ID H0228

Health risk assessments for Medicaid participants must include questions related to substance use disorders to enable referral to treatment by the department.

Director of Department of Health and Welfare shall seek federal waivers to: limit retroactive Medicaid eligibility from 90 days to 30 days; allow eligible persons at 100% of federal poverty level to receive advanced premium tax credits for qualified health plans as alternative to Medicaid; and require employment and training programs for Medicaid participants consistent with SNAP requirements.

Medicaid eligibility expands to persons under 65 years of age with modified adjusted gross income at or below 133% of federal poverty level, with department required to submit state plan amendments within 90 days of approval.

Section 56-267 becomes null, void, and of no force and effect if federal financial participation for expanded Medicaid falls below 90% commitment, with transferred funding reverting to original programs.

Senate and House health and welfare committees must review all fiscal, health, and other impacts of Medicaid expansion by January 31, 2023 legislative session and make a recommendation to the legislature on whether expansion should continue.