2003 Legislation
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HOUSE BILL NO. 376 – Health insurance access card

HOUSE BILL NO. 376

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Daily Data Tracking History



H0376.....................................................by WAYS AND MEANS
HEALTH INSURANCE ACCESS CARD - Amends and adds to existing law to set forth
provisions for the Idaho Health Insurance Access Card Act; to state
legislative purpose; to define terms; to provide for a CHIP Plan B; to
provide for the Children's Access Card Program; to provide for the Small
Business Health Insurance Pilot Program; to provide for the Idaho Health
Insurance Access Card; and to provide for the deposit of certain premium
tax funds to the Idaho Health Insurance Access Card Fund and to specify
distribution.
                                                                        
03/19    House intro - 1st rdg - to printing
03/20    Rpt prt - to Health/Wel
03/21    Ref'd to Bus
03/28    Rpt out - rec d/p - to 2nd rdg
03/31    2nd rdg - to 3rd rdg
04/01    3rd rdg - PASSED - 53-17-0
      AYES -- Andersen, Barraclough, Bedke, Bell, Bieter, Black, Block,
      Boe, Bolz, Bradford, Campbell, Cannon, Collins, Cuddy, Deal, Denney,
      Douglas, Edmunson, Ellsworth, Eskridge, Field(18), Gagner, Garrett,
      Henbest, Jaquet, Jones, Kellogg, Lake, Langhorst, Martinez, Meyer,
      Miller, Mitchell, Naccarato, Nielsen, Ridinger, Ring, Ringo, Robison,
      Rydalch, Sayler, Shepherd, Shirley, Skippen, Smith(30), Smith(24),
      Smylie, Snodgrass, Stevenson, Tilman, Trail, Wills, Mr. Speaker
      NAYS -- Barrett, Bauer, Clark, Crow, Eberle, Field(23), Harwood,
      Kulczyk, Langford, McGeachin, McKague, Moyle, Raybould, Roberts,
      Sali, Schaefer, Wood
      Absent and excused -- None
    Floor Sponsors - Black & Gagner
    Title apvd - to Senate
04/02    Senate intro - 1st rdg - to Com/HuRes
04/04    Rpt out - rec d/p - to 2nd rdg
04/07    2nd rdg - to 3rd rdg
04/09    3rd rdg - PASSED - 34-0-1
      AYES -- Andreason, Bailey, Brandt, Bunderson, Burkett, Burtenshaw,
      Calabretta, Cameron, Compton, Darrington, Davis, Gannon, Geddes,
      Goedde, Hill, Ingram, Kennedy, Keough, Little, Lodge, Malepeai(Kumm),
      Marley, McKenzie, McWilliams, Noh, Pearce, Richardson, Schroeder,
      Sorensen, Stegner, Stennett, Sweet, Werk, Williams
      NAYS -- None
      Absent and excused -- Noble
    Floor Sponsor - Cameron
    Title apvd - to House
04/10    To enrol
04/14    Rpt enrol - Sp signed
04/15    Pres signed
04/16    To Governor
04/22    Governor signed
         Session Law Chapter 308
         Effective: 07/01/03

Bill Text


                                                                        
                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-seventh Legislature                 First Regular Session - 2003
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                                     HOUSE BILL NO. 376
                                                                        
