A bill to amend title XIX of the Social Security Act to permit states to exclude earned income in determining eligibility for medical assistance for individuals with extremely high prescription drug costs

2008·0.17 MB·English

by  United States. Congress. House

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nOTl2li)CSOesNsGiRonESS H. R. 5748
Toamoiul titleXEXofthe Social SecurityAct toi)ennit St^itestoexclude
earnedincomeindeteriiiininfreligibilityformedicalassistanceforindivnd-
ualswithextremelyliioii|)rescri|)tiondrug:costs.
IN THE HOUSE OP REPRESENTATR^S
April9,2008
Mr.Marcilvxtintroducedthefollowinghill:whichwasreferredtothe
C^ommitteeonEnergyand('ommei-ce
A
BILL
To amend title XIX of the Social Security Act to permit
Statestoexcludeearnedincomeindetermining'eligibility
formedical assistancefoi-indiAidualswithextremelyhidi
presei'iptiondiiigcosts.
1 BeifenactedhytheSenateandHouseofRcpresenta-
2 tivcsoftheUnitedStatesofAmericainCongressassembled,
3 SECTION1.SHORTTITLE.
4 This Act may be cited as the "Ryan Dant Health
5 CareOpportunityActof2008".
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2
1 SEC.2.MEDICAIDSTATEOPTIONTOEXCLUDEEARNEDIN-
2 COMEINDETERMININGELIGIBILITYFORIN-
3 DIVIDUALS WITH EXTREMELY HIGH PRE-
4 SCRIPTIONDRUGCOSTS.
5 Section 1915 ofthe Social SecurityAct (42 U.S.C.
6 1:39611)isamendedbyadding-attlieendthefollowing-new
7 subsection:
8 "(k) State Option ToExclude Eaiined Income
9 IN Determining ELiGiBiLm' for Indrtduai.s With
10 ExtremelyHumPrescriptionDrugCosts.—
—
11 "(1) In GENERAL. State may pro\ide,
12 through amendment to its State i)laii under this
13 title, that in determining the elig^ibility for medical
14 assistanceundersuchiilanofaniiidi\i(lualdescribed
15 in paragraph (2) during a year, earned income of
16 the indi\idual (or any member of the individual's
17 household) shall be excluded but only insofaras the
18 amount ofsuch income in the year does not exceed
19 twicetheamountspecifiedinparagi-aph(3).
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20 "(2) Individuai. described. Aii individual
21 described in this parag:rapli for a year is an indi-
22 vidualwiio
23 "(A) is covered under health insurance or
24 a health benefits j)lan duringtheyearthat has
25 prescription drug coverage with a maximum
26 lifetimelimitofnotlessthan$1,000,000;
•HR5748m
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3
1 "(B) has exliaiisted all available i)ivst'rii)-
2 tion drugeoverag^eunderthe plan fortheyear;
3 and
4 "(C) incurs (or is reasonably exi)eeted to
5 incur) onan annualbasisduring-theyearcosts
6 for prescriirtion ding's in excess ofthe amount
7 specifiedinparagraph (3) fortheyear.
—
8 "(3) Amount specified. The amount speci-
9 fiedinthisimragraph
10 "(A)for2008or2009,is.$250,000;or
11 "(B) for a subsequent year, isthe amount
12 specified in this subparagraph (A) (orthis sub-
13 paragi'aph) for the previous year increased by
14 the annual rate ofincrease in the medical care
15 component of the consumer price index (U.S.
16 cityaverage) forthe 12-monthperiodendingin
17 Aug^ustofthepreviousyear.
18 AnyamountcomputedundersubparagTaph (B) that
19 is not a multiple of$1,000 shall be rounded to the
20 nearestmultipleof$1,000.".
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