HEA 1328 Summary

• Establishes new Medicaid eligibility categories for aged, blind, or disabled individuals with family income not exceeding 100% of federal poverty level, effective upon federal 1634 status approval or January 1, 2014.

• Creates health benefit exchange (marketplace) regulatory framework under Indiana Department of Insurance, including certification requirements for navigators and registration for application organizations assisting with enrollment.

• Modifies resource limits for Medicaid applicants and adds new definitions for qualified Medicare beneficiaries, specified low-income Medicare beneficiaries, and qualifying individuals to align with Medicare cost-sharing assistance programs.

• Requires insurance policies offered through health benefit exchanges to comply with state insurance filing and approval requirements; phases out Indiana Comprehensive Health Insurance Association (high-risk pool) operations by end of 2013.

• Directs Medicaid office to report by December 15, 2013 on potential cost savings and implementation considerations for managed care enrollment of aged, blind, and disabled beneficiaries.