House Amendment 8002 PAG LIN 1 1 Amend Senate File 249, as passed by the Senate, as 1 2 follows: 1 3 #1. Page 1, line 1, by inserting after the word 1 4 <Code> the following: <Supplement>. 1 5 #2. Page 2, by inserting after line 22, the 1 6 following: 1 7 <c. An assignment under this subsection is in 1 8 addition to an assignment of medical support payments 1 9 under any other law, including section 252E.11.> 1 10 #3. By striking page 5, line 3, through page 6, 1 11 line 14, and inserting the following: 1 12 <Sec. . Section 249J.8, subsection 1, Code 1 13 Supplement 2007, is amended to read as follows: 1 14 1. Each expansion population member whose family 1 15 income exceeds one hundred percent of the federal 1 16 poverty level as defined by the most recently revised 1 17 poverty income guidelines published by the United 1 18 States department of health and human services shall 1 19 pay a monthly premium not to exceed one=twelfth of 1 20 five percent of the member's annual family income. 1 21 Each expansion population member whose family income 1 22 is equal to or less than one hundred percent of the 1 23 federal poverty level as defined by the most recently 1 24 revised poverty income guidelines published by the 1 25 United States department of health and human services 1 26 shall not be subject to payment of a monthly premium. 1 27 All premiums shall be paid on the last day of the 1 28 month of coverage. The department shall deduct the 1 29 amount of any monthly premiums paid by an expansion 1 30 population member for benefits under the healthy and 1 31 well kids in Iowa program when computing the amount of 1 32 monthly premiums owed under this subsection. An 1 33 expansion population member shall pay the monthly 1 34 premium during the entire period of the member's 1 35 enrollment. Regardless of the length of enrollment, 1 36 the member is subject to payment of the premium for a 1 37 minimum of four consecutive months. However, an 1 38 expansion population member who complies with the 1 39 requirement of payment of the premium for a minimum of 1 40 four consecutive months during a consecutive 1 41 twelve=month period of enrollment shall be deemed to 1 42 have complied with this requirement for the subsequent 1 43 consecutive twelve=month period of enrollment and 1 44 shall only be subject to payment of the monthly 1 45 premium on a month=by=month basis. Timely payment of 1 46 premiums, including any arrearages accrued from prior 1 47 enrollment, is a condition of receiving any expansion 1 48 population services. The payment to and acceptance by 1 49 an automated case management system or the department 1 50 of the premium required under this subsection shall 2 1 not automatically confer initial or continuing program 2 2 eligibility on an individual. A premium paid to and 2 3 accepted by the department's premium payment process 2 4 that is subsequently determined to be untimely or to 2 5 have been paid on behalf of an individual ineligible 2 6 for the program shall be refunded to the remitter in 2 7 accordance with rules adopted by the department. 2 8 Premiums collected under this subsection shall be 2 9 deposited in the premiums subaccount of the account 2 10 for health care transformation created pursuant to 2 11 section 249J.23. An expansion population member shall 2 12 also pay the same copayments required of other adult 2 13 recipients of medical assistance.> 2 14 #4. By renumbering as necessary. 2 15 2 16 2 17 2 18 COMMITTEE ON HUMAN RESOURCES 2 19 SMITH of Marshall, CHAIRPERSON 2 20 SF 249.501 82 2 21 pf/nh/10239 -1-