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Committee hears HHS budget pressures: FMAP, Medicaid expansion and home and community-based services increases
Summary
Fiscal staff told the committee Medicaid and HHS spending are the largest drivers of general fund growth, highlighted the Federal Medical Assistance Percentage (FMAP) implications and noted significant proposed increases for home- and community-based services tied to litigation-driven service requirements.
Legislative fiscal staff told the House Appropriations Committee that Health and Human Services remains the largest general fund cost and that federal matching rates and program utilization will be key budget drivers.
Alan Knudson said the department accounts for more than 80% of the major general fund appropriations combined with three other large agencies and that Governor Burgum's recommendation would raise HHS general fund appropriations roughly 15 percent. "The general fund appropriation for the department is going up about 15.5…
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