Amendment vs bill Amendment Report for House Bill No. 1626 vs As Passed the lower

Struck = removed from the bill ยท added = the amendment's new text.

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MISSISSIPPI LEGISLATURE REGULAR SESSION 2023 By:
Senate Amendments to House Bill No.
Representatives Read, Mims, Arnold, To:
1626 TO THE CLERK OF THE HOUSE:
Appropriations Bounds, Clark, Clarke, Currie, Hines, Hood, Horan, Sanford, Scoggin, Watson, Young COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
THIS IS TO INFORM YOU THAT THE SENATE HAS ADOPTED THE AMENDMENTS SET OUT BELOW:
1626 AN ACT MAKING AN APPROPRIATION FOR THE PURPOSE OF DEFRAYING THE EXPENSES OF THE STATE DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2024.
AMENDMENT NO.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:
1 Amend by striking all after the enacting clause and inserting in lieu thereof the following:
...............................................$ 39,488,421.00.
...............................................$ 38,888,421.00.
H.
SECTION 3.
B.
Of the funds appropriated under the provisions of Sections 1 and 2, Five Hundred Twenty-six Thousand One Hundred Two Dollars ($526,102.00) shall be derived from the State General Fund PAGE 11626 and Nine Million Two Hundred Seventy-eight Thousand Seven Hundred Eighty-three Dollars ($9,278,783.00) shall be derived from the Health Care Expendable Fund, created in Section 43-13-407, Mississippi Code of 1972, for the support and maintenance of the State Department of Health.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ A1/2 23/HR13/A301CS PAGE 1 SECTION 3.
Of the funds appropriated under the provisions of Sections 1 and 2, Five Hundred Twenty-six Thousand One Hundred Two Dollars ($526,102.00) shall be derived from the State General Fund and Nine Million Two Hundred Seventy-eight Thousand Seven Hundred Eighty-three Dollars ($9,278,783.00) shall be derived from the Health Care Expendable Fund, created in Section 43-13-407, Mississippi Code of 1972, for the support and maintenance of the State Department of Health.
The State Department of Health may transfer a portion of Trauma Care System funds to the Division of H.
The State Department of Health may transfer a portion of Trauma Care System funds to the Division of Medicaid for the development and implementation of an enhanced reimbursement fee program related to trauma care and services, used to match federal funds, under a cooperative agreement between the State Department of Health and the Division of Medicaid.
B.
PAGE 21626 It is the intention of the Legislature that none of the funds authorized herein for the Trauma Care System shall be expended to the benefit of any hospital located outside the boundaries of the State of Mississippi, unless otherwise excepted in this paragraph.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 2 Medicaid for the development and implementation of an enhanced reimbursement fee program related to trauma care and services, used to match federal funds, under a cooperative agreement between the State Department of Health and the Division of Medicaid.
It is the intention of the Legislature that none of the funds authorized herein for the Trauma Care System shall be expended to the benefit of any hospital located outside the boundaries of the State of Mississippi, unless otherwise excepted in this paragraph.
University of Mississippi Medical Center Cancer Institute.................................$ 4,250,000.00 Department of Education - Mary Kirkpatrick Haskell โ€“ H.
University of Mississippi Medical Center Cancer Institute.................................$ 4,250,000.00 Department of Education - Mary Kirkpatrick Haskell โ€“ Mary Sprayberry Public School Nurse Program.............................$ 3,060,000.00 Attorney General's Office - Alcohol and Tobacco Enforcement Unit..................$ 680,000.00 University of Mississippi Medical Center โ€“ PAGE 31626 A Comprehensive Tobacco (ACT) Center....................................$ 595,000.00 Mississippi Health Care Alliance - ST Elevated Myocardial Infarction Program (STEMI) and Stroke System of Care Plan................$ 595,000.00 Mississippi Qualified Health Center Grant Program......................$ 3,400,000.00 Mississippi Health Department Programs.........$ 7,420,000.00 Of the funds appropriated in this section, the State Department of Health is authorized to expend funds to create and administer the Office of Tobacco Control within the department as outlined and created in Section 41-113-3, Mississippi Code of 1972.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 3 Mary Sprayberry Public School Nurse Program.............................$ 3,060,000.00 Attorney General's Office - Alcohol and Tobacco Enforcement Unit..................$ 680,000.00 University of Mississippi Medical Center โ€“ A Comprehensive Tobacco (ACT) Center....................................$ 595,000.00 Mississippi Health Care Alliance - ST Elevated Myocardial Infarction Program (STEMI) and Stroke System of Care Plan................$ 595,000.00 Mississippi Qualified Health Center Grant Program......................$ 3,400,000.00 Mississippi Health Department Programs.........$ 7,420,000.00 Of the funds appropriated in this section, the State Department of Health is authorized to expend funds to create and administer the Office of Tobacco Control within the department as outlined and created in Section 41-113-3, Mississippi Code of 1972.
