13-R391

2013 -- S 1044

Enacted 07/03/13

 

S E N A T E R E S O L U T I O N

RESPECTFULLY REQUESTING THE EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES AND THE RHODE ISLAND HEALTH EXCHANGE TO PROVIDE A REPORT TO THE SENATE ON THE NEWLY-ENROLLED ADULTS BETWEEN 133 PERCENT AND 175 PERCENT FEDERAL POVERTY LEVEL TO THE MARKETPLACE

     

     

     Introduced By: Senators Miller, Satchell, Cool Rumsey, Goldin, and Nesselbush

     Date Introduced: July 02, 2013

 

 

     WHEREAS, The State of Rhode Island is fully committed to the health and welfare of its

citizens by providing access to quality, affordable health insurance through the implementation of

the federal Affordable Care Act (ACA) and implementation of the Rhode Island Health Exchange

(“The Marketplace”); and

     WHEREAS, The Ocean State is a leader in its design of the Health Exchange and Unified

Health Infrastructure Project (UHIP), creating a singular platform to support both new and

existing health insurance initiatives under the Affordable Care Act (ACA), bolster existing human

services programs, and provide hosting services for the state’s health benefits exchange “The

Marketplace” and eligibility systems; and

     WHEREAS, The Rhode Island Fiscal Year 2014 Budget eliminated RIte Care premiums

to enhance the affordability of overall family coverage, while expanding Medicaid coverage to

residents that qualify with incomes up to 133 percent of the Federal Poverty Level (FPL) who are

not currently eligible for Medicaid coverage; and

     WHEREAS, There are discrepancies between the Medicaid definition of the

affordability standard” for health insurance premium costs at 5 percent of gross income and the

Affordable Care Act’s (ACA) definition of 9.5 percent; and

     WHEREAS, Advocates and policymakers have expressed concern with the FY 2014

budget shift of 6,500 adults between 133 percent to 175 percent FPL from Medicaid coverage to

the Exchange, that offer subsidy amounts that are currently indeterminable, for those that qualify

to pay for premium expenses, and out-of-pocket costs; now, therefore be it

     RESOLVED, That this Senate of the State of Rhode Island and Providence Plantations

respectfully requests the Executive Office of Health and Human Services (EOHHS), Office of

Medicaid and Office of the Health Exchange to submit a report to the Senate Committee on

Health and Human Services on or before April 15, 2014, with the following information for

newly-enrolled adults between 133 percent to 175 percent FPL through the health exchange: (i)

The take-up rates for coverage, as compared with the previous year’s enrollments for Medicaid

coverage; (ii) The average subsidy amounts per enrollee; (iii) The average out-of-pocket expenses

in the first quarter and estimates per annum; (iv) Any other relevant information to fully examine

the transition; and (v) Recommendations for improvements and/or modifications to the current

policy; and be it further

     RESOLVED, That the Secretary of State be and hereby is authorized and directed to send

a duly certified copy of this resolution to the Executive Office of Health and Human Services.

     

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LC02959

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