ARC 1482C
HUMAN SERVICES DEPARTMENT[441]
Adopted and Filed
Pursuant to the authority of Iowa Code section 249A.4, the Department of Human Services amends Chapter 75, “Conditions of Eligibility,” Iowa Administrative Code.
This amendment increases premiums for applicants and recipients under the Medicaid for Employed People with Disabilities (MEPD) program with income over 150 percent of the federal poverty level (FPL).
The Department is requesting these increases because the maximum premium payable by an individual whose income exceeds 150 percent of the official poverty guidelines shall be commensurate with the cost of state employees’ group health insurance in this state. The average cost to the state for state employees’ health insurance for a single person is $647 effective January 1, 2014. Therefore, the maximum premium must be set at that amount.
Notice of Intended Action was published in the Iowa Administrative Bulletin as ARC 1417C on April 2, 2014. The Department received no comments on this amendment during the comment period. This amendment is identical to that published under Notice of Intended Action.
The Council on Human Services adopted this amendment on May 14, 2014.
This amendment does not provide for waivers in specific situations because all members are subject to the same sliding scale for MEPD premiums. Requests for the waiver of any rule may be submitted under the Department’s general rule on exceptions at 441—1.8(17A,217).
After analysis and review of this rule making, no impact on jobs has been found.
This amendment is intended to implement Iowa Code section 249A.4.
This amendment will become effective August 1, 2014.
The following amendment is adopted.
	Amend subparagraph 75.1(39)“b”(3) as follows:
	(3)	Premiums shall be assessed as follows:

IF THE INCOME OF THE
APPLICANT IS ABOVE:	THE MONTHLY
PREMIUM IS:	
150% of Federal Poverty Level	$29 31	
165% of Federal Poverty Level	$39 42	
180% of Federal Poverty Level	$44 50	
200% of Federal Poverty Level	$51 58	
225% of Federal Poverty Level	$56 68	
250% of Federal Poverty Level	$66 78	
300% of Federal Poverty Level	$86 99	
350% of Federal Poverty Level	$106 119	
400% of Federal Poverty Level	$124 140	
450% of Federal Poverty Level	$144 160	
550% of Federal Poverty Level	$182 201	
650% of Federal Poverty Level	$221 242	
750% of Federal Poverty Level	$262 284	
850% of Federal Poverty Level	$305 335	
1000% of Federal Poverty Level	$369 404	
1150% of Federal Poverty Level	$440 475	
1300% of Federal Poverty Level	$515 556	
1480% of Federal Poverty Level	$598 647	
[Filed 5/14/14, effective 8/1/14]
[Published 6/11/14]
Editor’s Note: For replacement pages for IAC, see IAC Supplement 6/11/14.