Senate
File
83
-
Introduced
SENATE
FILE
83
BY
HOGG
A
BILL
FOR
An
Act
relating
to
the
income
considered
available
in
1
determining
client
participation
in
payment
of
medical
2
institution
care
under
Medicaid.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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1048XS
(6)
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pf/nh
S.F.
83
Section
1.
AVAILABLE
INCOME
——
DETERMINATION
OF
CLIENT
1
PARTICIPATION
FOR
MEDICAL
INSTITUTION
CARE
UNDER
MEDICAL
2
ASSISTANCE
PROGRAM
——
ALIMONY.
The
department
of
human
3
services
shall
adopt
rules
pursuant
to
chapter
17A
to
exclude
4
an
amount
paid
as
court-ordered
alimony
by
a
client
from
the
5
department’s
determination
of
the
client’s
total
monthly
income
6
that
is
available
for
client
participation
in
the
cost
of
7
medical
institution
care
under
the
medical
assistance
program.
8
Notwithstanding
the
amount
specified
by
the
court
to
be
paid
9
as
alimony,
the
amount
excluded
shall
not
exceed
the
minimum
10
monthly
maintenance
needs
allowance
as
defined
in
section
11
249B.1
granted
as
spousal
support
for
a
community
spouse.
12
EXPLANATION
13
This
bill
relates
to
the
determination
of
an
individual’s
14
participation
in
payment
for
medical
institution
care
under
15
the
Medicaid
program.
The
bill
provides
that
in
determining
16
a
client’s
total
monthly
income
that
is
available
for
client
17
participation,
the
amount
paid
by
the
client
as
court-ordered
18
alimony
is
to
be
excluded.
However,
notwithstanding
the
19
amount
specified
by
the
court
to
be
paid
as
alimony,
the
20
amount
excluded
cannot
exceed
the
minimum
monthly
maintenance
21
needs
allowance
as
defined
in
Code
section
249B.1
granted
22
as
spousal
support
for
a
community
spouse.
The
amount
is
23
established
pursuant
to
the
federal
Social
Security
Act,
42
24
U.S.C.
§
1396r-5(d)(3)(C)
and
is
indexed
for
inflation
annually
25
according
to
the
consumer
price
index.
Effective
January
26
1,
2013,
the
minimum
monthly
maintenance
needs
allowance
is
27
$2,898.
28
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LSB
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