Bill Text: MI SB0688 | 2013-2014 | 97th Legislature | Introduced
Bill Title: Human services; medical services; option to enroll in patient-centered care act; allow, and request waiver for federal funds. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding secs. 105g & 105h. TIE BAR WITH: SB 0689'13
Spectrum: Partisan Bill (Republican 3-0)
Status: (Introduced - Dead) 2013-11-14 - Referred To Committee On Appropriations [SB0688 Detail]
Download: Michigan-2013-SB0688-Introduced.html
SENATE BILL No. 688
November 14, 2013, Introduced by Senators PAPPAGEORGE, COLBECK and CASWELL and referred to the Committee on Appropriations.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding sections 105g and 105h.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 105g. The department of community health shall seek a
waiver from the United States department of health and human
services to allow individuals who are eligible under section 105d
to enroll for the medical assistance program to elect to enroll in
a group 2 health plan under the patient-centered care act instead
of enrolling in the medical assistance program.
Sec. 105h. (1) In seeking a waiver under section 105g, the
department of community health shall also seek a waiver to do the
following:
(a) The department of community health shall seek a waiver to
request that the federal government pay the cost of providing
direct primary care services, high deductible health coverage, and
gap insurance to individuals eligible for coverage under section
105d but who chose to enroll in a group 2 health plan under the
patient-centered care act.
(b) If the United States department of health and human
services does not approve the provisions of a waiver requested
under subdivision (a), the department of community health shall
seek a waiver to request that the federal government pay the cost
of providing direct primary care services and high deductible
health coverage to individuals eligible under section 105d but who
chose to enroll in a group 2 health plan under the patient-centered
care act and the state shall pay the cost of providing gap
insurance to those individuals.
(c) If the United States department of health and human
services does not approve the provisions of a waiver requested
under subdivision (a) or (b), the state shall opt out of providing
coverage with federal funds to individuals who would be eligible
under section 105d but who chose to enroll in a group 2 health plan
under the patient-centered care act and shall provide health care
coverage with state funds to those individuals at an amount not to
exceed the amount that would have been paid to provide coverage for
those individuals had coverage been provided under section 105d.
(2) If the department of community health receives a waiver
approval under subsection (1), the funds received from the federal
government shall be deposited into the group 2 health plan trust
fund created in section 301 of the patient-centered care act, as
the department of community health determines is appropriate.
(3) The department of community health shall determine the
cost that would have been necessary to provide coverage to
individuals who were eligible to enroll under section 105d but who
chose to enroll in a group 2 health plan under the patient-centered
care act. The amount described in this subsection shall be
deposited into the group 2 health plan trust fund created in
section 301 of the patient-centered care act.
Enacting section 1. This amendatory act takes effect January
1, 2014.
Enacting section 2. This amendatory act does not take effect
unless Senate Bill No.689
of the 97th Legislature is enacted into law.