Of the funds appropriated in Section 1, Five Million One Hundred Two Thousand Nine Hundred Fifteen Dollars ($5,102,915.00) shall be allocated as follows:
Of the funds appropriated in Section 1, Four Million Five Hundred Two Thousand Nine Hundred Fifteen Dollars ($4,502,915.00) shall be allocated as follows:
Mississippi Health Care Alliance - ST Elevated Myocardial Infarction Program (STEMI) and Stroke System of Care Plan...........$ 279,400.00 Mississippi Qualified Health Center H.
Mississippi Health Care Alliance - ST Elevated Myocardial Infarction Program (STEMI) and Stroke System of Care Plan............$ 279,400.00 Mississippi Qualified Health Center Grant Program..........................$ 4,000,000.00 Mississippi Health Department Programs.........$ 223,515.00 SECTION 7.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 4 Grant Program............................$ 4,600,000.00 Mississippi Health Department Programs........$ 223,515.00 SECTION 7.
699 Time-Limited:
699 PAGE 41626 Time-Limited:
Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law or H.
Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law or allowable under the terms set forth within this act.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 5 allowable under the terms set forth within this act.
No general funds authorized to be expended herein shall be used to replace federal funds and/or other special funds which are being used for salaries authorized under the provisions of this act and which are withdrawn and no longer available.
PAGE 51626 No general funds authorized to be expended herein shall be used to replace federal funds and/or other special funds which are being used for salaries authorized under the provisions of this act and which are withdrawn and no longer available.
It is the intention of the Legislature that the State Department of Health shall maintain complete accounting and personnel records related to the expenditure of all funds appropriated under this act and that such records shall be in the H.
It is the intention of the Legislature that the State Department of Health shall maintain complete accounting and personnel records related to the expenditure of all funds appropriated under this act and that such records shall be in the same format and level of detail as maintained for Fiscal Year 2023.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 6 same format and level of detail as maintained for Fiscal Year 2023.
In compliance with the "Mississippi Performance Budget and Strategic Planning Act of 1994," it is the intent of the Legislature that the funds provided herein shall be utilized in the most efficient and effective manner possible to achieve the intended mission of this agency.
In compliance with the "Mississippi Performance Budget and Strategic Planning Act of 1994," it is the intent of PAGE 61626 the Legislature that the funds provided herein shall be utilized in the most efficient and effective manner possible to achieve the intended mission of this agency.
FY2024 Performance Measures Target Health Services State Infant Mortality Rate (per 1,000 Live Births) 8.20 Percent of Women who Received Prenatal Care in First Trimester 72.50 Percent of Live Births Delivered Prior to 37 Weeks of Gestation 13.20 Teenage Live Birth Rate Age 15-19 Years (per 1,000 Women Age 15-19) 22.60 Percent of Newborns with Positive and H.
