FIRST REGULAR SESSION
HOUSE BILL NO. 874
91ST GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVES NAEGER, PORTWOOD, FROELKER, REINHART, CHAMPION, WRIGHT, BARTELSMEYER (Co-sponsors), DOLAN, OSTMANN, BARNETT, BERKSTRESSER, HOLAND AND JETTON.
Read 1st time February 22, 2001, and 1000 copies ordered printed.
TED WEDEL, Chief Clerk
AN ACT
To repeal sections 208.633 and 208.640, RSMo 2000, relating to health care for uninsured children, and to enact in lieu thereof two new sections relating to the same subject, with an emergency clause.
Section A. Sections 208.633 and 208.640, RSMo 2000, are repealed and two new sections enacted in lieu thereof, to be known as sections 208.633 and 208.640, to read as follows:
208.633. 1. For enrollees participating in the program prior to July 1, 2001, the department of social services is authorized to pay for coverage of health care services for uninsured children whose parents or guardians have an available income between zero percent and one hundred eighty-five percent, between one hundred eighty-six percent and two hundred twenty-five percent, between two hundred twenty-six percent and two hundred fifty percent, between two hundred fifty-one percent and two hundred seventy-five percent and between two hundred seventy-six percent and three hundred percent of the federal poverty level, subject to appropriation.
2. For all new enrollees to the program on or after July 1, 2001, the department of social services is authorized to pay for coverage of health care services for uninsured children whose parents or guardians have an available income between zero percent and two hundred twenty-five percent of the federal poverty level, subject to appropriations.
208.640. 1. For enrollees participating in the program prior to July 1, 2001, parents and guardians of uninsured children with available incomes between one hundred eighty-six percent and two hundred twenty-five percent of the federal poverty level are responsible for a five dollar co-payment. For all new enrollees to the program on or after July 1, 2001, parents and guardians of uninsured children with available incomes between one hundred fifty-one percent and one hundred eighty-five percent of the federal poverty level are responsible for a five dollar co-payment.
2. For enrollees participating in the program prior to July 1, 2001, parents and guardians of uninsured children with incomes between two hundred twenty-six percent and three hundred percent of the federal poverty level who do not have access to affordable employer-sponsored health care insurance or other affordable health care coverage may obtain coverage pursuant to this subsection. For all new enrollees to the program on or after July 1, 2001, parents and guardians of uninsured children with incomes between one hundred eighty-six percent and two hundred twenty-five percent of the federal poverty level who do not have access to affordable employer-sponsored health care insurance or other affordable health care coverage may obtain coverage pursuant to this subsection. For the purposes of sections 208.631 to 208.657, "affordable employer-sponsored health care insurance or other affordable health care coverage" refers to health insurance requiring a monthly premium less than or equal to one hundred thirty-three percent of the monthly average premium by region required in the state's current Missouri consolidated health care plan. The parents and guardians of eligible uninsured children pursuant to this subsection are responsible for co-payments equal to the average co-payments required in the current Missouri consolidated health care plan rounded to the nearest dollar, and a monthly premium equal to the average premium by region required for the Missouri consolidated health care plan; provided that the total aggregate cost sharing for a family covered by these sections shall not exceed five percent of such family's income for the years involved. No co-payments or other cost sharing is permitted with respect to benefits for well-baby and well-child care including age-appropriate immunizations. Cost-sharing provisions pursuant to sections 208.631 to 208.657 shall not exceed the limits established by 42 U.S.C. Section 1397cc(e).
Section B. Because immediate action is necessary to ensure the availability of the children's health insurance program
section A of this act is deemed necessary for the immediate preservation of the public health, welfare, peace and safety, and
is hereby declared to be an emergency act within the meaning of the constitution, and section A of this act shall be in full
force and effect on July 1, 2001, or upon its passage and approval, whichever later occurs.
Missouri House of Representatives