|
SCS/SB 306 - This act establishes the Show-Me Health Coverage plan within the Department of Social Services to provide health care coverage through the private insurance market to low-income working individuals in the state. The Department of Insurance, Financial Institutions and Professional Registration shall provide oversight of the marketing practices of the plan while the Department of Social Services shall establish standards for consumer protection for the plan. The maximum enrollment of plan participants is dependent on the moneys appropriated by the General Assembly, and the eligibility for the plan is phased in incrementally based on appropriations. The plan is subject to approval by the United States Department of Health and Human Services. The eligibility requirements and the services to be provided by the plan are specified in the act. Custodial parents with earned income up to 100% of the federal poverty level shall be eligible for the Show-Me Health Coverage benefit package under a Medicaid State Plan Amendment rather than through a Medicaid waiver. The plan shall also provide for every participating individual a health care home. Under the plan, a health care account is established for each individual, except for the custodial parent population under the state plan amendment, and payments for his or her participation can be made by the individual, an employer, the state, or any philanthropic of other charitable contributor. An individual's health care account shall be used to pay the individual's deductible for health care services under the plan. A participant will be terminated from participation in the plan if his or her required payment is not made within 60 days after the required date, however the participant may reapply to participate in the plan six months after termination from the plan. Approved participants are eligible for a 12-month period but must file a renewal application to remain in the plan. This act is substantially similar to a portion of SS/SCS/SB 1283 (2008). ADRIANE CROUSE
|
