HB1639 (2020) Detail

Relative to "In and Out Medical Assistance."


HB 1639-FN - AS INTRODUCED

 

 

2020 SESSION

20-2493

01/05

 

HOUSE BILL 1639-FN

 

AN ACT relative to "In and Out Medical Assistance."

 

SPONSORS: Rep. Snow, Hills. 19; Rep. Danielson, Hills. 7; Sen. Rosenwald, Dist 13

 

COMMITTEE: Health, Human Services and Elderly Affairs

 

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ANALYSIS

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

20-2493

01/05

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty

 

AN ACT relative to "In and Out Medical Assistance."

 

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.

2  Effective Date.  This act shall take effect July 1, 2020.

 

LBAO

20-2493

12/11/19

 

HB 1639-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to "In and Out Medical Assistance."

 

FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2020

FY 2021

FY 2022

FY 2023

   Appropriation

$0

$0

$0

$0

   Revenue

$0

$0

$0

$0

   Expenditures

$0

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [ X ] Other - Federal Medicaid Funds

 

 

 

 

 

METHODOLOGY:

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.      

 

AGENCIES CONTACTED:

Department of Health and Human Services

 

Links

HB1639 at GenCourtMobile
HB1639 Discussion

Action Dates

Date Body Type
Feb. 6, 2020 House Hearing
Feb. 13, 2020 House Hearing
March 3, 2020 House Exec Session

Bill Text Revisions

HB1639 Revision: 7283 Date: Dec. 12, 2019, 11:30 a.m.

Docket

Date Status
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