1. FY 2008 Medicaid Budget Update Medicaid Advisory Committee Meeting April 26, 2007

2. 2 Medicaid FY 2008 (General Funds) Appropriation - $2.3 B Includes Legislative Reductions of $27M

3. 3 Budget Amendments Nursing Home reduction based upon nursing home assessment implementation $8.6 M ($4.3M GF) Hospital day limit continuation $28.4 M ($14.2 M GF) Reduction of deficiency appropriation based on continued enrollment reduction ($7 M GF) Delay of Operational Restructuring Plan $5 M ($1.2 M GF)

4. 4 Budget Narratives Report on diagnosis for frequent ER visits and proposals to reduce frequency of visits Report on the trends in utilization of atypical and psychotic drugs Increase the dispensing fees paid to pharmacies for generic drugs to mitigate the impact of federally mandated reductions in the reimbursement for the ingredient cost of some generic drugs