Part C. Medicaid and Special Education Reform Fund.


  • Current through October 23, 2012
  • This part may be cited as the "Medicaid and Special Education Reform Fund Establishment Act of 2002".

    (Oct. 1, 2002, D.C. Law 14-190, § 1551, 49 DCR 6968.)

    HISTORICAL AND STATUTORY NOTES

    Legislative History of Laws

    Law 14-190, the "Fiscal Year 2003 Budget Support Act of 2002", was introduced in Council and assigned Bill No. 14-609, which was referred to the Committee of the Whole. The Bill was adopted on first and second readings on May 7, 2002, and June 4, 2002, respectively. Signed by the Mayor on July 3, 2002, it was assigned Act No. 14-403 and transmitted to both Houses of Congress for its review. D.C. Law 14-190 became effective on October 1, 2002.

    Miscellaneous Notes

    Section 1506 of D.C. Law 14-190 provides that this part shall apply as of October 1, 2002.

  • Current through October 23, 2012 Back to Top
  • For the purposes of this part, the term:

    (1) "District" shall mean the District of Columbia.

    (1A) "Foster care and adoption assistance" means the programs authorized by Part E of Title IV of the Social Security Act, approved June 17, 1980 (94 Stat. 501; 42 U.S.C. § 670 et seq.).

    (2) "Fund" shall mean the Medicaid and Special Education Reform Fund established by § 4-204.53

    (3) "Medicaid" means the medical assistance programs authorized by title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396 et seq.), or by § 1-307.02, and administered by the Department of Health.

    (4) "Medicare" means the health insurance programs authorized by title XVIII of the Social Security Act, approved July 30, 1965 (79 Stat. 290; 42 U.S.C. § 1395 et seq.).

    (5) "Special Education" means services provided under § 38-2501 to students who are classified as having a disability, as defined in section 101(a)(1) of the Individuals with Disabilities Education Act, approved April 13, 1970 (84 Stat. 175; 20 U.S.C. § 1401(a)(1)), or in section 7(8) of the Rehabilitation Act of 1973, approved September 26, 1973 (87 Stat. 359; 29 U. S.C. § 706(8)).

    (Oct. 1, 2002, D.C. Law 14-190, § 1552, 49 DCR 6968; Nov. 13, 2003, D.C. Law 15-39, § 1503(a), 50 DCR 5668.)

    HISTORICAL AND STATUTORY NOTES

    Effect of Amendments

    D.C. Law 15-39, added pars. (1A), (4), and (5); and in par. (3), substituted "or by" for "and by".

    Emergency Act Amendments

    For temporary (90 day) amendment of section, see § 1503(a) of Fiscal Year 2004 Budget Support Emergency Act of 2003 (D.C. Act 15-105, June 20, 2003, 50 DCR 5613).

    For temporary (90 day) amendment of section, see § 1503(a) of Fiscal Year 2004 Budget Support Congressional Review Emergency Act of 2003 (D.C. Act 15-149, September 22, 2003, 50 DCR 8360).

    Legislative History of Laws

    For Law 14-190, see notes following § 4-204.51.

    For Law 15-39, see notes following § 4-204.11.

  • Current through October 23, 2012 Back to Top
  • (a) There is established as a nonlapsing, revolving fund the Medicaid and Special Education Reform Fund into which shall be deposited funds made available for the purposes of Medicaid, Medicare, Foster Care and Adoption Assistance, and Special Education reform described in § 4-204.54. The Fund shall be administered by the Chief Financial Officer.

    (b) All amounts deposited in the Fund shall be appropriated without fiscal year limitation pursuant to an act of Congress. All amounts deposited in the Fund shall not revert to the General Fund at the end of any fiscal year or at any other time, but shall be continually available for the purposes of Medicaid, Medicare, Foster Care and Adoption Assistance, and Special Education reform described in § 4-204.54, subject to authorization by Congress in an appropriations act.

    (Oct. 1, 2002, D.C. Law 14-190, § 1553, 49 DCR 6968; Nov. 13, 2003, D.C. Law 15-39, § 1503(b), 50 DCR 5668.)

    HISTORICAL AND STATUTORY NOTES

    Effect of Amendments

    D.C. Law 15-39, in subsecs. (a) and (b), substituted "Medicaid, Medicare, Foster Care and Adoption Assistance, and Special Education reform" for "Medicaid and Special Education reform".

    Emergency Act Amendments

    For temporary (90 day) amendment of section, see § 1503(b) of Fiscal Year 2004 Budget Support Emergency Act of 2003 (D.C. Act 15-105, June 20, 2003, 50 DCR 5613).

    For temporary (90 day) amendment of section, see § 1503(b) of Fiscal Year 2004 Budget Support Congressional Review Emergency Act of 2003 (D.C. Act 15-149, September 22, 2003, 50 DCR 8360).

    Legislative History of Laws

    For Law 14-190, see notes following § 4-204.51.

    For Law 15-39, see notes following § 4-204.11.

