HB 5122
Creating the Affordable Medicaid Buy-in Program
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Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill establishes the Affordable Medicaid Buy-In Program in West Virginia, aiming to provide a low-cost health insurance option for residents who don't qualify for Medicaid or Medicare but are currently covered by an employer-sponsored plan. The Department of Human Services will develop and administer the plan, which will include benefits similar to Medicaid, and seek federal funding through waivers and the Basic Health Plan Option. The program prioritizes affordability and aims to maximize federal dollars available for health coverage.
Key provisions
- Establishes the Insurance Medicaid Buy-In Program to offer a low-cost health insurance option.
- Requires the Department of Human Services to develop and administer the plan.
- Sets eligibility criteria for participation, excluding those already enrolled in Medicaid or Medicare and those whose employer has disenrolled them due to Medicaid eligibility.
- Includes a sliding scale premium based on household income to ensure affordability.
- Mandates the pursuit of federal financial participation and state innovation waivers.
- Establishes an advisory council to provide guidance on program implementation.
- Requires rule-making to support the program's administration.
- Prohibits employers from disenrollment based on Medicaid eligibility.
Who is affected
- West Virginia Residents
- Individuals ineligible for Medicaid and Medicare
- Individuals currently receiving employer-sponsored health coverage
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