2006 Legislation
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HOUSE BILL NO. 664 – Medicaid eligibility, disabled wrkr

HOUSE BILL NO. 664

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Bill Status



H0664.................................................by HEALTH AND WELFARE
MEDICAID ELIGIBILITY - DISABLED WORKER - Adds to existing law relating to
Medicaid to provide legislative findings; to provide eligibility
requirements for workers with disabilities to qualify for Medicaid; to
provide an exception for paying a Medicaid premium; and to provide for a
premium based on income.
                                                                        
02/13    House intro - 1st rdg - to printing
02/14    Rpt prt - to Health/Wel
03/01    Rpt out - rec d/p - to 2nd rdg
03/02    2nd rdg - to 3rd rdg
03/06    3rd rdg - PASSED - 65-0-5
      AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
      Bedke, Bell, Bilbao, Block, Bolz, Brackett, Bradford, Cannon,
      Chadderdon, Clark, Collins, Deal, Denney, Edmunson, Ellsworth,
      Eskridge, Field(18), Field(23), Garrett, Hart, Harwood, Henbest,
      Henderson, Jaquet, Kemp, Lake, LeFavour, Loertscher, Martinez,
      Mathews, McGeachin, Miller, Mitchell, Moyle, Nielsen, Nonini,
      Pasley-Stuart, Pence, Raybould, Ring, Ringo, Roberts, Rusche,
      Rydalch, Sali, Schaefer, Shepherd(2), Shepherd(8), Shirley, Skippen,
      Smith(30), Smith(24), Smylie, Snodgrass, Stevenson, Trail, Wills,
      Wood, Mr. Speaker
      NAYS -- None
      Absent and excused -- Black, Boe, Crow, McKague, Sayler
    Floor Sponsor - Garrett
    Title apvd - to Senate
03/07    Senate intro - 1st rdg - to Health/Wel
03/09    Rpt out - rec d/p - to 2nd rdg
03/10    2nd rdg - to 3rd rdg
03/14    3rd rdg - PASSED - 35-0-0
      AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
      Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
      Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
      Langhorst, Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce,
      Richardson, Schroeder, Stegner, Stennett, Sweet, Werk, Williams
      NAYS -- None
      Absent and excused -- None
    Floor Sponsors - Compton & Keough
    Title apvd - to House
03/15    To enrol
03/16    Rpt enrol - Sp signed
03/17    Pres signed - To Governor
03/23    Governor signed
         Session Law Chapter 174
         Effective: 01/01/07

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                                     HOUSE BILL NO. 664
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO MEDICAID; AMENDING CHAPTER 2, TITLE 56, IDAHO CODE, BY  THE  ADDI-
  3        TION  OF  A  NEW SECTION 56-209n, IDAHO CODE, TO PROVIDE LEGISLATIVE FIND-
  4        INGS, TO PROVIDE ELIGIBILITY REQUIREMENTS FOR WORKERS WITH DISABILITIES TO
  5        QUALIFY FOR MEDICAID, TO PROVIDE AN EXCEPTION FOR PAYING A  MEDICAID  PRE-
  6        MIUM AND TO PROVIDE FOR A PREMIUM BASED ON INCOME; AND PROVIDING AN EFFEC-
  7        TIVE DATE.
                                                                        
  8    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
  9        SECTION  1.  That  Chapter  2,  Title  56, Idaho Code, be, and the same is
 10    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
 11    ignated as Section 56-209n, Idaho Code, and to read as follows:
                                                                        
 12        56-209n.  MEDICAID  FOR  WORKERS  WITH  DISABILITIES.  (1) The legislature
 13    finds that many individuals with disabilities would like to  work  but  cannot
 14    afford to enter the workforce due to the fear of losing necessary medical ser-
 15    vices  received  through  medicaid.  Idaho hereby seeks to avail itself of the
 16    opportunity available through the federal ticket to work and  work  incentives
 17    improvement  act of 1999, which allows states to establish new medicaid eligi-
 18    bility categories  for  working  people  with  disabilities  whose  income  or
 19    resources  would otherwise make them ineligible for medicaid. Eliminating bar-
 20    riers to health care and other  needed  services  and  supports  and  creating
 21    financial  incentives  to  work  will  greatly improve the short and long-term
 22    financial independence and well-being of people  with  disabilities.  Medicaid
 23    for workers with disabilities will serve to increase the productivity of Idaho
 24    residents with disabilities and thereby enhance the economic and fiscal status
 25    of this state.
 26        (2)  An  individual is eligible to participate in the medicaid for workers
 27    with disabilities program if the individual:
 28        (a)  Is at least sixteen (16) years of age and not  more  than  sixty-four
 29        (64) years of age;
 30        (b)  Has  a disability as defined in title XVI of the federal social secu-
 31        rity act, as amended. An individual shall be  determined  to  be  eligible
 32        under  this  section without regard to his or her ability to engage in, or
 33        actual engagement in, substantial gainful activity, as defined in  section
 34        223(d)(4) of the social security act (42 U.S.C. section 423(d)(4));
 35        (c)  Is  employed, including self-employment, and has provided the depart-
 36        ment of health and welfare with satisfactory written proof of  employment.
 37        Hourly wage or hours worked shall not be used to determine employment;
 38        (d)  Has countable resources of ten thousand dollars ($10,000) or less. In
 39        calculating resources the following items shall be excluded: a second car,
 40        life  insurance  policies, retirement accounts, beneficial trusts, and any
 41        other resources excluded under current rules promulgated by the department
 42        of health and welfare for aid to aged, blind and disabled (AABD); and
 43        (e)  Has countable income, after exclusions and disregards as set forth in
                                                                        
