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-