2013 -- S 1044

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LC02959

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STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2013

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S E N A T E R E S O L U T I O N

RESPECTFULLY REQUESTING THE EXECUTIVE OFFICE OF HEALTH AND HUMAN

SERVICES AND THE RHODE ISLAND HEALTH EXCHANGE TO PROVIDE A REPORT

TO THE SENATE ON THE NEWLY-ENROLLED ADULTS BETWEEN 133 PERCENT AND

175 PERCENT FEDERAL POVERTY LEVEL TO THE MARKETPLACE

     

     

     Introduced By: Senators Miller, Satchell, Cool Rumsey, Goldin, and Nesselbush

     Date Introduced: July 02, 2013

     Referred To: Recommended for Immediate Consideration

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     WHEREAS, The State of Rhode Island is fully committed to the health and welfare of its

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citizens by providing access to quality, affordable health insurance through the implementation of

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the federal Affordable Care Act (ACA) and implementation of the Rhode Island Health Exchange

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(“The Marketplace”); and

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     WHEREAS, The Ocean State is a leader in its design of the Health Exchange and Unified

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Health Infrastructure Project (UHIP), creating a singular platform to support both new and

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existing health insurance initiatives under the Affordable Care Act (ACA), bolster existing human

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services programs, and provide hosting services for the state’s health benefits exchange “The

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Marketplace” and eligibility systems; and

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     WHEREAS, The Rhode Island Fiscal Year 2014 Budget eliminated RIte Care premiums

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to enhance the affordability of overall family coverage, while expanding Medicaid coverage to

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residents that qualify with incomes up to 133 percent of the Federal Poverty Level (FPL) who are

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not currently eligible for Medicaid coverage; and

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     WHEREAS, There are discrepancies between the Medicaid definition of the

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“affordability standard” for health insurance premium costs at 5 percent of gross income and the

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Affordable Care Act’s (ACA) definition of 9.5 percent; and

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     WHEREAS, Advocates and policymakers have expressed concern with the FY 2014

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budget shift of 6,500 adults between 133 percent to 175 percent FPL from Medicaid coverage to

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the Exchange, that offer subsidy amounts that are currently indeterminable, for those that qualify

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to pay for premium expenses, and out-of-pocket costs; now, therefore be it

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     RESOLVED, That this Senate of the State of Rhode Island and Providence Plantations

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respectfully requests the Executive Office of Health and Human Services (EOHHS), Office of

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Medicaid and Office of the Health Exchange to submit a report to the Senate Committee on

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Health and Human Services on or before April 15, 2014, with the following information for

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newly-enrolled adults between 133 percent to 175 percent FPL through the health exchange: (i)

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The take-up rates for coverage, as compared with the previous year’s enrollments for Medicaid

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coverage; (ii) The average subsidy amounts per enrollee; (iii) The average out-of-pocket expenses

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in the first quarter and estimates per annum; (iv) Any other relevant information to fully examine

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the transition; and (v) Recommendations for improvements and/or modifications to the current

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policy; and be it further

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     RESOLVED, That the Secretary of State be and hereby is authorized and directed to send

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a duly certified copy of this resolution to the Executive Office of Health and Human Services.

     

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LC02959

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S1044