2001 Legislation
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SENATE CONCURRENT RESOLUTION NO. 108 – Medicaid buy-in prog, H&W Dept

SENATE CONCURRENT RESOLUTION NO. 108

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Daily Data Tracking History



SCR108................................................by HEALTH AND WELFARE
MEDICAID BUY-IN PROGRAM - Stating findings of the Legislature and directing
the Department of Health and Welfare to develop a Medicaid buy-in program
and report to the Legislature.
                                                                        
02/12    Senate intro - 1st rdg - to printing
02/13    Rpt prt - to 10th Ord
02/14    10th Ord - ADOPTED - Voice Vote
    Title apvd - to House
02/15    House intro - 1st rdg - to Health/Wel
03/13    Rpt out - rec d/p - to 2nd rdg
03/14    2nd rdg - to 3rd rdg
03/15    3rd rdg - ADOPTED - voice vote - to Senate
03/16    To enrol
03/19    Rpt enrol - Pres signed
03/20    Sp signed
03/21    To Secretary of State

Bill Text


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-sixth Legislature                  First Regular Session - 2001
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                            SENATE CONCURRENT RESOLUTION NO. 108
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                               A CONCURRENT RESOLUTION
  2    STATING FINDINGS OF THE LEGISLATURE AND DIRECTING THE DEPARTMENT OF HEALTH AND
  3        WELFARE TO COLLABORATIVELY DEVELOP A MEDICAID BUY-IN PROGRAM FOR THE  DIS-
  4        ABLED  POPULATION THAT WOULD ALLOW RECIPIENTS WHO RETURN TO THE WORK FORCE
  5        TO HAVE THE OPTION OF BUYING MEDICAID COVERAGE  ON  A  SLIDING  FEE  SCALE
  6        UNTIL  THEY  ARE  ABLE TO OBTAIN INSURANCE WHICH PROVIDES COVERAGE FOR THE
  7        NECESSARY SERVICES.
                                                                        
  8    Be It Resolved by the Legislature of the State of Idaho:
                                                                        
  9        WHEREAS, Idaho's Medicaid Reform Advisory  Council  (1996)  found  that  a
 10    major  barrier  to  Idahoans  with disabilities wanting to work is the fear of
 11    losing their Medicaid benefits when they return to the work force;
 12        WHEREAS, individuals wanting to work themselves off the system are trapped
 13    by the "all-or-nothing" nature of the Medicaid program (i.e.,  if  a  person's
 14    income is below a certain level, he or she receives full Medicaid benefits; if
 15    a person makes one dollar more, he or she receives nothing);
 16        WHEREAS,  the  Idaho Medicaid Reform Advisory Council recommended that the
 17    Department of Health and Welfare request a federal waiver to establish a  Med-
 18    icaid buy-in program with a sliding fee scale for the disabled population that
 19    would  allow  recipients  who  return to the work force to keep their Medicaid
 20    intact until they are able to obtain insurance which provides coverage for the
 21    necessary services;
 22        WHEREAS, the Ticket to Work and Work Incentives Improvement  Act  of  1999
 23    allows states the option of a Medicaid buy-in to working individuals who would
 24    be Medicaid eligible, except for increased income;
 25        WHEREAS,  the state was awarded grant funds from the Health Care Financing
 26    Administration (HCFA) to analyze and design a Medicaid buy-in  initiative  for
 27    legislative consideration in 2002.
 28        WHEREAS,  a  Medicaid  buy-in  program  would enable recipients to achieve
 29    self-sufficiency and independence;
 30        WHEREAS, a Medicaid buy-in program would minimize the  risk  of  increased
 31    group insurance rates to employers who hire individuals with disabilities;
 32        WHEREAS, a Medicaid buy-in program would help integrate skilled recipients
 33    into the work force and transition them off Medicaid;
 34        WHEREAS, over time, a Medicaid buy-in program would enable participants to
 35    contribute to society as they pay taxes and reduce or eliminate their need for
 36    public assistance.
 37        NOW, THEREFORE, BE IT RESOLVED by the members of the First Regular Session
 38    of  the Fifty-sixth Idaho Legislature, the Senate and the House of Representa-
 39    tives concurring therein, that  the  Legislature  directs  the  Department  of
 40    Health  and  Welfare  to  collaboratively develop a Medicaid buy-in program to
 41    help transition people with disabilities back into the work force while making
 42    available the necessary health care coverage on a sliding fee scale.
 43        BE IT FURTHER RESOLVED that the Department  of  Health  and  Welfare  will
 44    present  the  Medicaid  buy-in  initiative whereby Medicaid recipients who are
                                                                        
                                           2
                                                                        
  1    disabled can work themselves off the system and achieve  self-sufficiency  and
  2    independence for legislative consideration in 2002.

Statement of Purpose / Fiscal Impact


                      STATEMENT OF PURPOSE
                                
                            RS 11122
                                
                                
                                
                                
One of the problems in the Medicaid program is that recipients are
reluctant to get jobs that will make them ineligible for Medicaid
benefits. This solution will authorize the Department of Health and
Welfare to study options for a "phase in" of Medicaid "buy in" on a
graduated basis for their obtaining work and moving off Medicaid. It
does not obligate the Legislature to enact the results of the study.






                          FISCAL IMPACT
                                
                                
                                
No fiscal impacts. The study will be paid for by a grant obtained for
that purpose.




Contact
Name: Grant Ipsen 
Phone: 332-1326


STATEMENT OF PURPOSE/FISCAL NOTE                          SCR 10