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MO SB661
Bill
AI Summary
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Extends MO HealthNet eligibility to individuals ages 19-64 with income at or below 133% of the federal poverty level plus 5% as of January 1, 2015, if federal approval is obtained under the Patient Protection and Affordable Care Act.
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Requires covered individuals to receive the full health benefits service package, defined as benefits meeting benchmark or benchmark-equivalent coverage requirements under federal law.
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Mandates MO HealthNet provider reimbursement rates comparable to commercial payment levels with annual trend adjustments, determined by the Department of Social Services and developed through contracted actuaries.
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Limits higher commercial reimbursement rates to services provided exclusively to individuals qualifying under this expansion provision.
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Renders the section void if the Affordable Care Act is repealed or if federal funding becomes insufficient to meet the cost-sharing percentages specified in the Act.
Legislative Description
Provides for the expansion of MO HealthNet services beginning on January 1, 2015
Last Action
Second Read and Referred S Veterans' Affairs and Health Committee
1/23/2014