Text of ID H 480 (2025)

LEGISLATURE OF THE STATE OF IDAHO Sixty-eighth Legislature First Regular Session - 2025 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 480 BY APPROPRIATIONS COMMITTEE AN ACT 1 RELATING TO FUNDING FOR THE DEPARTMENT OF HEALTH AND WELFARE; APPROPRIAT- 2 ING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR THE 3 DIVISIONS OF SUBSTANCE ABUSE TREATMENT AND PREVENTION, MENTAL HEALTH 4 SERVICES, AND PSYCHIATRIC HOSPITALIZATION FOR FISCAL YEAR 2026; RE- 5 DUCING THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND WELFARE FOR 6 THE DIVISIONS OF SUBSTANCE ABUSE TREATMENT AND PREVENTION AND PSY- 7 CHIATRIC HOSPITALIZATION FOR FISCAL YEAR 2026; REDUCING THE NUMBER OF 8 AUTHORIZED FULL-TIME EQUIVALENT POSITIONS; PROVIDING A TRANSFER LIM- 9 ITATION EXEMPTION FOR FISCAL YEAR 2026 FOR MENTAL HEALTH SERVICES AND 10 PSYCHIATRIC HOSPITALIZATION; PROVIDING PROGRAM RESTRICTIONS REGARDING 11 RACE OR GENDER; REQUIRING A REPORT ON CHILD AND ADOLESCENT ASSESSMENT 12 ALTERNATIVES; PROVIDING FEDERAL FUNDING RESTRICTIONS; PROVIDING FOR 13 CONDITIONS, LIMITATIONS, AND RESTRICTIONS; APPROPRIATING ADDITIONAL 14 MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR THE DIVISIONS OF 15 MENTAL HEALTH SERVICES AND PSYCHIATRIC HOSPITALIZATION FOR FISCAL YEAR 16 2025; REDUCING THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND WEL- 17 FARE FOR THE DIVISION OF PSYCHIATRIC HOSPITALIZATION FOR FISCAL YEAR 18 2025; PROVIDING A TRANSFER LIMITATION EXEMPTION FOR FISCAL YEAR 2025 19 FOR MENTAL HEALTH SERVICES; PROVIDING A TRANSFER LIMITATION EXEMPTION 20 FOR FISCAL YEAR 2025 FOR PSYCHIATRIC HOSPITALIZATION; AND DECLARING AN 21 EMERGENCY AND PROVIDING EFFECTIVE DATES. 22 Be It Enacted by the Legislature of the State of Idaho: 23 SECTION 1. In addition to any other appropriation provided by law, 24 there is hereby appropriated to the Department of Health and Welfare the 25 following amounts to be expended according to the designated programs and 26 expense classes from the listed funds for the period July 1, 2025, through 27 June 30, 2026: 28 FOR 29 FOR 30 FOR TRUSTEE AND PERSONNEL 31 OPERATING BENEFIT COSTS 32 EXPENDITURES PAYMENTS TOTAL I. SUBSTANCE ABUSE TREATMENT & PREVENTION: 33 FROM: 34 Liquor Control 35 Fund 36 $533,900 $533,900 Cooperative Welfare (Federal) 37 Fund 38 0 $673,900 673,900 TOTAL 39 $533,900 $673,900 $1,207,800 2 FOR 1 FOR 2 FOR TRUSTEE AND PERSONNEL 3 OPERATING BENEFIT COSTS 4 EXPENDITURES PAYMENTS TOTAL II. MENTAL HEALTH SERVICES: 5 ADULT MENTAL HEALTH: 6 FROM: 7 Cooperative Welfare (Federal) 8 Fund 9 $261,400 $261,400 III. PSYCHIATRIC HOSPITALIZATION: 10 A. STATE HOSPITAL SOUTH: 11 FROM: 12 Cooperative Welfare (General) 13 Fund 14 $5,300 $5,300 B. STATE HOSPITAL WEST: 15 FROM: 16 Cooperative Welfare (Dedicated) 17 Fund 18 $1,226,200 $1,506,900 $2,733,100 DIVISION TOTAL 19 $1,226,200 $1,506,900 $5,300 $2,738,400 GRAND TOTAL 20 $1,760,100 $1,768,300 $679,200 $4,207,600 SECTION 2. Notwithstanding any other provision of law to the contrary, 21 the appropriation made to the Department of Health and Welfare is hereby 22 reduced by the following amounts for the designated programs and expense 23 classes from the listed funds for the period July 1, 2025, through June 30, 24 2026: 25 FOR 26 FOR 27 TRUSTEE AND PERSONNEL 28 BENEFIT COSTS 29 PAYMENTS