HCS HB 39 -- MEDICAL ASSISTANCE FOR EMPLOYED PERSONS WITH
DISABILITIES (Portwood)

COMMITTEE OF ORIGIN:  Special Committee on Ticket to Work

This substitute requires the Department of Social Services to
determine the eligibility of an employed disabled person
requesting medical assistance whose family gross income is less
than 350% of the federal poverty level.  The substitute:

(1)  Requires that an individual meet the definition of a
disabled person under the federal Supplemental Security Income
Program or of an employed individual with a medically improved
disability under the federal Ticket to Work and Work Incentives
Improvement Act of 1999;

(2)  Requires an individual who has a net income that does not
exceed the limit for permanent and totally disabled individuals
to receive non-spenddown Missouri Medicaid Program benefits;

(3)  Requires any participant whose gross income exceeds 100% of
the federal poverty level to pay a premium for participation in
this program;

(4)  Requires an individual to participate in an
employer-sponsored health insurance plan if the department
determines that it is more cost effective;

(5)  Exempts any income earned by individuals eligible for
certified extended employment at a sheltered workshop for the
purpose of determining eligibility; and

(6)  Exempts deposits of up to $5,000 per year into a medical
savings and/or an independent living account from the asset
limits for eligibility.

The provisions of the substitute will expire six years from the
effective date.

The substitute contains an emergency clause.

FISCAL NOTE:  Estimated Cost on General Revenue Fund of
$11,717,779 in FY 2008, $12,231,979 in FY 2009, and $12,780,661
in FY 2010.  No impact on Other State Funds in FY 2008, FY 2009,
and FY 2010.

Missouri House of Representatives
94th General Assembly, 1st Regular Session
Last Updated July 25, 2007 at 11:17 am