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HJM017................................................by HEALTH AND WELFARE
MEDICAID - LONG-TERM CARE - Stating findings of the Legislature and asking
the Congress of the United States to amend federal law to allow states to
enter into long-term care partnerships in the Medicaid Program.
02/11 House intro - 1st rdg - to printing
02/12 Rpt prt - to Health/Wel
02/19 Rpt out - rec d/p - to 2nd rdg
02/20 2nd rdg - to 3rd rdg
02/25 3rd rdg - ADOPTED - 68-0-2
AYES -- Andersen, Barraclough, Barrett, Bauer, Bayer, Bedke, Bell,
Black, Block, Boe, Bolz, Bradford, Campbell, Cannon, Clark, Collins,
Crow, Cuddy, Deal, Denney, Douglas, Eberle, Edmunson, Ellsworth,
Eskridge, Field(18), Field(23), Gagner, Garrett, Harwood, Henbest,
Jaquet, Jones, Kellogg, Kulczyk, Lake, Langford, Langhorst, Martinez,
McGeachin, McKague, Meyer, Miller, Mitchell, Moyle, Naccarato,
Nielsen, Pasley-Stuart, Raybould, Ridinger, Ring, Ringo, Robison,
Rydalch, Sali, Sayler, Schaefer, Shepherd, Shirley, Smith(30),
Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wills, Wood, Mr.
Speaker
NAYS -- None
Absent and excused -- Roberts, Skippen
Floor Sponsor - McGeachin
Title apvd - To Senate
02/26 Senate intro - 1st rdg - to Health/Wel
03/08 Rpt out - rec d/p - to 10th Ord
03/09 10th Ord - ADOPTED - voice vote
Floor Sponsor - Bailey
Title apvd - to House
03/10 To enrol
03/11 Rpt enrol - Sp signed
03/12 Pres signed
03/15 To Secretary of State
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-seventh Legislature Second Regular Session - 2004
IN THE HOUSE OF REPRESENTATIVES
HOUSE JOINT MEMORIAL NO. 17
BY HEALTH AND WELFARE COMMITTEE
1 A JOINT MEMORIAL
2 TO THE SENATE AND HOUSE OF REPRESENTATIVES OF THE UNITED STATES IN CONGRESS
3 ASSEMBLED, AND TO THE CONGRESSIONAL DELEGATION REPRESENTING THE STATE OF
4 IDAHO IN THE CONGRESS OF THE UNITED STATES.
5 We, your Memorialists, the House of Representatives and the Senate of the
6 State of Idaho assembled in the Second Regular Session of the Fifty-seventh
7 Idaho Legislature, do hereby respectfully represent that:
8 WHEREAS, current federal and state medical assistance expenditures for
9 long-term care services in Idaho exceed $145.7 million annually, with the
10 state's annual share at approximately $43.7 million; and
11 WHEREAS, skyrocketing costs of providing care to persons who need assis-
12 tance to meet daily needs have hit the middle class particularly hard; and
13 WHEREAS, the national average cost for nursing home care is approximately
14 $50,000 per year; and
15 WHEREAS, costs to the state of Idaho will rise on account of increasing
16 demands for services as our population ages; and
17 WHEREAS, the purpose of the long-term care partnership program is to pro-
18 vide incentives to individuals to purchase long-term care insurance, and con-
19 sequently to relieve the financial burdens on the states when they assume pay-
20 ment for the long-term care needs of their citizens under the Medicaid program
21 by allowing individuals who exhaust qualified private long-term care policy
22 benefits to protect an equivalent value of assets and still satisfy Medicaid's
23 financial eligibility requirements; and
24 WHEREAS, the concept of long-term care partnership results in private
25 insurance paying first and government paying last; and
26 WHEREAS, the four states that have had partnership plans for almost a
27 decade, specifically California, Connecticut, Indiana and New York, have expe-
28 rienced significant savings to taxpayers, and have seen less than 100 total
29 partnership purchasers qualify for Medicaid; and
30 WHEREAS, American citizens in 46 states, the District of Columbia and ter-
31 ritories of the United States are being discriminated against by not being
32 able to enjoy the benefits provided by long-term care partnership plans due to
33 a restriction present in Section 1917(b)(1)(C) of the Social Security Act (49
34 Stat. 620, 42 U.S.C. 1396p(b)(1)(C)) which has discouraged additional states
35 from enacting long-term care partnership programs by effectively removing the
36 major incentive for individuals to participate.
37 NOW, THEREFORE, BE IT RESOLVED by the members of the Second Regular Ses-
38 sion of the Fifty-seventh Idaho Legislature, the House of Representatives and
39 the Senate concurring therein, that we urge the United States Congress to
40 amend Section 1917(b)(1)(C) of the Social Security Act (49 Stat. 620, 42
41 U.S.C. 1396p(b)(1)(C)) by deleting May 14, 1993, as the deadline for approval
42 by states of long-term care partnership plans, thus affording states through-
43 out the nation the ability to give their citizens the same rights to partici-
44 pate in those types of plans.
2
1 BE IT FURTHER RESOLVED that the Chief Clerk of the House of Representa-
2 tives be, and she is hereby authorized and directed to forward a copy of this
3 Memorial to the President of the Senate and the Speaker of the House of Repre-
4 sentatives of Congress, and the congressional delegation representing the
5 State of Idaho in the Congress of the United States.
STATEMENT OF PURPOSE
RS 13879
The purpose of this memorial is to encourage the US Congress to
amend Section 1917(b) (1) (C) of the Social Security Act by
deleting May 14, 1993 as the deadline for approval by states of
long-term care partnership plans. This will allow all states the
right to participate in long-term care partnership plans.
FISCAL IMPACT
There is no fiscal impact to the general fund.
Contact
Name: Representative Janice McGeachin
Phone: 332-1000
STATEMENT OF PURPOSE/FISCAL NOTE HJM 017