House File 493 - Introduced
HOUSE FILE
BY HOGG
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to state subsidization of cost=sharing under the
2 Medicare Part D prescription drug program, and providing a
3 standing appropriation.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
5 TLSB 2603YH 81
6 pf/pj/5
PAG LIN
1 1 Section 1. NEW SECTION. 217.45 STATE SUBSIDIZATION ==
1 2 MEDICARE PART D BENEFICIARIES.
1 3 1. The department of human services shall adopt rules to
1 4 provide for all of the following under Part D of the federal
1 5 Medicare Prescription Drug, Improvement, and Modernization Act
1 6 of 2003, Pub. L. No. 108=173:
1 7 a. Payment of one hundred percent of the out=of=pocket
1 8 expenditures for monthly premiums not covered by any other
1 9 third=party source, for beneficiaries enrolled in Medicare
1 10 Part D, with incomes between one hundred thirty=five percent
1 11 and two hundred fifty percent of the federal poverty level.
1 12 b. Application of the coinsurance, deductible, and
1 13 copayment provisions for beneficiaries enrolled in Medicare
1 14 Part D with incomes between one hundred thirty=five percent
1 15 and one hundred fifty percent of the federal poverty level to
1 16 beneficiaries enrolled in Medicare Part D with incomes between
1 17 one hundred fifty percent and two hundred fifty percent of the
1 18 federal poverty level who also meet the asset test for
1 19 beneficiaries with incomes between one hundred thirty=five
1 20 percent and one hundred fifty percent of the federal poverty
1 21 level. The state shall pay any resulting cost differential in
1 22 out=of=pocket expenditures of a beneficiary not otherwise
1 23 covered by any other third=party source.
1 24 2. There is appropriated from the general fund of the
1 25 state to the department of human services for the fiscal year
1 26 beginning July 1, 2005, and each fiscal year thereafter, an
1 27 amount sufficient for funding of the state subsidization
1 28 provisions provided for in this section.
1 29 3. For the purposes of this section, "federal poverty
1 30 level" means the poverty income guidelines as defined by the
1 31 most recently revised poverty income guidelines published by
1 32 the United States department of health and human services.
1 33 EXPLANATION
1 34 This bill directs the department of human services (DHS) to
1 35 adopt rules to subsidize the out=of=pocket expenditures for
2 1 certain individuals under Part D of the federal Medicare
2 2 Prescription Drug, Improvement, and Modernization Act of 2003.
2 3 The bill provides for payment of 100 percent of the out=
2 4 of=pocket expenditures for monthly premiums not covered by any
2 5 other third=party source, for beneficiaries enrolled in
2 6 Medicare Part D, with incomes between 135 percent and 250
2 7 percent of the federal poverty level.
2 8 The bill also provides for application of the coinsurance,
2 9 deductible, and copayment provisions for beneficiaries
2 10 enrolled in Medicare Part D with incomes between 135 percent
2 11 and 150 percent of the federal poverty level to beneficiaries
2 12 enrolled in Medicare Part D with incomes between 150 percent
2 13 and 250 percent of the federal poverty level who also meet the
2 14 asset test for beneficiaries with incomes between 135 percent
2 15 and 150 percent of the federal poverty level. The bill
2 16 provides that the state will pay any resulting cost
2 17 differential in out=of=pocket expenditures of a beneficiary
2 18 not otherwise covered by any other third=party source.
2 19 The bill also provides a standing appropriation to DHS,
2 20 annually, in an amount sufficient to fund the state
2 21 subsidization provisions of the bill.
2 22 LSB 2603YH 81
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