TOTAL I. SUBSTANCE ABUSE TREATMENT & PREVENTION: 30 FROM: 31 Liquor Control 32 Fund 33 $533,900 $533,900 Cooperative Welfare (Federal) 34 Fund 35 $673,900 0 673,900 TOTAL 36 $673,900 $533,900 $1,207,800 3 FOR 1 FOR 2 TRUSTEE AND PERSONNEL 3 BENEFIT COSTS 4 PAYMENTS TOTAL II. PSYCHIATRIC HOSPITALIZATION: 5 A. STATE HOSPITAL SOUTH: 6 FROM: 7 Cooperative Welfare (Federal) 8 Fund 9 $5,300 $5,300 B. STATE HOSPITAL WEST: 10 FROM: 11 Cooperative Welfare (Federal) 12 Fund 13 $2,733,100 $2,733,100 DIVISION TOTAL 14 $2,733,100 $5,300 $2,738,400 GRAND TOTAL 15 $3,407,000 $539,200 $3,946,200 SECTION 3. FTP AUTHORIZATION. Notwithstanding any other authorization 16 provided by law to the contrary, the full-time equivalent position autho- 17 rization provided to the Department of Health and Welfare for the Mental 18 Health Services Division is hereby reduced by nine (9.00) for the period July 19 1, 2025, through June 30, 2026. 20 SECTION 4. TRANSFER LIMITATION EXEMPTION. Notwithstanding any other 21 provisions of law to the contrary, the divisions of Mental Health Services 22 and Psychiatric Hospitalization may transfer personnel costs and trustee 23 and benefit payments pursuant to Section 67-3511, Idaho Code, for the period 24 July 1, 2025, through June 30, 2026. 25 SECTION 5. PROGRAM RESTRICTIONS REGARDING RACE OR GENDER. The Depart- 26 ment of Health and Welfare's Division of Behavioral Health shall ensure no 27 appropriated funds are used for training or programming that advances diver- 28 sity, equity, and inclusion; critical race theory; or transgender ideology; 29 or for other programs that distribute or restrict funding based on compos- 30 able criteria of race or gender. 31 SECTION 6. CHILD AND ADOLESCENT ASSESSMENT ALTERNATIVES REPORT. The 32 Department of Health and Welfare shall provide a report exploring alterna- 33 tives to the Child and Adolescent Needs and Strengths assessment, as well 34 as opportunities for parents, providers, and patients to opt out of certain 35 questions. No assessment alternative considered in the report shall include 36 assessing sexual orientation and gender identity and expression. The report 37 shall be submitted to the Joint Finance-Appropriations Committee and the 38 4 Budget and Policy Analysis Division of the Legislative Services Office no 1 later than January 15, 2026. 2 SECTION 7. FEDERAL FUNDING RESTRICTIONS. Pursuant to Section 3 67-3511(2), Idaho Code, legislative appropriations shall not be transferred 4 from one fund to another fund unless expressly approved by the Legislature. 5 Appropriations made pursuant to this act contingent on anticipated federal 6 funding, grants, or programs shall not be supplanted by state funds in the 7 event of any reduction or elimination of such federal support without leg- 8 islative approval. The agency receiving the appropriation shall take all 9 necessary actions to ensure that the state is not obligated to replace lost 10 federal funds. Pursuant to Section 67-1917, Idaho Code, the agency will 11 submit an inventory of federal funds utilized by the agency. State funds ap- 12 propriated to satisfy match requirements for federal funds shall be reverted 13 to the maximum extent possible if federal funds requiring match are reduced 14 or eliminated. The agency shall promptly notify the Budget and Policy Anal- 15 ysis Division of the Legislative Services Office of any significant changes 16 related to federal funding, grants, or programs. This does not apply to 17 standard federal funding adjustments that take place within an agency's cost 18 allocation plan or indirect expenditure plan for indirect costs and agency 19 support staff, FMAP adjustments, or entitlement programs. 