    Miscellaneous Notes

    Short title: Section 5141 of D.C. Law 19-168 provided that subtitle O of title V of the act may be cited as "South Capitol Street Memorial Amendment Act Funding Designation Act of 2012".

    Section 5142 of D.C. Law 19-168 provides:

    "Sec. 5142. (a) Beginning on June 1, 2012, unspent funds from Medicaid under-enrollment, calculated on a fiscal year basis, shall be set aside in a fund to offset the costs to implement the South Capitol Street Memorial Amendment Act of 2012 effective June 7, 2012 (D.C. Law 19-141; 59 DCR 3083) ('South Capitol Street Memorial Amendment Act').

    "(b) This section shall not apply if the South Capitol Street Memorial Amendment Act is fully funded, as certified by the Chief Financial Officer, either by the terms of this section or pursuant to section 10002(3) of the Revised Revenue Estimate Contingency Priority List Act of 2012, passed on 2nd reading on June 5, 2012 9enrolled version of Bill 19-7430."

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  • The Fund shall be used for the following purposes:

    (1) Ensuring adequate resources are available to support District-wide Medicaid costs and revenue shortfalls;

    (1A) Ensuring adequate resources are available to support District-wide Medicare costs and revenue shortfalls;

    (1B) Ensuring adequate resources are available to support District-wide Foster Care and Adoption Assistance costs and revenue shortfalls;

    (2) Ensuring adequate resources are available to support District-wide Special Education costs and revenue shortfalls;

    (3) Supporting Medicaid, Medicare, and Foster Care and Adoption Assistance reform activities designed to establish cost-effective, agency-based Medicaid, Medicare, and Foster Care and Adoption Assistance operations; and

    (4) Optimizing Medicaid, Medicare, Foster Care and Adoption Assistance and other third-party revenues.

    (Oct. 1, 2002, D.C. Law 14-190, § 1554, 49 DCR 6968; Nov. 13, 2003, D.C. Law 15-39, § 1503(c), 50 DCR 5668.)

    HISTORICAL AND STATUTORY NOTES

    Effect of Amendments

    D.C. Law 15-39, in the introductory language, substituted "The Fund shall be used for the following purposes:" for "The purposes of the Fund shall include:"; added pars. (1A) and (1B); in par. (3), substituted "Medicaid, Medicare, and Foster Care and Adoption Assistance" for "Medicaid" in two places; and in par. (4), substituted "Medicaid, Medicare, Foster Care and Adoption Assistance" for "Medicaid".

    Emergency Act Amendments

    For temporary (90 day) amendment of section, see § 1503(c) of Fiscal Year 2004 Budget Support Emergency Act of 2003 (D.C. Act 15-105, June 20, 2003, 50 DCR 5613).

    For temporary (90 day) amendment of section, see § 1503(c) of Fiscal Year 2004 Budget Support Congressional Review Emergency Act of 2003 (D.C. Act 15-149, September 22, 2003, 50 DCR 8360).

    For temporary (90 day) addition of section, see § 5142 of Fiscal Year 2013 Budget Support Emergency Act of 2012 (D.C. Act 19-383, June 19, 2012, 59 DCR 7764).

    For temporary (90 day) addition of section, see § 5142 of Fiscal Year 2013 Budget Support Congressional Review Emergency Act of 2012 (D.C. Act 19-413, July 25, 2012, 59 DCR 9290).

    Legislative History of Laws

    For Law 14-190, see notes following § 4-204.51.

    For Law 15-39, see notes following § 4-204.11.

  • Current through October 23, 2012 Back to Top
  • (a) The Chief Financial Officer shall distribute funds from the Fund only after:

    (1) Certifying that the funds are needed by the District of Columbia Public Schools, the Child and Family Services Agency, the Department of Human Services, the Department of Mental Health, or the Department of Health for the purposes described in § 4-204.54;

    (2)(A) Certifying either that:

    (i) A savings plan to be submitted by the Director of the Office of Medicaid Operations Reform to the Mayor will generate savings for the Child and Family Services Agency, the Department of Human Services, the Department of Mental Health, or the Department of Health, respectively, comparable to the funds to be allocated to the agency during Fiscal Year 2003 or Fiscal Year 2004; or

    (ii) If a savings plan that will generate savings comparable to the funds allocated is not possible, a performance plan to be submitted by the Director of the Office of Medicaid Operations Reform to the Mayor will ensure that the agency to which the requested funds are to be allocated will implement policies and procedures and develop the infrastructure necessary to enable the agency to reduce costs and maximize third-party revenues by no later than October 1, 2004; or

    (B) Certifying that a savings plan to be submitted by the District of Columbia Public Schools will generate savings comparable to the funds allocated to the agency during Fiscal Year 2003 or Fiscal Year 2004; and

    (3) Providing notification of the distribution to the Mayor and Council.