                                BY WAYS AND MEANS COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO THE IDAHO HEALTH INSURANCE ACCESS CARD ACT;  AMENDING  CHAPTER  2,
  3        TITLE 56, IDAHO CODE, BY THE ADDITION OF A NEW SECTION 56-236, IDAHO CODE,
  4        TO PROVIDE A SHORT TITLE; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY THE
  5        ADDITION  OF  A  NEW SECTION 56-237, IDAHO CODE, TO STATE LEGISLATIVE PUR-
  6        POSE; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY THE ADDITION OF  A  NEW
  7        SECTION 56-238, IDAHO CODE, TO DEFINE TERMS; AMENDING CHAPTER 2, TITLE 56,
  8        IDAHO  CODE,  BY  THE ADDITION OF A NEW SECTION 56-239, IDAHO CODE, TO SET
  9        FORTH PROVISIONS FOR CHIP PLAN B; AMENDING  CHAPTER  2,  TITLE  56,  IDAHO
 10        CODE,  BY  THE  ADDITION OF A NEW SECTION 56-240, IDAHO CODE, TO SET FORTH
 11        PROVISIONS FOR THE CHILDREN'S ACCESS CARD  PROGRAM;  AMENDING  CHAPTER  2,
 12        TITLE 56, IDAHO CODE, BY THE ADDITION OF A NEW SECTION 56-241, IDAHO CODE,
 13        TO SET FORTH PROVISIONS FOR THE SMALL BUSINESS HEALTH INSURANCE PILOT PRO-
 14        GRAM;  AMENDING  CHAPTER 2, TITLE 56, IDAHO CODE, BY THE ADDITION OF A NEW
 15        SECTION 56-242, IDAHO CODE, TO SET FORTH PROVISIONS FOR THE  IDAHO  HEALTH
 16        INSURANCE ACCESS CARD; AND AMENDING SECTION 41-406, IDAHO CODE, TO PROVIDE
 17        FOR THE DEPOSIT OF CERTAIN PREMIUM TAX FUNDS TO THE IDAHO HEALTH INSURANCE
 18        ACCESS CARD FUND AND TO SPECIFY DISTRIBUTION.
                                                                        
 19    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 20        SECTION  1.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
 21    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
 22    ignated as Section 56-236, Idaho Code, and to read as follows:
                                                                        
 23        56-236.  SHORT  TITLE.  This  act  shall  be known and may be cited as the
 24    "Idaho Health Insurance Access Card Act."
                                                                        
 25        SECTION 2.  That Chapter 2, Title 56, Idaho Code,  be,  and  the  same  is
 26    hereby  amended by the addition thereto of a NEW SECTION, to be known and des-
 27    ignated as Section 56-237, Idaho Code, and to read as follows:
                                                                        
 28        56-237.  PURPOSE. The purpose and intent of this act  is  to  promote  the
 29    availability  of  health  insurance to children and families and to adults who
 30    are employed by small businesses in Idaho and their  dependent  spouses  whose
 31    families'  gross incomes fall within one hundred eighty-five percent (185%) of
 32    the federal poverty guidelines.
                                                                        
 33        SECTION 3.  That Chapter 2, Title 56, Idaho Code,  be,  and  the  same  is
 34    hereby  amended by the addition thereto of a NEW SECTION, to be known and des-
 35    ignated as Section 56-238, Idaho Code, and to read as follows:
                                                                        
 36        56-238.  DEFINITIONS. As used in this act:
 37        (1)  "Children's access card program" means the program created in section
 38    56-240, Idaho Code.
 39        (2)  "CHIP Plan A" means the existing Idaho  children's  health  insurance
                                                                        