FY2024 Performance Measures Target Health Services State Infant Mortality Rate (per 1,000 Live Births) 8.20 Percent of Women who Received Prenatal Care in First Trimester 72.50 Percent of Live Births Delivered Prior to 37 Weeks of Gestation 13.20 Teenage Live Birth Rate Age 15-19 Years (per 1,000 Women Age 15-19) 22.60 Percent of Newborns with Positive and Inconclusive Genetic Screens who Received Recommended Follow-Up 100.00 Percent of Adults who are Obese (Body Mass Index of 30 or More, Regardless of Sex) 39.10 Health Protection Percent of Mississippi Population Receiving Water From a Public Water Supply 92.00 PAGE 71626 Percent of Mississippi Population Receiving Optimally Fluoridated Water 50.00 Transfer Time of Level III and IV Trauma Centers to Appropriate Facilities for Treatment (Minutes) 130 Communicable Disease Primary and Secondary Syphilis:
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 7 Inconclusive Genetic Screens who Received Recommended Follow-Up 100.00 Percent of Adults who are Obese (Body Mass Index of 30 or More, Regardless of Sex) 39.10 Health Protection Percent of Mississippi Population Receiving Water From a Public Water Supply 92.00 Percent of Mississippi Population Receiving Optimally Fluoridated Water 50.00 Transfer Time of Level III and IV Trauma Centers to Appropriate Facilities for Treatment (Minutes) 130 Communicable Disease Primary and Secondary Syphilis:
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4:3:1:3:3:1:4 series - 19 to 35 months) 72.20 Tobacco Control H.
4:3:1:3:3:1:4 series - 19 to 35 months) 72.20 Tobacco Control Percent of Current Smokers Among Public Middle School Students 2.00 Percent of Current Smokers Among Public High School Students 4.20 Percent of Current Smokers Among Adults 18 Years and Older 20.00 Public Health Emerg Prep/resp Time Required for Command Staff to Report to Emergency Operations Center in Response to a National or Man-Made PAGE 81626 Disaster (Minutes) 30 Admin & Support Services Percent of Mississippi Population Living in an Area Designated as a Health Professional Shortage Area:
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 8 Percent of Current Smokers Among Public Middle School Students 2.00 Percent of Current Smokers Among Public High School Students 4.20 Percent of Current Smokers Among Adults 18 Years and Older 20.00 Public Health Emerg Prep/resp Time Required for Command Staff to Report to Emergency Operations Center in Response to a National or Man-Made Disaster (Minutes) 30 Admin & Support Services Percent of Mississippi Population Living in an Area Designated as a Health Professional Shortage Area:
Primary Care 49.00 Medical Cannabis Number of Conditions Added to the List H.
Primary Care 49.00 Medical Cannabis Number of Conditions Added to the List of Debilitating Medical Conditions 3 Number of Qualifying Patients Approved 3,000 Number of Designated Caregivers Approved 50 Number of Registry Identification Cards Revoked 20 Total Number of Patients with a Registry Identification Card 3,000 Number of Licensed Medical Practitioners 65 Number of Licensed Cannabis Cultivation Facilities 0 Number of Licensed Cannabis Processing PAGE 91626 Facilities 10 Number of Licensed Cannabis Testing Facilities 4 Number of Licensed Cannabis Waste Disposal Entities 12 Number of Licensed Cannabis Transportation Entities 12 Percent of Applications Approved 70.00 A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2025.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 9 of Debilitating Medical Conditions 3 Number of Qualifying Patients Approved 3,000 Number of Designated Caregivers Approved 50 Number of Registry Identification Cards Revoked 20 Total Number of Patients with a Registry Identification Card 3,000 Number of Licensed Medical Practitioners 65 Number of Licensed Cannabis Cultivation Facilities 0 Number of Licensed Cannabis Processing Facilities 10 Number of Licensed Cannabis Testing Facilities 4 Number of Licensed Cannabis Waste Disposal Entities 12 Number of Licensed Cannabis Transportation Entities 12 Percent of Applications Approved 70.00 A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2025.
It is the intention of the Legislature that with the funds provided herein, the State Department of Health may H.
It is the intention of the Legislature that with the funds provided herein, the State Department of Health may provide and administer without charge, Hepatitis B vaccinations to Emergency Medical Services (EMS) personnel who are in need of such vaccinations through job related exposure.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 10 provide and administer without charge, Hepatitis B vaccinations to Emergency Medical Services (EMS) personnel who are in need of such vaccinations through job related exposure.
