Vermont § 308b - Human Services Caseload Reserve

§ 308b. Human Services Caseload Reserve

• (a) There is created within the General Fund a Human Services Caseload Reserve. Expenditures
  from the Reserve shall be subject to an appropriation by the General Assembly or approval
  by the Emergency Board. Expenditures from the Reserve shall be limited to Agency of
  Human Services caseload-related needs primarily in the Departments for Children and
  Families, of Health, of Mental Health, of Disabilities, Aging, and Independent Living,
  of Vermont Health Access, and settlement costs associated with managing the Global
  Commitment waiver. (b) The Secretary of Administration may transfer to the Human Services Caseload Reserve
  any General Fund carryforward directly attributable to Agency of Human Services caseload
  reductions and the effective management of related federal receipts, with the exclusion
  of the Department of Corrections. (c) The Human Services Caseload Reserve shall contain two subaccounts: (1) A subaccount for incurred but not reported Medicaid expenses. Each fiscal year, the
  Department of Finance and Management shall adjust the amount reserved for incurred
  but not reported Medicaid expenses to equal the amount specified in the Annual Comprehensive
  Financial Report (ACFR) for the fiscal year occurring two years prior for the estimated
  amount of incurred but not reported Medicaid expenses associated with the current
  Medicaid Global Commitment waiver. (2) A subaccount for Medicaid-related pressures related to caseload, utilization, changes
  in federal participation in existing human services programs, and settlement costs
  associated with managing the Global Commitment waiver. Any decrease in the amount
  of required reserves in subdivision (1) of this subsection shall first be reserved
  in the 27/53 Reserve under section 308e of this title in order to fund the current fiscal year obligation for the next year in which a
  53rd week of Medicaid payments is due, next scheduled to occur in fiscal year 2022.
  The remainder shall result in an offsetting increase in the account for Medicaid-related
  pressures, as defined in this subdivision (2) . Any increase in the amount of required
  reserve in subdivision (1) of this subsection shall require a corresponding transfer
  from the funds reserved in this subdivision (2), to the extent there are funds available. (Added 1997, No. 147 (Adj. Sess.), § 119a, eff. April 29, 1998; amended 1999, No. 147 (Adj. Sess.), § 4; 2005, No. 174 (Adj. Sess.), § 62; 2007, No. 15, § 21; 2009, No. 33, § 83(m)(2); 2009, No. 156, (Adj. Sess.), § I.31; 2013, No. 142 (Adj. Sess.), § 97; 2017, No. 3, § 75, eff. March 2, 2017; 2018, No. 11 (Sp. Sess.), § D.105; 2019, No. 72, § D.104; 2019, No. 88 (Adj. Sess.), § 69, eff. March 4, 2020; 2021, No. 105 (Adj. Sess.), § 443, eff. July 1, 2022; 2025, No. 18, § 53, eff. May 13, 2025; 2025, No. 27, § F.173, eff. May 21, 2025.)