                                           2
                                                                        
  1    program  for  children  eligible under federal title XXI whose families' gross
  2    incomes do not exceed one hundred fifty percent (150%) of the federal  poverty
  3    guidelines.
  4        (3)  "CHIP  Plan  B"  means  the  program created in section 56-239, Idaho
  5    Code.
  6        (4)  "Department" means the department of health and welfare.
  7        (5)  "Director" means the director of the department of  health  and  wel-
  8    fare.
  9        (6)  "Eligible adult" means a person:
 10        (a)  Over eighteen (18) years of age living in Idaho;
 11        (b)  Whose  family's  gross  income  is  equal to or less than one hundred
 12        eighty-five percent (185%) of the federal poverty guidelines; and
 13        (c)  Who is employed full time by a small employer,  meaning  an  employer
 14        with  two  (2) to fifty (50) employees and as such term is defined in sec-
 15        tion 41-4703, Idaho Code, and who is eligible for health insurance  cover-
 16        age under a small employer health benefit plan regulated under chapter 47,
 17        title 41, Idaho Code, or the dependent spouse of such employee.
 18        (7)  "Eligible  child" means a child under nineteen (19) years of age liv-
 19    ing in Idaho whose family's gross income falls within federal  poverty  guide-
 20    lines  for  CHIP  Plan  A or CHIP Plan B. Children currently eligible for CHIP
 21    under federal  title  XXI  may  elect  to  participate  in  either  the  Idaho
 22    children's  health  insurance  program  (CHIP Plan A) or the children's access
 23    card program. Children whose family's gross  income  is  between  one  hundred
 24    fifty percent (150%) and one hundred eighty-five percent (185%) of the federal
 25    poverty  guidelines  may elect to participate in either the CHIP Plan B or the
 26    children's access card program.
 27        (8)  "Health benefit plan" means any hospital or medical policy or certif-
 28    icate, any subscriber contract provided by a hospital or professional  service
 29    corporation,  or managed care organization subscriber contract. Health benefit
 30    plan does not include policies or certificates of insurance for specific  dis-
 31    ease,  hospital  confinement indemnity, accident-only, credit, dental, vision,
 32    medicare supplement, long-term care, or disability income  insurance,  student
 33    health  benefits  only coverage issued as a supplement to liability insurance,
 34    worker's compensation or similar insurance, automobile medical payment  insur-
 35    ance  or  nonrenewable  short-term coverage issued for a period of twelve (12)
 36    months or less.
 37        (9)  "Small business health insurance pilot  program"  means  the  program
 38    created in section 56-241, Idaho Code.
                                                                        
 39        SECTION  4.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
 40    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
 41    ignated as Section 56-239, Idaho Code, and to read as follows:
                                                                        
 42        56-239.  CHIP PLAN B. (1) There is hereby created in the department a CHIP
 43    Plan B that shall be made available by the department to eligible children, as
 44    defined  in section 56-238, Idaho Code, whose family's gross income is between
 45    one hundred fifty percent (150%) and one hundred eighty-five percent (185%) of
 46    the federal poverty guidelines. The director shall implement  the  program  by
 47    adopting  rules  recommended  by  the board of the Idaho high risk reinsurance
 48    pool created in section 41-5502, Idaho Code, that authorize policies of health
 49    insurance for children enrolled in the CHIP Plan B.
 50        (2)  There is hereby created a CHIP Plan  B  advisory  board  which  shall
 51    advise the Idaho high risk reinsurance pool board concerning issues related to
 52    the  CHIP  Plan B. The board shall consist of eight (8) members, four (4) mem-
 53    bers to be appointed by the director and four (4) members to be  appointed  by
                                                                        
                                           3
                                                                        
  1    the  governor. At least two (2) members of the board shall be parents of chil-
  2    dren who are eligible to participate in the CHIP Plan B.
                                                                        
  3        SECTION 5.  That Chapter 2, Title 56, Idaho Code,  be,  and  the  same  is
  4    hereby  amended by the addition thereto of a NEW SECTION, to be known and des-
  5    ignated as Section 56-240, Idaho Code, and to read as follows:
                                                                        
  6        56-240.  CHILDREN'S ACCESS CARD PROGRAM. (1) There is  hereby  created  in
  7    the  department a children's access card program that shall, through the Idaho
  8    health insurance access card program, make payments to the  insurance  company
  9    providing  coverage under a health benefit plan, as defined in section 56-238,
 10    Idaho Code, for a child who is eligible for federal title XXI  benefits  under
 11    CHIP Plan A or CHIP Plan B. In each month the insurance coverage is in effect,
 12    a  one hundred dollar ($100) payment shall be applied to the monthly insurance
 13    premium billed each month by the insurance company with a maximum  payment  of
 14    three  hundred  dollars  ($300)  for all dependent children in the family. The
 15    director shall implement the program by  adopting  rules  recommended  by  the
 16    board  of  the  Idaho  high  risk reinsurance pool created in section 41-5502,
 17    Idaho Code.
 18        (2)  Participation in the children's access card program by  any  employer
 19    shall  be  optional.  Nothing  in  this  act  shall be construed to mandate or
 20    require that an employer participate in the children's access card program.
 21        (3)  There is hereby created a children's  access  card  program  advisory
 22    board which shall advise the Idaho high risk reinsurance pool board concerning
 23    issues  related to the children's access card program. The board shall consist
 24    of eight (8) members, four (4) members to be appointed  by  the  director  and
 25    four  (4) members to be appointed by the governor. At least two (2) members of
 26    the board shall be parents of children who are eligible to participate in  the
 27    children's access card program.
                                                                        
