(XV); | 706 |
| (D) Subject to sections 5163.09 to | 707 |
| Revised Code, the group consisting of employed individuals with | 708 |
| medically improved disabilities who are specified in the "Social | 709 |
| Security Act," section 1902(a)(10)(A)(ii)(XVI), 42 U.S.C. | 710 |
| 1396a(a)(10)(A)(ii)(XVI); | 711 |
| (E) The group consisting of independent foster care | 712 |
| adolescents who are specified in the "Social Security Act," | 713 |
| section 1902(a)(10)(A)(ii)(XVII), 42 U.S.C. | 714 |
| 1396a(a)(10)(A)(ii)(XVII); | 715 |
| (F) The group consisting of women in need of treatment for | 716 |
| breast or cervical cancer who are specified in the "Social | 717 |
| Security Act," section 1902(a)(10)(A)(ii)(XVIII), 42 U.S.C. | 718 |
| 1396a(a)(10)(A)(ii)(XVIII); | 719 |
| (G) The group consisting of nonpregnant individuals who may | 720 |
| receive family planning services and supplies and are specified in | 721 |
| the "Social Security Act," section 1902(a)(10)(A)(ii)(XXI), 42 | 722 |
| U.S.C. 1396a(a)(10)(A)(ii)(XXI). | 723 |
| Sec. 5163.09. (A) As used in sections 5163.09 to | 724 |
| 5163.098 of the Revised Code: | 725 |
| "Applicant" means an individual who applies to participate in | 726 |
| the medicaid buy-in for workers with disabilities program. | 727 |
| "Earned income" has the meaning established by rules | 728 |
| authorized by section 5163.098 of the Revised Code. | 729 |
| "Employed individual with a medically improved disability" | 730 |
| has the same meaning as in the "Social Security Act," section | 731 |
| 1905(v), 42 U.S.C. 1396d(v). | 732 |
| "Family" means an applicant or participant and the spouse and | 733 |
| dependent children of the applicant or participant. If an | 734 |
| applicant or participant is under eighteen years of age, "family" | 735 |
| also means the parents of the applicant or participant. | 736 |
| "Health insurance" has the meaning established by rules | 737 |
| authorized by section 5163.098 of the Revised Code. | 738 |
| "Income" means earned income and unearned income. | 739 |
| "Participant" means an individual who has been determined | 740 |
| eligible for the medicaid buy-in for workers with disabilities | 741 |
| program and is participating in the program. | 742 |
| "Resources" has the meaning established by rules authorized | 743 |
| by section 5163.098 of the Revised Code. | 744 |
| "Spouse" has the meaning established | 745 |
| by section 5163.098 of the Revised Code. | 746 |
| "Unearned income" has the meaning established by rules | 747 |
| authorized by section 5163.098 of the Revised Code. | 748 |
| (B) The medicaid program's coverage of the optional | 749 |
| eligibility groups specified in the "Social Security Act," section | 750 |
| 1902(a)(10)(A)(ii)(XV) and (XVI), 42 U.S.C. | 751 |
| 1396a(a)(10)(A)(ii)(XV) and (XVI) shall be known as the medicaid | 752 |
| buy-in for workers with disabilities program. | 753 |
| Sec. 5164.911. (A) If the medicaid director implements the | 754 |
| integrated care delivery system and except as provided in division | 755 |
| 756 | |
| of the following: | 757 |
| (1) The health outcomes of ICDS participants; | 758 |
| (2) How changes to the administration of the ICDS affect all | 759 |
| of the following: | 760 |
| (a) Claims processing; | 761 |
| (b) The appeals process; | 762 |
| (c) The number of reassessments requested; | 763 |
| (d) Prior authorization requests for services. | 764 |
| (3) The provider panel selection process used by medicaid | 765 |
| managed care organizations participating in the ICDS. | 766 |
| (B) When conducting an evaluation under division (A) of this | 767 |
| section, the director shall do all of the following: | 768 |
| (1) For the purpose of division (A)(1) of this section, do | 769 |
| both of the following: | 770 |
| (a) Compare the health outcomes of ICDS participants to the | 771 |
