Text: HF00315 Text: HF00317 Text: HF00300 - HF00399 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. Section 249A.3, subsection 2, Code 1999, is
1 2 amended by adding the following new lettered paragraph before
1 3 paragraph a and renumbering the subsequent paragraphs:
1 4 NEW PARAGRAPH. a. Individuals who are defined as disabled
1 5 persons pursuant to 42 U.S.C. } 1396(a)(10)(A)(ii)(XIII), who
1 6 are members of families whose family net income, based upon
1 7 the family's combined income including all earnings, is less
1 8 than two hundred fifty percent of the most recently revised
1 9 poverty income guidelines published by the United States
1 10 department of health and human services, and who, but for
1 11 employment earnings in excess of the limit established under
1 12 42 U.S.C. } 1396d(q)(2)(B) would be eligible for federal
1 13 supplemental security income. Individuals eligible for
1 14 assistance under this paragraph who are not eligible under
1 15 another provision of this section shall pay a premium and a
1 16 cost-sharing amount. The cost-sharing amount, which shall be
1 17 paid by the individual to the state as a client contribution
1 18 on a payment basis adopted by rule of the department, shall be
1 19 equivalent to the individual's amount of unearned income which
1 20 is in excess of the federal supplemental security income
1 21 standard cash benefit. The premium payment amount shall be
1 22 based on a sliding fee schedule adopted by rule of the
1 23 department and based on a percentage of the individual's
1 24 adjusted earned net income. In addition, the sliding fee
1 25 schedule shall provide for a disregard of ten thousand dollars
1 26 in resources held by the individual and a disregard of amounts
1 27 deposited in retirement and medical savings accounts held by
1 28 the individual. The sliding fee amount shall be commensurate
1 29 with comparable premium amounts required by private insurers
1 30 in the state. This paragraph shall be implemented no later
1 31 than January 1, 2000.
1 32 EXPLANATION
1 33 This bill provides that under the optional categories to be
1 34 covered under the medical assistance program, the highest
1 35 priority is provision of coverage to disabled persons with
2 1 family net incomes less than 250 percent of the federal
2 2 poverty level, who would otherwise be eligible for federal
2 3 supplemental security income but for income generated through
2 4 their employment. If the person is eligible for medical
2 5 assistance under this new provision the person must pay an
2 6 amount in cost-sharing and a premium, based upon a sliding fee
2 7 schedule established by rule of the department.
2 8 LSB 1862HH 78
2 9 pf/cf/24.1
Text: HF00315 Text: HF00317 Text: HF00300 - HF00399 Text: HF Index Bills and Amendments: General Index Bill History: General Index
© 1999 Cornell College and League of Women Voters of Iowa
Comments about this site or page?
webmaster@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Wed Jan 12 05:55:23 CST 2000
URL: /DOCS/GA/78GA/Legislation/HF/00300/HF00316/990218.html
jhf