 28        SECTION  6.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
 29    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
 30    ignated as Section 56-241, Idaho Code, and to read as follows:
                                                                        
 31        56-241.  SMALL  BUSINESS  HEALTH  INSURANCE  PILOT  PROGRAM.  (1) There is
 32    hereby created in the department a small business health insurance pilot  pro-
 33    gram  that  shall  be  made  available  to up to one thousand (1,000) eligible
 34    adults, as defined in section 56-238, Idaho Code, based on available  funding.
 35    The  director shall implement the program by adopting rules recommended by the
 36    board of the Idaho high risk reinsurance  pool  created  in  section  41-5502,
 37    Idaho  Code, providing for the payment of the benefit authorized in subsection
 38    (2) of this section through the use of the Idaho health insurance access card.
 39        (2)  The small business health insurance pilot program shall, through  the
 40    Idaho  health insurance access card program, pay to the insurance company pro-
 41    viding insurance coverage through policies regulated under chapter  47,  title
 42    41,  Idaho  Code, for an adult enrolled in the small employer health insurance
 43    pilot program, for each month the insurance coverage is in effect, a one  hun-
 44    dred  dollar  ($100)  payment  to  be applied to the monthly insurance premium
 45    billed each month by the insurance company.
 46        (3)  Participation in the small business health insurance pilot program by
 47    any employer shall be optional. Nothing in this act shall be construed to man-
 48    date or require that an employer  participate  in  the  pilot  program.  Small
 49    employers  who  choose  to  participate in the small business health insurance
 50    pilot program shall contribute at least fifty percent (50%)  of  the  employee
 51    premium  and  at  least fifty percent (50%) of the combination of employee and
                                                                        
                                           4
                                                                        
  1    dependent spouse contribution percentage for those employees and their depend-
  2    ent spouses who are enrolled in the small business health insurance pilot pro-
  3    gram.
  4        (4)  There is hereby created a small business  health  insurance  advisory
  5    board which shall advise the Idaho high risk reinsurance pool board concerning
  6    issues related to the small business health insurance pilot program. The board
  7    shall  consist  of eight (8) members, four (4)  members to be appointed by the
  8    director and four (4) members to be appointed by the governor. At  least  four
  9    (4) members of the board shall be representatives of small businesses, meaning
 10    those with two (2) to fifty (50) employees, that offer employee health benefit
 11    plans regulated under chapter 47, title 41, Idaho Code.
                                                                        
 12        SECTION  7.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
 13    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
 14    ignated as Section 56-242, Idaho Code, and to read as follows:
                                                                        
