HB 277 Summary

• Requires health risk assessments for Medicaid participants to include questions about substance use disorders to facilitate referral to treatment services.

• Directs the Department of Health and Welfare to seek federal waivers to: reduce retroactive Medicaid eligibility from 90 days to 30 days; provide advanced premium tax credits for individuals at 100% federal poverty level instead of Medicaid enrollment; and implement work requirements for Medicaid-eligible adults.

• Establishes work requirements of at least 20 hours per week through employment, training programs, volunteering, or education, with exemptions for individuals under 19, over 59, pregnant, disabled, caregivers, and other specified categories.

• Expands Medicaid eligibility to persons under 65 years old with modified adjusted gross income at or below 133% of federal poverty level, or below 100% if the premium tax credit waiver is approved before January 1, 2020.

• Requires mandatory placement of Medicaid expansion participants in care management or managed care programs and directs the legislature to review expansion impacts and make recommendations by January 31, 2023; section becomes null and void if federal funding falls below 90%.