                                           2
                                                                        
  1        rules promulgated by the department of health and welfare for participants
  2        receiving AABD benefits, which do not exceed five hundred  percent  (500%)
  3        of the federal poverty level.
  4        (3)  An  eligible  individual  who has an income as determined pursuant to
  5    subsection (2)(e) of this section less than one hundred  thirty-three  percent
  6    (133%) of the federal poverty level shall not be required to pay a premium for
  7    medicaid.
  8        (4)  The department of health and welfare may require an eligible individ-
  9    ual who has an income as determined pursuant to subsection (2)(e) of this sec-
 10    tion  of  one hundred thirty-three percent (133%) to two hundred fifty percent
 11    (250%) of the federal poverty level to pay a monthly premium as set  forth  in
 12    rules promulgated by the department of health and welfare.
 13        (5)  An  eligible  individual  who has an income as determined pursuant to
 14    subsection (2)(e) of this section in  excess  of  two  hundred  fifty  percent
 15    (250%)  of the federal poverty level shall pay to the department of health and
 16    welfare a monthly premium as a condition for continued eligibility for  medic-
 17    aid. The monthly premium shall be calculated by multiplying seven and one-half
 18    percent (7.5%) by the amount of the individual's income as determined pursuant
 19    to  subsection (2)(e) of this section which is above two hundred fifty percent
 20    (250%) of the federal poverty level.
                                                                        
 21        SECTION 2.  This act shall be in full force and effect on and after  Janu-
 22    ary 1, 2007.

Statement of Purpose / Fiscal Impact


                                    
                                    
                          STATEMENT OF PURPOSE

                               RS 15772C2

  This legislation would create a Medicaid for Workers with
  Disabilities (formally known as Medicaid-Buy-In) program for
  Idahoans with disabilities.  Medicaid for Workers with
  Disabilities helps transition people to work by permitting them
  to receive Medicaid while working.  For people currently on
  Medicaid, there is no incentive to work more than part-time,
  because if they earn even one dollar too much, they lose their
  Medicaid coverage.  That coverage pays for the supports and
  services that people with disabilities need to go to work.  With
  the Medicaid for Workers with Disabilities program, when the
  eligible person goes to work, they pay a premium, based on a
  sliding scale, which enables them to retain their coverage.  The
  program encourages self-sufficiency and independence instead of
  trapping people in dependence and poverty.
  
  Many people on Medicaid want to work and recognize that
  employment is the way to end dependence.  However, because of the
  cost of their support needs and the fact that most employers
  provide no insurance coverage for those supports, they must
  curtail their work hours to keep their Medicaid benefits.  The
  Medicaid for Workers with Disabilities program helps them
  gradually leave or lessen their reliance on Medicaid while
  increasing their work hours and income.  The program enables
  people with disabilities to be contributing, tax-paying citizens.
  The implementation date for this program is January 2007.
 
  
                           FISCAL IMPACT
                                   
  The Department of Health and Welfare has estimated that the FY
  2007 General Fund impact will be $233,900 and the federal fund
  impact will be $424,500 for a total of $658,400. 
  
  The annualized cost for the full fiscal year in 2008 will be
  $397,200 from the General Fund and $831,100 from federal funds
  for a total of $1,228,300.
  
  
  
  CONTACT:
  Name:    Representative Kathie Garrett
           Senators Dick Compton and Shawn Keough
  Phone:   (208) 332-1000
  Name:    Kelly Buckland, State Independent Living Council
  Phone:   (208) 334-3800
  
  
  
  STATEMENT OF PURPOSE/FISCAL NOTE                      H 664