 15        56-242.  IDAHO  HEALTH  INSURANCE  ACCESS  CARD.  (1)  The  director shall
 16    develop an Idaho health insurance access card program  in  the  department  to
 17    implement  the  children's  access  card program and the small business health
 18    insurance pilot program.
 19        (2)  (a) There is hereby created and established in the state  treasury  a
 20        fund  to be known as the "Idaho health insurance access card fund." Moneys
 21        in the fund shall be  maintained  in  three  (3)  subaccounts,  identified
 22        respectively  as the "CHIP Plan B subaccount," the "children's access card
 23        program subaccount" and the "small business health insurance pilot program
 24        subaccount." Appropriations, matching federal funds, grants, donations and
 25        moneys from other sources shall be paid  into  the  fund.  The  department
 26        shall  administer  the fund. Any interest earned on the investment of idle
 27        moneys in the fund shall be returned to and deposited in the fund.
 28        (b)  Moneys in the CHIP Plan B subaccount, the children's access card pro-
 29        gram subaccount and the small  business  health  insurance  pilot  program
 30        subaccount  shall be expended pursuant to appropriation for the payment of
 31        benefits and capped administrative costs of the department.
 32        (3)  The director shall apply for waivers of federal title XXI  and  title
 33    XIX  to  subsidize  health care coverage under the CHIP Plan B, the children's
 34    access card program and the small business  health  insurance  pilot  program.
 35    Federal  matching  funds  received by the department to provide coverage under
 36    CHIP Plan B, the children's access card program and the small business  health
 37    insurance pilot program shall be deposited in the appropriate subaccount.
 38        (4)  The  director  is  authorized  to promulgate rules recommended by the
 39    board of the Idaho high risk reinsurance pool to implement the  CHIP  Plan  B,
 40    the  children's  access  card  program and the small business health insurance
 41    pilot program.
 42        (5)  Insurers offering health benefit plans regulated  under  chapter  47,
 43    title  41,  Idaho  Code,  shall  accept payment for such plans under the small
 44    business health insurance pilot program pursuant to rules promulgated  by  the
 45    department.  Insurers  offering  health  benefit  plans, as defined in section
 46    56-238, Idaho Code, shall accept payment for such plans under  the  children's
 47    access card program.
 48        (6)  The  CHIP  Plan  B  and  the  children's access card program shall be
 49    implemented by July 1, 2004.  Implementation  of  the  small  business  health
 50    insurance pilot program shall begin on July 1, 2005.
                                                                        
