Full Text of HR1185 98th General Assembly
HR1185 98TH GENERAL ASSEMBLY |
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| 1 | | HOUSE RESOLUTION
| 2 | | WHEREAS, Medicaid is an entitlement program that provides | 3 | | healthcare coverage for low income children, adults, adults | 4 | | with disabilities, and seniors; and
| 5 | | WHEREAS, Medicaid is jointly funded between the states and | 6 | | the federal government; and
| 7 | | WHEREAS, The federal participation to state Medicaid | 8 | | programs is based upon 2 factors - the amount the state spends | 9 | | on Medicaid matchable services and the state's individual | 10 | | Federal Medical Assistance Percentage (FMAP); and | 11 | | WHEREAS, The FMAP is calculated by the federal government | 12 | | each year through administrative rule, via a formula that | 13 | | considers the average per capita income for that state relative | 14 | | to the national average; and | 15 | | WHEREAS, The FMAP cannot be less than 50% or more than 83% | 16 | | for federal Medicaid reimbursements to states; and | 17 | | WHEREAS, Illinois has historically been among the lowest | 18 | | reimbursed FMAP states at the 50% rate; and | 19 | | WHEREAS, Only in 2014 will Illinois receive a slight |
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| 1 | | adjustment to the FMAP rate with an effective reimbursement | 2 | | rate of 50.76%; and | 3 | | WHEREAS, Illinois is one of only 22 states with an FMAP | 4 | | less than 54% and only one of 13 states with an FMAP of less | 5 | | than 51%; 7 states have an FMAP rate of 70% or more; and
| 6 | | WHEREAS, All of the contiguous states surrounding Illinois | 7 | | have a higher FMAP reimbursement rate for Medicaid - between 5% | 8 | | and 19% higher; and
| 9 | | WHEREAS, Other states with low relative FMAP | 10 | | reimbursements include New York, New Jersey, California, | 11 | | Connecticut, Maryland, and Virginia; these states are similar | 12 | | to Illinois with proximity to a large metropolitan area; and
| 13 | | WHEREAS, Concerns have been raised that the FMAP formula | 14 | | fails to take into account the total number of Medicaid | 15 | | eligible residents which may live in an area with a large | 16 | | metropolitan area and is slow to reflect current economic | 17 | | conditions present in a state; therefore, be it
| 18 | | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE | 19 | | NINETY-EIGHTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that | 20 | | we urge the federal government to revisit the formula used to | 21 | | calculate the Federal Medical Assistance Percentage with |
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| 1 | | variables which take into account the total number of low | 2 | | income residents in a state and variables which represent a | 3 | | timely reflection of economic conditions in a state; and be it | 4 | | further
| 5 | | RESOLVED, That suitable copies of this resolution be | 6 | | delivered to the U.S. Secretary of Health and Human Services.
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