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Joint Budget Committee reviews bill to use federal 1115 waiver for health-related social needs and reentry services

Joint Budget Committee
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Summary

The committee reviewed a draft authorizing the state to draw federal matching funds under an 1115 waiver for housing-related health services and reentry supports, create two cash funds, and reinvest savings; members pressed HCPF vs. DOLA implementation, peer-support FTEs, and administrative costs; no introduction vote was taken.

The Joint Budget Committee on Monday examined a draft bill that would let the state draw federal matching funds under a federal 1115 waiver for health-related social needs (HRSN) — primarily housing supports — and reentry services for people leaving correctional facilities. Committee staff said the change would create two new cash funds to capture federal-match savings and reinvest them in expanding services.

Mister Kurtz, presenting the memo, said the waiver submission covers multiple components but that “for this stage of the implementation of the waiver, we're focused really on the housing.” He said the first-year projected impact is roughly $15,000,000 in savings as the state replaces some general-fund spending with federal matching dollars and reappropriates that general fund into the new HCPF cash fund.

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