 51        SECTION  8.  That  Section  41-406, Idaho Code, be, and the same is hereby
 52    amended to read as follows:
                                                                        
                                           5
                                                                        
  1        41-406.  DEPOSIT AND REPORT OF FEES, LICENSES AND TAXES. (1) The  director
  2    shall  transmit  all  taxes, fines and penalties collected by him to the state
  3    treasurer as provided under section 59-1014, Idaho Code.  The  director  shall
  4    file with the state controller a statement of each deposit thus made. All such
  5    funds  received  shall  be deposited into the department of insurance suspense
  6    account.
  7        Such funds shall be distributed as follows:
  8        (a)  The director may deposit up to twenty  percent  (20%)  of  the  funds
  9        received  in  the insurance refund account which is hereby created for the
 10        purpose of repaying overpayments of any taxes,  fines,  and  penalties  or
 11        other  erroneous  receipts. There is hereby appropriated out of the insur-
 12        ance refund account so much thereof as shall be necessary for the  payment
 13        of  refunds.  Any  unencumbered  balance remaining in the insurance refund
 14        account on June 30 of each and every year in excess of forty thousand dol-
 15        lars ($40,000) shall be transferred to the general fund and the state con-
 16        troller is hereby authorized and directed  on  such  dates  to  make  such
 17        transfers  unless the board of examiners, which is hereby authorized to do
 18        so, changes the date of transfer or sum to be transferred.
 19        (b)  That portion of the premium  tax,  payable  to  the  public  employee
 20        retirement  fund as provided in section 59-1394, Idaho Code, shall be dis-
 21        tributed to that fund.
 22        (c)  That portion of the premium tax  necessary  to  cover  administrative
 23        costs  incurred  by  the  department in placing insurance companies or any
 24        other insurance entities into receivership or under administrative  super-
 25        vision, and such costs cannot be satisfied from the assets of these compa-
 26        nies  or entities, shall be distributed to the insurance insolvency admin-
 27        istrative fund which is hereby created. There is hereby  appropriated  out
 28        of  the  insurance insolvency administrative fund so much thereof as shall
 29        be necessary, but not to exceed two hundred thousand dollars ($200,000) in
 30        any one (1) fiscal year, for the payment of the  department's  administra-
 31        tive  expenses incurred in carrying out such receiverships or supervision.
 32        A balance of one hundred thousand dollars ($100,000) shall  be  maintained
 33        in this fund on June 30 of each year.
 34        (d)  After all other deductions authorized in this section have been made,
 35        if   the   premium   tax  remaining  exceeds  forty-five  million  dollars
 36        ($45,000,000), one-fourth (1/4) of such excess is hereby appropriated  and
 37        shall  be  paid  to the Idaho high risk individual reinsurance pool estab-
 38        lished in chapter 55, title 41, Idaho Code, and one-fourth (1/4)  of  such
 39        excess  above fifty-five million dollars ($55,000,000) is hereby appropri-
 40        ated and shall be paid to the Idaho health  insurance  access  card  fund,
 41        established  in  section  56-242, Idaho Code, with eighty percent (80%) of
 42        such moneys to be appropriated to the  CHIP  Plan  B  subaccount  and  the
 43        children's access card program subaccount and twenty percent (20%) of such
 44        moneys,   not   to   exceed  one  million  two  hundred  thousand  dollars
 45        ($1,200,000) per year, to be appropriated to  the  small  business  health
 46        insurance pilot program subaccount.
 47        (e)  The balance of the premium tax, fines and penalties shall be distrib-
 48        uted to the general fund of the state of Idaho.
 49        (f)  All moneys received for fees, licenses and miscellaneous charges col-
 50        lected shall be distributed to the insurance administrative account.
 51        (2)  The  director  shall make and file with the state controller an item-
 52    ized statement of the fees, licenses, taxes, fines and penalties collected  by
 53    him  during  the  preceding  month,  and shall deliver a certified copy of the
 54    statement to the state treasurer.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE
                            RS 13172C2
The purpose of this bill is to give families of children eligible
for the Children's Health Insurance Program (CHIP) a choice
between enrolling their children in CHIP and enrolling their
children in a new Health Insurance Access Card program.  The
Health Insurance Access Card is a premium assistance program that
would provide support for purchase of commercial insurance
(either employer-sponsored or individual plans).  The bill would
also create a capped expansion of CHIP from 150% of federal
poverty to 185% of federal poverty.  This expanded CHIP, called
CHIP Plan B, would have fewer benefits and some beneficiary cost-
sharing as compared to the current CHIP, which gives
beneficiaries Medicaid-level benefits.  The Health Insurance
Access Card would be a program choice for both current and 
expanded CHIP eligibles.  Further, the bill would create a capped
pilot program for adults enrolled in small businesses (2 to 50
employees) in which employees and/or their dependent spouses up
to 185% of federal poverty could enroll in the Health Insurance
Access Card program.  This would grant adult beneficiaries
limited financial support for purchase of employer-sponsored
small group health insurance plans.  This segment of the program
is meant to facilitate creation and maintenance of employer-based
small group health insurance plans.

                          FISCAL IMPACT

There is no fiscal impact on the General Fund.  The Idaho Health
Insurance Access Card proposal is funded with future receipts of
premium tax.  The requests are one-fourth of the premium tax
above $55 million.  We are currently below $55 million but
anticipate hitting that level in the next year or so.  The
premium tax collected is deposited in a trust account established
within CHIP's and is matched on an 80%/20% basis.  If we were to
collect $2 million of premium tax, it would be matched with $8
million of federal funds.  That would generate over 8000 access
cards at $1,200 a year.  It is also hoped that we might obtain
grants and other funds as well.

Contact
Name:     Sen. Dean Cameron
          (208) 332-1000
          Roy Eiguren, Givens Pursley
          (208-388-1200)
          Kate Vanden Broek, Idaho State Planning Grant
          (208) 367-4777

STATEMENT OF PURPOSE/FISCAL NOTE                   H 376