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The May 2015 DCH board meeting included a legislative summary and presentation of the adjusted FY 15 budget and the projected FY16 budget.
A link to the full legislative presentation is here.
The following bills passed this legislative session and impact SHBP-
- HB 409- adds coverage for treatment of burns using cadaver derived tissue or nonhuman xenographic derived tissue
- HB 429- no plan shall restrict treatment based on an individual's diagnosis with a terminal condition
- HB 470- provides for autism treatment for children up to age 6 with an annual max of $30,000
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DCH Budget
The adjusted FY 15 budget included:
- An increase in funding for
- Other Post Employment Benefits(OPEB)
- Treatment with new Hepatitis C drugs
- The bariatric pilot program study
- Increases as a result of increased enrollment and fund sharing resulting from the ACA
- A decrease in funds for:
- Updated membership, medical services, utilization and medical trend changes
- A reduction resulting from the reduction in the transitional reinsurance fee imposed by the ACA
The FY 16 budget included:
- Increases for:
- Cost of hearing aids for children, the pilot program for covering autism, members requiring treatment with the new Hepatitis C drugs, and increases to the OPEB fund
- ACA related costs for limits on cost sharing and increased enrollment
- Decreases for:
- Costs saved by removing copays from HRAs and costs saved by updating membership, medical services utilization and medical trend changes
- Reduction in funds as required by the reduction to the Transitional Reinsurance Fee as required by the ACA
*By June 30, 2016 SHBP will submit a study of similarly situated health plans and their costs to the Governor and General Assembly along with options to reduce costs without reducing benefits to members.
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