In addition to all other sums heretofore appropriated, the following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Local Governments and Rural Water Systems Emergency Loan Fund, and the Local Governments and Rural Water System Improvements Revolving Loan Fund as authorized in Chapter 521, Laws of 1995, to the State Department of Health for the purpose of defraying the expenses of the Local Governments and Rural Water Systems Improvements Board, for the fiscal year beginning July 1, 2023, and ending June 30, 2024..................
In addition to all other sums heretofore appropriated, the following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Local Governments and Rural Water Systems Emergency Loan Fund, and the Local Governments and Rural Water System Improvements Revolving Loan Fund as authorized in Chapter 521, Laws of 1995, to the State Department of Health for the purpose of defraying the expenses of the Local Governments and PAGE 10626 Rural Water Systems Improvements Board, for the fiscal year beginning July 1, 2023, and ending June 30, 2024..................
The Legislature shall determine the agencyโ€™s H.
The Legislature shall determine the agencyโ€™s personal services appropriation, which shall be published by the State Personnel Board.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 11 personal services appropriation, which shall be published by the State Personnel Board.
Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law or allowable under the terms set forth within this act.
Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law or PAGE 11626 allowable under the terms set forth within this act.
None of the funds herein appropriated shall be used in violation of Internal Revenue Serviceโ€™s Publication 15-A relating H.
None of the funds herein appropriated shall be used in violation of Internal Revenue Serviceโ€™s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 12 to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.
These funds are to be transferred to the State Department of Health no later than July 31, 2023.
These funds are to be transferred to the State Department of Health no PAGE 12626 later than July 31, 2023.
H.
SECTION 15.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 13 SECTION 15.
SECTION 18.
PAGE 13626 SECTION 18.
Of the funds appropriated under the provisions of this act, the following positions are authorized:
Of the funds appropriated under the provisions of Section 17 of this act, the following positions are authorized:
The Legislature shall determine the agencyโ€™s H.
The Legislature shall determine the agencyโ€™s personal services appropriation, which shall be published by the State Personnel Board.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 14 personal services appropriation, which shall be published by the State Personnel Board.
The Department of Finance and Administration shall not provide written approval to escalate any funds for salaries and/or positions without proof of availability of new or additional funds above the appropriated level.
The PAGE 14626 Department of Finance and Administration shall not provide written approval to escalate any funds for salaries and/or positions without proof of availability of new or additional funds above the appropriated level.
None of the funds herein appropriated shall be used in violation of Internal Revenue Serviceโ€™s Publication 15-A relating H.
None of the funds herein appropriated shall be used in violation of Internal Revenue Serviceโ€™s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 15 to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.
In addition to all other funds heretofore appropriated, the following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Mississippi Burn Care Fund which is comprised of special source funds collected by or otherwise available to the department, for the purpose of funding reimbursement for uncompensated medical care to Mississippi burn victims through the trauma care system at in-state burn facilities including the Joseph M.
In addition to all other funds heretofore appropriated, the following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Mississippi Burn Care Fund which is comprised of special source funds collected by or otherwise available to the department, for the purpose of funding reimbursement for uncompensated medical care to Mississippi burn victims through the trauma care system at in-state burn facilities including the PAGE 15626 Joseph M.
Still Burn and Reconstruction Center at Merit Health Central or for uncompensated aero medical transportation to out-of-state qualified United States Burn Care facilities, and such other provisions necessary to provide burn care for Mississippi residents, including reimbursement for travel, lodgings, meals and other reasonable travel-related expenses incurred by burn victims, family members and/or caregivers, for the fiscal year beginning July 1, 2023, and ending June 30, 2024 .................................................$ 1,000,000.00.
Still Burn and Reconstruction Center at Merit Health Central or for uncompensated aero medical transportation to out-of-state qualified United States Burn Care facilities, and such other provisions necessary to provide burn care for Mississippi residents, including reimbursement for travel, lodgings, meals and other reasonable travel-related expenses incurred by burn victims, family members and/or caregivers, for the fiscal year beginning July 1, 2023, and ending June 30, 2024....................................$ 1,000,000.00.
H.
