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.