Human Services

CHAPTER 40-8.12
Health Care for Adults

SECTION 40-8.12-3

§ 40-8.12-3. Premium assistance program.

(a) The office of health and human services is directed to amend its rules and regulations to implement a premium assistance program for adults with dependent children, enrolled in the state's health benefits exchange, whose annual income and resources meet the guidelines established in § 40-8.4-4 in effect on December 1, 2013. The premium assistance will pay one-half of the cost of a commercial plan that a parent may incur after subtracting the cost-sharing requirement under § 40-8.4-4 as of December 31, 2013 and any applicable federal tax credits available. The office is also directed to amend the 1115 waiver demonstration extension and the medical assistance title XIX state plan for this program if it is determined that it is eligible for funding pursuant to title XIX of the social security act.

(b) The office of health and human services shall require any individual receiving benefits under a state funded healthcare assistance program to apply for any health insurance for which he or she is eligible, including health insurance available through the health benefits exchange. Nothing shall preclude the state from using funds appropriated for affordable care act transition expenses to reduce the impact on an individual who has been transitioned from a state program to a health insurance plan available through the health benefits exchange. It shall not be deemed cost effective for the state if it would result in a loss of benefits or an increase in the cost of health care services for the person above an amount deemed de minimus as determined by state regulation.

History of Section.
(P.L. 2013, ch. 144, art. 19, § 2.)