Amends existing law to establish provisions regarding Medicaid, including work requirements and managed care for persons eligible for Medicaid due to Medicaid eligibility expansion.
MEDICAID -- Amends existing law to establish provisions regarding Medicaid, including work requirements and managed care for persons eligible for Medicaid due to Medicaid eligibility expansion.
STATEMENT OF PURPOSE
The purpose of this legislation is: 1) To direct the Department of Health and Welfare to collect participant information related to the presence of or risk for substance use disorders so they can be referred to treatment. 2) To direct the Department to seek a waiver from the federal government to limit retroactive Medicaid eligibility from 90 days to 30 days. 3) It directs the Department of Health and Welfare and the Department of Insurance to seek waivers from the federal government so persons within 100% to 138% of the federal poverty level are eligible for advanced premium tax credits to utilize through the state health insurance exchange program and, should the waivers not be granted by January 1, 2020, they are eligible for Medicaid. 4) This legislation creates requirements that able-bodied adults in the Medicaid system work, train, or volunteer at least 20 hours a week. It exempts these categories of citizens from participating in the new requirements: • Persons under 19, • Persons over 59, • Parent or caretaker of children 18 and under, • Parents or caretakers of an incapacitated persons due to illness or disability, • Persons who have applied for any social security disability benefits until such time an eligibility is determined, • Persons who are participating in a drug or alcohol treatment/rehabilitation program, • Persons applying for or receiving unemployment insurance, • Pregnant women, and • Persons attending post-secondary education at least half time. 5) To allow Medicaid funding for behavioral health services for adults ages 18-64 in hospitals or nursing facilities engaged in providing diagnosis, treatment, or care of persons with mental diseases. 6) To provide the ability for the Legislature to declare 56-267 I.C. null and void, should Congress amend or a court with governing jurisdiction set aside Section 1905(y) of the Social Security Act. 7) To stipulate in the event the federal funding participation rate falls below 90%, 56-267 I.C. shall beco
HOW THEY VOTED
House Third Reading
YEA (45)
NAY (25)
LATEST ACTION
Introduced, read first time; referred to: Health & Welfare