| health outcomes of individuals who are not ICDS participants; | 772 |
| (b) Use both of the following: | 773 |
| (i) A control group consisting of ICDS participants who | 774 |
| receive health care services from providers not participating in | 775 |
| ICDS; | 776 |
| (ii) A control group consisting of ICDS participants who | 777 |
| receive health care services from alternative providers that are | 778 |
| not part of a participating medicaid managed care organization's | 779 |
| provider panel but provide health care services in the geographic | 780 |
| service area in which ICDS participants receive health care | 781 |
| services. | 782 |
| (2) For the purpose of division (A)(2) of this section, do | 783 |
| all of the following: | 784 |
| (a) To the extent the data is available, use data from all of | 785 |
| the following: | 786 |
| (i) The fee-for-service component of the medicaid program; | 787 |
| (ii) Medicaid managed care organizations; | 788 |
| (iii) Managed care organizations participating in the | 789 |
| medicare advantage program established under Part C of Title XVIII | 790 |
| of the "Social Security Act," 42 U.S.C. 1395w-21 et seq. | 791 |
| (b) Identify all of the following: | 792 |
| (i) Changes in the amount of time it takes to process claims | 793 |
| and the number of claims denied and the reasons for the changes; | 794 |
| (ii) The impact that changes to the administration of the | 795 |
| ICDS had on the appeals process and number of reassessments | 796 |
| requested; | 797 |
| (iii) The number of prior authorization denials that were | 798 |
| overturned and the reasons for the overturned denials. | 799 |
| (3) Require medicaid managed care organizations participating | 800 |
| in the ICDS to submit to the director any data the director needs | 801 |
| for the evaluation. | 802 |
| (C) | 803 |
| 804 | |
| 805 | |
| 806 | |
| 807 |
| | 808 |
| under this section for a year if the same evaluation is conducted | 809 |
| for that year by an organization under contract with the United | 810 |
| States department of health and human services. | 811 |
| Sec. 5164.94. The medicaid director shall implement within | 812 |
| the medicaid program a system that encourages medicaid providers | 813 |
| to provide medicaid services to medicaid recipients in culturally | 814 |
| and linguistically appropriate manners. | 815 |
| Section 2. That existing sections 191.02, 5162.01, 5162.13, | 816 |
| 5162.131, 5162.132, 5162.20, 5163.01, 5163.06, 5163.09, 5163.0910, | 817 |
| and 5164.911 of the Revised Code are hereby repealed. | 818 |
| Section 3. That sections 101.39, 101.391, and 5163.099 of the | 819 |
| Revised Code are hereby repealed. | 820 |
| Section 4. That Section 323.90 of Am. Sub. H.B. 59 of the | 821 |
| 130th General Assembly be amended to read as follows: | 822 |
| Sec. 323.90. JOINT | 823 |
| 824 |
| (A) | 825 |
| 826 | |
| 827 | |
| 828 | |
| 829 |
| | 830 |
| 831 | |
| 832 |
| | 833 |
| 834 | |
| 835 |
| | 836 |
| 837 |
| | 838 |
| 839 |
| | 840 |
| 841 | |
| 842 | |
| 843 | |
| 844 | |
| 845 | |
| 846 | |
| 847 | |
| 848 |
| | 849 |
| following issues: | 850 |
| (1) The implementation of the dual eligible integrated care | 851 |
| demonstration project authorized by section 5164.91 of the Revised | 852 |
| Code; | 853 |
| (2) The implementation of a unified long-term services and | 854 |
| support Medicaid waiver component under section 5166.14 of the | 855 |
| Revised Code; | 856 |
| (3) Providing consumers choices regarding a continuum of | 857 |
| services that meet their health-care needs, promote autonomy and | 858 |
| independence, and improve quality of life; | 859 |
| (4) Ensuring that long-term care services and supports are | 860 |
| delivered in a cost-effective and quality manner; | 861 |