20 SECTION 8. CONDITIONS, LIMITATIONS, AND RESTRICTIONS. Appropriations 21 made pursuant to this act are subject to the conditions, limitations, and re- 22 strictions specified in this act. 23 SECTION 9. In addition to the appropriation made in Section 1, Chap- 24 ter 313, Laws of 2024, and any other appropriation provided by law, there 25 is hereby appropriated to the Department of Health and Welfare the follow- 26 ing amounts to be expended according to the designated programs and expense 27 classes from the listed funds for the period July 1, 2024, through June 30, 28 2025: 29 FOR 30 FOR 31 FOR TRUSTEE AND PERSONNEL 32 OPERATING BENEFIT COSTS 33 EXPENDITURES PAYMENTS TOTAL I. MENTAL HEALTH SERVICES: 34 ADULT MENTAL HEALTH: 35 FROM: 36 Cooperative Welfare (Federal) 37 Fund 38 $5,987,200 $756,600 $6,743,800 II. PSYCHIATRIC HOSPITALIZATION: 39 A. COMMUNITY HOSPITALIZATION: 40 FROM: 41 Cooperative Welfare (General) 42 Fund 43 $2,663,500 $2,663,500 5 FOR 1 FOR 2 FOR TRUSTEE AND PERSONNEL 3 OPERATING BENEFIT COSTS 4 EXPENDITURES PAYMENTS TOTAL B. STATE HOSPITAL SOUTH: 5 FROM: 6 Cooperative Welfare (General) 7 Fund 8 $1,000,000 $1,000,000 Cooperative Welfare (Dedicated) 9 Fund 10 3,859,700 3,859,700 TOTAL 11 $4,859,700 $4,859,700 C. STATE HOSPITAL WEST: 12 FROM: 13 Cooperative Welfare (Dedicated) 14 Fund 15 $700,000 $1,506,900 $2,206,900 DIVISION TOTAL 16 $5,559,700 $1,506,900 $2,663,500 $9,730,100 GRAND TOTAL 17 $5,559,700 $7,494,100 $3,420,100 $16,473,900 SECTION 10. Notwithstanding any other provision of law to the contrary, 18 the appropriation made to the Department of Health and Welfare in Section 1, 19 Chapter 313, Laws of 2024, is hereby reduced by the following amounts, ac- 20 cording to the designated programs for personnel costs from the Cooperative 21 Welfare (Federal) Fund for the division of Psychiatric Hospitalization for 22 the period July 1, 2024, through June 30, 2025: 23 State Hospital South 24 $4,859,700 State Hospital West 25 2,206,900 TOTAL 26 $7,066,600 SECTION 11. TRANSFER LIMITATION EXEMPTION. Notwithstanding any other 27 provisions of law to the contrary, the division of Mental Health Services may 28 transfer personnel costs and trustee and benefit payments pursuant to Sec- 29 tion 67-3511, Idaho Code, for the period July 1, 2024, through June 30, 2025. 30 SECTION 12. TRANSFER LIMITATION EXEMPTION. Notwithstanding any other 31 provisions of law to the contrary, the division of Psychiatric Hospitaliza- 32 tion may transfer personnel costs and trustee and benefit payments pursuant 33 to Section 67-3511, Idaho Code, for the period July 1, 2024, through June 30, 34 2025. 35 SECTION 13. An emergency existing therefor, which emergency is hereby 36 declared to exist, Sections 9 through 12 of this act shall be in full force 37 6 and effect on and after passage and approval, and Sections 1 through 8 of this 1 act shall be in full force and effect on and after July 1, 2025. 2