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Committee hears JAC explanation; tribal Medicaid shortfall estimate revised from $58M to $41M
Summary
Joint Appropriations Committee staff told the Select Committee on Tribal Relations that an exception request for $58 million in spending authority was based on an overestimate; updated federal figures reduce the needed authority to about $41 million and JAC intends to accept the new estimate to grant spending authority to the executive branch and the Department of Health.
Representative Bair, chairing the Joint Appropriations Committee’s presentation to the Select Committee on Tribal Relations, told the panel that an exception request for $58 million in additional spending authority was rejected but has since been recalculated based on newly released federal numbers.
Bair said the program has been funded via a federal reimbursement model since 1995 and is reimbursed at 100% for Medicaid‑related services provided on the reservation. He explained that the biennial base budget for the program is $92 million and that actual expenditures in the last…
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