SECTION 20.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 16 SECTION 20.
SECTION 23.
PAGE 16626 SECTION 23.
These funds are to be transferred to the State Department of Health no later than H.
These funds are to be transferred to the State Department of Health no later than December 31, 2023.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 17 December 31, 2023.
Any such loans shall be repaid from the first available funds received by the department in the manner of and subject to the same terms provided in this section.
Any such loans shall be repaid from the first available PAGE 17626 funds received by the department in the manner of and subject to the same terms provided in this section.
It is the intention of the Legislature that the funds herein appropriated shall be expended in compliance with Section 27-104-25, Mississippi Code of 1972, that no state agency shall incur obligations or indebtedness in excess of their appropriation and that the responsible officers, either personally H.
It is the intention of the Legislature that the funds herein appropriated shall be expended in compliance with Section 27-104-25, Mississippi Code of 1972, that no state agency shall incur obligations or indebtedness in excess of their appropriation and that the responsible officers, either personally or upon their official bonds, shall be held responsible for actions contrary to this provision.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 18 or upon their official bonds, shall be held responsible for actions contrary to this provision.
It is further the intention of the Legislature that the State Health Officer shall submit written justification for the transfer to the Legislative Budget Office and the Department of Finance and Administration on or before the fifteenth of the month prior to the effective date of the transfer.
It is further the intention of the Legislature that the State Health Officer shall submit written justification for the transfer to the Legislative Budget Office and the Department of Finance and PAGE 18626 Administration on or before the fifteenth of the month prior to the effective date of the transfer.
Of the funds appropriated in Section 1, it is the intention of the Legislature that Eight Hundred Fifty-nine Thousand Nine Hundred Three Dollars ($859,903.00) shall be H.
Of the funds appropriated in Section 1, it is the intention of the Legislature that Eight Hundred Fifty-nine Thousand Nine Hundred Three Dollars ($859,903.00) shall be allocated to the Domestic Violence program that is supported from General Fund court assessments.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 19 allocated to the Domestic Violence program that is supported from General Fund court assessments.
Notwithstanding any other provision, the Department of Health shall have the authority to escalate its headcount for any additional operational needs related to Coronavirus State Fiscal Recovery Funds, upon approval of the Department of Finance and Administration and the State Personnel Board.
Notwithstanding any other provision, the Department of Health shall have the authority to escalate its headcount for any additional operational needs related to PAGE 19626 Coronavirus State Fiscal Recovery Funds, upon approval of the Department of Finance and Administration and the State Personnel Board.
H.
SECTION 33.
B.
No.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS PAGE 20 SECTION 33.
The following sum, or so much thereof as may be necessary, is reappropriated out of any money in the Healthcare Expendable Fund not otherwise appropriated, for the Department of Health for the purpose of reauthorizing the expenditure of Healthcare Expendable Funds to defray the expenses of the Department of Health, as authorized in HB 1614, 2022 Regular PAGE 20626 Session for Non-Transport Emergency Services for the fiscal year beginning July 1, 2023, and ending June 30, 2024.....$ 415,000.00.
Notwithstanding the amount reappropriated under this section, the amount that may be expended under the authority of this section, shall not exceed the unexpended balance of the funds remaining as of June 30, 2023, from the amount authorized for the previous fiscal year.
In addition, this reappropriation shall not change the purpose for which the funds were originally authorized.
SECTION 35.
SECTION 35.
SECTION 36.
This act shall take effect and be in force from and after July 1, 2023, and shall stand repealed June 30, 2023.
This act shall take effect and be in force from and after July 1, 2023, and shall stand repealed June 29, 2023.
H.
Further, amend by striking the title in its entirety and inserting in lieu thereof the following:
B.
AN ACT MAKING AN APPROPRIATION FOR THE PURPOSE OF DEFRAYING THE EXPENSES OF THE STATE DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2024.
No.
SS15\HB1626A.J Eugene S.
1626 *HR13/A301CS* ~ OFFICIAL ~ 23/HR13/A301CS ST:
Clarke Secretary of the Senate PAGE 21626
Appropriation;
Health, Department of.
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