Text: HF00585 Text: HF00587 Text: HF00500 - HF00599 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. As allowed under 42 U.S.C. }
1 5 1396a(a)(10)(A)(ii)(XIII), individuals who are disabled, who
1 6 are members of families whose income is less than two hundred
1 7 fifty percent of the most recently revised official poverty
1 8 line published by the federal office of management and budget
1 9 for the family, and who are otherwise eligible for medical
1 10 assistance or additional medical assistance under this section
1 11 but for earnings in excess of the limit established under 42
1 12 U.S.C. } 1396d(q)(2)(B). As allowed by 42 U.S.C. }
1 13 1396a(r)(2), unearned income shall be disregarded in
1 14 determining whether an individual is otherwise eligible for
1 15 medical assistance or additional medical assistance under this
1 16 paragraph. For the purposes of determining the amount of an
1 17 individual's resources under this paragraph, a maximum of ten
1 18 thousand dollars of available resources shall be disregarded
1 19 and any additional resources held in a retirement account, in
1 20 a medical savings account, or in any other account approved
1 21 under rules adopted by the department shall also be
1 22 disregarded. Individuals eligible for assistance under this
1 23 paragraph, whose individual income exceeds one hundred fifty
1 24 percent of the official poverty line published by the federal
1 25 office of management and budget for an individual, shall pay a
1 26 premium. The amount of the premium shall be based on a
1 27 sliding fee schedule adopted by rule of the department and
1 28 shall be based on a percentage of the individual's income.
1 29 The maximum premium payable by such individual shall be
1 30 commensurate with premiums charged for private group health
1 31 insurance in this state. This paragraph shall be implemented
1 32 no later than March 1, 2000.
1 33 EXPLANATION
1 34 This bill provides that under the optional categories to be
1 35 covered under the medical assistance program, the highest
2 1 priority is provision of coverage to disabled persons with
2 2 family net incomes less than 250 percent of the federal
2 3 poverty level, who would otherwise be eligible for medical
2 4 assistance but for income generated through their employment.
2 5 The bill provides that for the purposes of determining the
2 6 amount of an individual's resources a maximum of $10,000 is
2 7 disregarded as are any additional resources held in a
2 8 retirement, medical savings, or other account approved under
2 9 rules of the department. If the person is eligible for
2 10 medical assistance under this new provision and the person's
2 11 income exceeds 150 percent of the poverty level, the person
2 12 must pay an amount in a premium or other cost-sharing, based
2 13 upon a sliding fee schedule established by rule of the
2 14 department. The new optional medical assistance is to be
2 15 implemented no later than March 1, 2000.
2 16 LSB 1862HV 78
2 17 pf/cf/24
Text: HF00585 Text: HF00587 Text: HF00500 - HF00599 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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