| (5) Subjecting county homes, county nursing homes, and | 862 |
| district homes operated pursuant to Chapter 5155. of the Revised | 863 |
| Code to the franchise permit fee under sections 5168.40 to 5168.56 | 864 |
| of the Revised Code; | 865 |
| (6) Other issues of interest to the committee. | 866 |
| | 867 |
| provide for the Medicaid Director to testify before the Committee | 868 |
| at least quarterly regarding the issues that the Committee | 869 |
| examines. | 870 |
| Section 5. That existing Section 323.90 of Am. Sub. H.B. 59 | 871 |
| of the 130th General Assembly is hereby repealed. | 872 |
| Section 6. The Joint Medicaid Oversight Committee shall | 873 |
| prepare a report with recommendations for legislation regarding | 874 |
| Medicaid payment rates for Medicaid services. The goal of the | 875 |
| recommendations shall be to provide the Medicaid Director | 876 |
| statutory authority to implement innovative methodologies for | 877 |
| setting Medicaid payment rates that limit the growth in Medicaid | 878 |
| costs and protect, and establish guiding principles for, Medicaid | 879 |
| providers and recipients. The Medicaid Director shall assist the | 880 |
| Committee with the report. The Committee shall submit the report | 881 |
| to the General Assembly in accordance with section 101.68 of the | 882 |
| Revised Code not later than January 1, 2015. | 883 |
| Section 7. The General Assembly encourages the Department of | 884 |
| Medicaid to achieve greater cost savings for the Medicaid program | 885 |
| than required by section 5162.70 of the Revised Code. It is the | 886 |
| intent of the General Assembly that any amounts saved under that | 887 |
| section not be expended for any other purpose. | 888 |
| Section 8. Nothing in this act shall be construed as the | 889 |
| General Assembly endorsing, validating, or otherwise approving the | 890 |
| Medicaid program's coverage of the group described in the "Social | 891 |
| Security Act," section 1902(a)(10)(A)(i)(VIII), 42 U.S.C. | 892 |
| 1396a(a)(10)(A)(i)(VIII). | 893 |
| Section 9. All items in this section are hereby appropriated | 894 |
| as designated out of any moneys in the state treasury to the | 895 |
| credit of the designated fund. For all appropriations made in this | 896 |
| act, those in the first column are for fiscal year 2014 and those | 897 |
| in the second column are for fiscal year 2015. The appropriations | 898 |
| made in this act are in addition to any other appropriations made | 899 |
| for the FY 2014-FY 2015 biennium. | 900 |
| Appropriations |
| 901 | |
| General Revenue Fund | 902 |
| GRF | 048321 | Operating Expenses | $ | 350,000 | $ | 500,000 | 903 | ||||
| TOTAL GRF General Revenue Fund | $ | 350,000 | $ | 500,000 | 904 | ||||||
| TOTAL ALL BUDGET FUND GROUPS | $ | 350,000 | $ | 500,000 | 905 | ||||||
| OPERATING EXPENSES | 906 |
| The foregoing appropriation item 048321, Operating Expenses, | 907 |
| shall be used to support expenses related to the Joint Medicaid | 908 |
| Oversight Committee created by section 103.41 of the Revised Code. | 909 |
| Section 10. Within the limits set forth in this act, the | 910 |
| Director of Budget and Management shall establish accounts | 911 |
| indicating the source and amount of funds for each appropriation | 912 |
| made in this act, and shall determine the form and manner in which | 913 |
| appropriation accounts shall be maintained. Expenditures from | 914 |
| appropriations contained in this act shall be accounted for as | 915 |
| though made in the main operating appropriations act of the 130th | 916 |
| General Assembly. | 917 |
| The appropriations made in this act are subject to all | 918 |
| provisions of the main operating appropriations act of the 130th | 919 |
| General Assembly that are generally applicable to such | 920 |
| appropriations. | 921 |