2006 Legislation
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HOUSE CONCURRENT RESOLUTION NO. 50 – ADOPTED+<br />

HOUSE CONCURRENT RESOLUTION NO. 50

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Bill Status



HCR050aa...................................................by STATE AFFAIRS
MEDICAID - Stating findings of the Legislature; encouraging the Department
of Health and Welfare to establish cost-sharing in the form of premiums for
certain Idaho Medicaid participants; encouraging the Department of Health
and Welfare to permit Medicaid participants to pay part or all of their
premiums with funds in personal health accounts assigned to the
participants and held by the Department of Health and Welfare; encouraging
the Department of Health and Welfare to join a drug prescription pool with
the resulting savings to be used to fund the personal health accounts; and
requesting a report to the Legislature.
                                                                        
02/22    House intro - 1st rdg - to printing
02/23    Rpt prt - to Health/Wel
03/13    Rpt out - to Gen Ord
03/15    Rpt out amen - to engros
03/16    Rpt engros - 1st rdg - to 2nd rdg as amen
03/17    2nd rdg - to 3rd rdg as amen
03/22    3rd rdg as amen - ADOPTED - voice vote
    Floor Sponsor - Nielsen
    Title apvd - to Senate
03/23    Senate intro - 1st rdg - to Health/Wel
03/24    Rpt out - rec d/p - to 10th Ord
03/27    10th Ord - ADOPTED - voice vote
    Floor Sponsor - Coiner
    Title apvd - to House
03/28    To enrol
03/29    Rpt enrol - Sp signed
03/30    Pres signed
03/31    To Secretary of State

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                             HOUSE CONCURRENT RESOLUTION NO. 50
                                                                        
                                 BY STATE AFFAIRS COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND ENCOURAGING THE DEPARTMENT  OF  HEALTH
  3        AND  WELFARE TO ESTABLISH COST-SHARING IN THE FORM OF PREMIUMS FOR CERTAIN
  4        IDAHO MEDICAID PARTICIPANTS, ENCOURAGING THE DEPARTMENT OF HEALTH AND WEL-
  5        FARE TO PERMIT MEDICAID PARTICIPANTS TO PAY PART OR ALL OF THEIR  PREMIUMS
  6        WITH  FUNDS  IN  PERSONAL HEALTH ACCOUNTS ASSIGNED TO THE PARTICIPANTS AND
  7        HELD BY THE DEPARTMENT AND REQUESTING A REPORT TO THE LEGISLATURE.
                                                                        
  8    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
  9        WHEREAS, the Medicaid Program in the state of Idaho  is  unsustainable  in
 10    its  current  form  and  should  be reformed so that eligibility, benefits and
 11    delivery systems match client health needs; and
 12        WHEREAS, individual contributions to the cost of coverage through  premium
 13    payments  may  help  encourage more individual responsibility over health care
 14    choices and dissuade "crowding out" of private coverage; and
 15        WHEREAS, health insurance premium  payments  are  a  standard  beneficiary
 16    cost-sharing mechanism employed by the private health financing sector; and
 17        WHEREAS,  limited Medicaid premiums may help to increase Medicaid partici-
 18    pants' ability to understand and take advantage of  future  opportunities  for
 19    private health insurance coverage; and
 20        WHEREAS,  graduated premium amounts according to participant poverty level
 21    ensure equity of program design.
 22        NOW, THEREFORE, BE IT RESOLVED by the members of the Second  Regular  Ses-
 23    sion  of  the Fifty-eighth Idaho Legislature, the House of Representatives and
 24    the Senate concurring therein, that the Legislature  of  the  State  of  Idaho
 25    encourages  the Department of Health and Welfare to implement limited premiums
 26    for Medicaid participants in the proposed state plan for  low-income  children
 27    and working-age adults.
 28        BE  IT  FURTHER RESOLVED that the Legislature encourages the Department of
 29    Health and Welfare to establish Medicaid cost-sharing premiums  so  that  pre-
 30    miums  for  Medicaid  participants  who  have family incomes above one hundred
 31    thirty-three percent and equal to or less than one hundred  fifty  percent  of
 32    the  federal poverty guideline should consist of not more than ten dollars per
 33    person per month and premiums for participants with family incomes  above  one
 34    hundred  fifty  percent and equal to or less than one hundred eighty-five per-
 35    cent of the federal poverty guideline should consist of not more than ten dol-
 36    lars per person per month for medical benefits and an additional five  dollars
 37    per person per month for dental benefits.
 38        BE  IT  FURTHER RESOLVED that the Legislature encourages the Department of
 39    Health and Welfare to permit Medicaid participants to pay part or all of their
 40    premiums with funds in personal health accounts assigned to  the  participants
 41    and held by the Department of Health and Welfare.
 42        BE  IT  FURTHER  RESOLVED  that  the  Department  of Health and Welfare is
 43    requested to report the results of this program change to  the  First  Regular
 44    Session  of  the  Fifty-ninth Idaho Legislature along with recommendations for
                                                                        
                                           2
                                                                        
  1    any further legislative action.