    (a-1) A savings plan required under subsection (a)(2)(A)(i) of this section that pertains to the allocation of funds to an agency in Fiscal Year 2003 shall be submitted no later than December 31, 2002. The plan shall commence no later than October 1, 2003, and shall generate savings comparable to the funds allocated to the agency from the Fund in Fiscal Year 2003.

    (a-2) A savings plan required under subsection (a)(2)(A)(i) of this section that pertains to the allocation of funds to an agency in Fiscal Year 2004 shall be submitted no later than December 31, 2003. The plan shall commence no later than October 1, 2004, and shall generate savings comparable to the funds allocated to the agency from the Fund in Fiscal Year 2004.

    (a-3) A performance plan required under subsection (a)(2)(A)(ii) of this section shall be submitted no later than December 31, 2003, and shall commence no later than October 1, 2004.

    (a-4) The savings plan required under subsection (a)(2)(B) of this section that pertains to the allocation of funds to the District of Columbia Public Schools in Fiscal Year 2003 shall be submitted, no later than December 31, 2002, by the District of Columbia Public Schools to the Special Education Task Force established by Chapter 25A of Title 38. The plan shall commence no later than October 1, 2003, and generate savings comparable to the funds allocated to the agency from the Fund in Fiscal Year 2003.

    (a-5) The savings plan required under subsection (a)(2)(B) of this section that pertains to the allocation of funds to the District of Columbia Public Schools in Fiscal Year 2004 shall be submitted, no later than December 31, 2003, by the District of Columbia Public Schools to the Special Education Task Force established by Chapter 25A of Title 38. The plan shall commence no later than October 1, 2004, and generate savings comparable to the funds allocated to the agency from the Fund in Fiscal Year 2004.

    (a-6) Beginning 3 months following the commencement of any plan submitted pursuant to subsection (a)(2) of this section, or no later than January 2, 2004, the Mayor and the Special Education Task Force shall provide the Council with quarterly reports on the progress made by the Department of Human Services, the Child and Family Services Agency, the Department of Mental Health, the Department of Health, and the District of Columbia Public Schools, in reducing costs associated with the Medicaid, Medicare, Foster Care and Adoption Assistance, and Special Education programs.

    (b) Total distribution of funds from the Fund to the District of Columbia Public Schools, the Child and Family Services Agency, the Department of Human Services, the Department of Mental Health, or the Department of Health in any given fiscal year shall not exceed the amount appropriated for that agency in that fiscal year for the purposes of § 7-1811.03(b).

    (Oct. 1, 2002, D.C. Law 14-190, § 1555, 49 DCR 6968; Nov. 13, 2003, D.C. Law 15-39, § 1503(d), 50 DCR 5668; Apr. 13, 2005, D.C. Law 15-354, §§ 12, 84(g), 52 DCR 2638.)

    HISTORICAL AND STATUTORY NOTES

    Effect of Amendments

    D.C. Law 15-39, in subsec. (a), substituted "the Department of Human Services, the Department of Mental Health, or the Department of Health" for "or the Department of Human Services" in par. (1), and rewrote par. (2); added subsecs. (a-1), (a-2), (a-3), (a-4), (a-5), and (a-6); and in subsec. (b), substituted "the Department of Human Services, the Department of Mental Health, or the Department of Health" for "or the Department of Human Services". Prior to amendment, par. (2) of subsec. (a) had read as follows:

    "(2) Certifying that a savings plan to be submitted by the Director of the Office of Medicaid Public Provider Operations Reform to the Mayor in accordance with § 7-1811.03(b)(5)(A)(i), will generate savings comparable to the funds allocated; and"

    D.C. Law 15-354, in subsecs. (a-4) and (a-5), validated previously made technical corrections.

    Emergency Act Amendments

    For temporary (90 day) amendment of section, see § 1503(d) of Fiscal Year 2004 Budget Support Emergency Act of 2003 (D.C. Act 15-105, June 20, 2003, 50 DCR 5613).

    For temporary (90 day) amendment of section, see § 1503(d) of Fiscal Year 2004 Budget Support Congressional Review Emergency Act of 2003 (D.C. Act 15-149, September 22, 2003, 50 DCR 8360).

    Legislative History of Laws

    For Law 14-190, see notes following § 4-204.51.

    For Law 15-39, see notes following § 4-204.11.

    Law 15-354, the "Technical Amendments Act of 2004", was introduced in Council and assigned Bill No. 15-1130 which was referred to the Committee of the Whole.  The Bill was adopted on first and second readings on December 7, 2004, and December 21, 2004, respectively.   Signed by the Mayor on February 9, 2005, it was assigned Act No. 15-770 and transmitted to both Houses of Congress for its review.  D.C. Law 15-354 became effective on April 13, 2005.

  • Current through October 23, 2012 Back to Top
  • The Mayor shall report annually to the Council on the revenues and activities of the Fund.

    (Oct. 1, 2002, D.C. Law 14-190, § 1556, 49 DCR 6968.)

    HISTORICAL AND STATUTORY NOTES

    Legislative History of Laws

    For Law 14-190, see notes following § 4-204.51.