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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
]]]] 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.
]]]] 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".
]]]] 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
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