HB 1639-FN - AS AMENDED BY THE HOUSE
HOUSE BILL 1639-FN
SPONSORS: Rep. Snow, Hills. 19; Rep. Danielson, Hills. 7; Sen. Rosenwald, Dist 13
COMMITTEE: Health, Human Services and Elderly Affairs
This bill requires the department of health and human services to amend the income standard used for eligibility for the "in and out" medical assistance policy.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
11Mar2020... 0956h 20-2493
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Department of Health and Human Services; Income Eligibility for "In and Out Medical Assistance." The commissioner of the department of health and human services shall amend the income eligibility requirement for "in and out medical assistance" defined in section 625 of the department's medical assistance manual as less than or equal to 133 1/3 percent of the section 1931 income limit or using methodology as described in section 1902(r)(2) of the federal Social Security Act.
HB 1639-FN- FISCAL NOTE
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
[ X ] General [ ] Education [ ] Highway [ X ] Other - Federal Medicaid Funds
This bill requires the Department of Health and Human Services to amend the income eligibility requirement for the Medically Needy optional eligibility group (also knows as the "Medicaid In & Out" population) to less than or equal to 133 1/3 percent of the income limit contained in Section 1931 of the federal Social Security Act. As of October 2019, there were 7,112 individuals in the In & Out program, of whom 6,260 were in a household of one and 852 were in a household of two. The current protected income limits are $591 and $675 for households of one and two, respectively.
The Department states that under the proposed change, the maximum protected income level under the In & Out program will increase from $591 to $901 for a household of one and from $675 to $1,047 for a household of two. This change would result in the elimination of the spend-down requirement for 1,531 individuals (1,519 in a household of one and 12 in a household of two), resulting in those individuals enrolling in a managed care organization rather than continuing to participate in the fee-for-service based In & Out program. The remaining 5,581 individuals will remain in the fee-for-service program, and will have their spend-down amounts decreased by $310 for a household of one and $372 for a household of two.
With respect to the 1,531 individuals transitioning to managed care, the Department projects that the state share of costs will be between $5.4 million and $11.2 million per year, depending on the percentage of individuals who are dually-eligible for both Medicaid and Medicare. The Department is unable to determine the cost for those individuals who will remain in the In & Out program but whose spend-down requirements will be reduced as a result of the proposed change.
Department of Health and Human Services
|Feb. 6, 2020||House||Hearing|
|Feb. 13, 2020||House||Hearing|
|March 3, 2020||House||Exec Session|
|March 11, 2020||House||Floor Vote|
|Jan. 8, 2020||Introduced 01/08/2020 and referred to Health, Human Services and Elderly Affairs HJ 1 P. 29|
|Feb. 6, 2020||==CANCELLED== Public Hearing: 02/06/2020 01:00 pm LOB 205|
|Feb. 13, 2020||Public Hearing: 02/13/2020 10:15 am LOB 205|
|March 3, 2020||Executive Session: 03/03/2020 10:00 am LOB 205|
|Committee Report: Ought to Pass with Amendment # 2020-0956h (Vote 20-0; CC)|
|March 11, 2020||Committee Report: Ought to Pass with Amendment # 2020-0956h for 03/11/2020 (Vote 20-0; CC) HC 10 P. 21|
|March 11, 2020||Amendment # 2020-0956h: AA VV 03/11/2020|
|March 11, 2020||Ought to Pass with Amendment 2020-0956h: MA VV 03/11/2020|