State

What the Law Does

Major Provisions

Web Link to Law

Louisiana

S305

Signed by Governor on 6/05/03

--Subject to funding and performance standards included in appropriations bill, directs the Department of Health and Hospitals to implement a Medicaid Buy-In Program no later than January 2004.

--Requires the Department to promulgate rules on application processes, eligibility criteria, sliding scale premiums, publicity, and any other necessary procedures.

--Requires review of rules by legislative committees as specified in the Administrative Procedures Act.

--Requires semi-annual reports to legislative committees on program costs, number of enrollees, value of taxes paid by enrollees, coverage expansion recommendations, and any other pertinent information.

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Maryland

S 386

Signed by Governor on 5/13/03

--To the extent funding is available, directs the Department of Health and Mental Hygiene to implement the Employed Persons with Disabilities Program by July 1, 2005.

--Directs the Department to adopt regulations on eligibility criteria.

--Requires consultation with consumer coalition on eligibility criteria and requires preference for their recommendations.

--Requires preliminary report to legislative committees by January 1, 2004, and final report defining eligibility criteria and implementation status by January 1,2005.

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Click here for the fiscal note 

North Dakota

S 2194

Signed by Governor on 4/14/03

--Establishes a Medicaid Buy-in Program.

--Directs the Department to provide personal care services for Medicaid recipients in their own homes.

--Sets maximum income level at 225% of the federal poverty level.

--Provides for a disregard of $10,000 of assets acquired from work.

--Requires sliding scale payments of no less than 2-1/2 % and no more than 7-1/2%.

--Includes an enrollment fee of $100.

--Provides for termination of enrollment for failure to pay premiums for three consecutive months.

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Click here for the fiscal note.

Virginia

H 1822

Signed by Governor on 3/16/03

--Requires the Dept. of Medical Assistance Services to seek a Section 1115 waiver to establish a Medicaid Buy-In Program.

--Calls for wavier to be developed by October 1, 2003.

--Sets waiver enrollment limit at 200 persons for the first year.

--Sets income limit at 175% FPL.

--Calls for earned and unearned income requirements.

--Provisions shall not become effective until the state gets a waiver and an appropriation is passed for the program.

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Click here for the legislative history.

West Virginia

S 338

Signed by Governor on 4/01/03

--Creates a Medicaid Buy-In Program.

--Authorizes medically improved component of program.

--Sets effective date of 7/01/03.

--Sets income eligibility at 250% of poverty level. Retains SSI resource limits.

--Requires payment for employment at minimum wage rate or higher.

--Allows continued enrollment in Buy-In for up to six months when employment lost involuntarily so long as the individual pays premiums and maintains a connection to the workforce through specified activities.

--Establishes $50 enrollment fee.

--Calls for sliding scale premiums based on gross income with a minimum monthly fee of $15 and a maximum of 3-1/2% of income.

--Requires administrative procedures on premium collection and effect of non-payment of premium.

--Requires biannual redetermination.

--Requires analysis of enrollment, revenues from premiums, and state costs incurred and allows study of comparative costs of services, reduction of dependence on public services, and employer-sponsored insurance enrollment. Requires annual report to legislature.

Establishes an advisory council.

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