Amendment


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                                                     Moved by    Nielsen             
                                                                        
                                                     Seconded by Loertscher          
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                              HOUSE AMENDMENT TO H.C.R. NO. 50
                                                                        
  1                             AMENDMENT TO THE RESOLUTION
  2        On page 1 of the printed resolution, following line 41, insert:
  3        "BE IT FURTHER RESOLVED that the Legislature encourages the Department  of
  4    Health and Welfare to join a prescription drug purchasing pool for purchase of
  5    Medicaid-financed prescription drugs and that the resulting savings be used to
  6    fund  Medicaid  participants' personal health accounts for the purpose of pay-
  7    ment of premiums.".
                                                                        
  8                                 CORRECTION TO TITLE
  9        On page 1, in line 7, following "DEPARTMENT" insert:  ",  ENCOURAGING  THE
 10    DEPARTMENT  TO  JOIN  A  DRUG PURCHASING POOL WITH THE RESULTING SAVINGS TO BE
 11    USED TO FUND THE PERSONAL HEALTH ACCOUNTS".

Engrossed Bill (Original Bill with Amendment(s) Incorporated)


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                       HOUSE CONCURRENT RESOLUTION NO. 50, As Amended
                                                                        
                                 BY STATE AFFAIRS COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND ENCOURAGING THE DEPARTMENT  OF  HEALTH
  3        AND  WELFARE TO ESTABLISH COST-SHARING IN THE FORM OF PREMIUMS FOR CERTAIN
  4        IDAHO MEDICAID PARTICIPANTS, ENCOURAGING THE DEPARTMENT OF HEALTH AND WEL-
  5        FARE TO PERMIT MEDICAID PARTICIPANTS TO PAY PART OR ALL OF THEIR  PREMIUMS
  6        WITH  FUNDS  IN  PERSONAL HEALTH ACCOUNTS ASSIGNED TO THE PARTICIPANTS AND
  7        HELD BY THE DEPARTMENT, ENCOURAGING THE DEPARTMENT TO JOIN A DRUG PURCHAS-
  8        ING POOL WITH THE RESULTING SAVINGS TO BE USED TO FUND THE PERSONAL HEALTH
  9        ACCOUNTS AND REQUESTING A REPORT TO THE LEGISLATURE.
                                                                        
 10    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
 11        WHEREAS, the Medicaid Program in the state of Idaho  is  unsustainable  in
 12    its  current  form  and  should  be reformed so that eligibility, benefits and
 13    delivery systems match client health needs; and
 14        WHEREAS, individual contributions to the cost of coverage through  premium
 15    payments  may  help  encourage more individual responsibility over health care
 16    choices and dissuade "crowding out" of private coverage; and
 17        WHEREAS, health insurance premium  payments  are  a  standard  beneficiary
 18    cost-sharing mechanism employed by the private health financing sector; and
 19        WHEREAS,  limited Medicaid premiums may help to increase Medicaid partici-
 20    pants' ability to understand and take advantage of  future  opportunities  for
 21    private health insurance coverage; and
 22        WHEREAS,  graduated premium amounts according to participant poverty level
 23    ensure equity of program design.
 24        NOW, THEREFORE, BE IT RESOLVED by the members of the Second  Regular  Ses-
 25    sion  of  the Fifty-eighth Idaho Legislature, the House of Representatives and
 26    the Senate concurring therein, that the Legislature  of  the  State  of  Idaho
 27    encourages  the Department of Health and Welfare to implement limited premiums
 28    for Medicaid participants in the proposed state plan for  low-income  children
 29    and working-age adults.
 30        BE  IT  FURTHER RESOLVED that the Legislature encourages the Department of
 31    Health and Welfare to establish Medicaid cost-sharing premiums  so  that  pre-
 32    miums  for  Medicaid  participants  who  have family incomes above one hundred
 33    thirty-three percent and equal to or less than one hundred  fifty  percent  of
 34    the  federal poverty guideline should consist of not more than ten dollars per
 35    person per month and premiums for participants with family incomes  above  one
 36    hundred  fifty  percent and equal to or less than one hundred eighty-five per-
 37    cent of the federal poverty guideline should consist of not more than ten dol-
 38    lars per person per month for medical benefits and an additional five  dollars
 39    per person per month for dental benefits.
 40        BE  IT  FURTHER RESOLVED that the Legislature encourages the Department of
 41    Health and Welfare to permit Medicaid participants to pay part or all of their
 42    premiums with funds in personal health accounts assigned to  the  participants
 43    and held by the Department of Health and Welfare.
 44        BE  IT  FURTHER RESOLVED that the Legislature encourages the Department of
                                                                        
                                           2
                                                                        
  1    Health and Welfare to join a prescription drug purchasing pool for purchase of
  2    Medicaid-financed prescription drugs and that the resulting savings be used to
  3    fund Medicaid participants' personal health accounts for the purpose  of  pay-
  4    ment of premiums.
  5        BE  IT  FURTHER  RESOLVED  that  the  Department  of Health and Welfare is
  6    requested to report the results of this program change to  the  First  Regular
  7    Session  of  the  Fifty-ninth Idaho Legislature along with recommendations for
  8    any further legislative action.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE

                             RS 16136

This House Concurrent Resolution requests that the Legislature
encourage the Department of Health and Welfare to implement
premiums for those Medicaid participants in the proposed state
plan for Low-Income Children and Working-Age Adults who have
family incomes above 133% of federal poverty. Participant cost
sharing is an important tool for modernizing Medicaid benefit
design and may increase Medicaid participants' ability to
understand and use the private health insurance system. The
Department of Health and Welfare will report the results of this
benefit change to the Legislature.


                          FISCAL NOTE
                                
The implementation of premiums as described in this House
Concurrent Resolution will result in savings to the General Fund
of $318,675 in fiscal year 2007.
                                                       



Contact
Name: Representative Pete Nielsen 
Phone: (208) 332-1000


STATEMENT OF PURPOSE/FISCAL NOTE                        HCR 50