FIRST REGULAR SESSION

HOUSE BILL NO. 987

97TH GENERAL ASSEMBLY

INTRODUCED BY REPRESENTATIVE BARNES.

2220H.01I                                                                                                                                                  D. ADAM CRUMBLISS, Chief Clerk

AN ACT

To amend chapter 208, RSMo, by adding thereto one new section relating to income eligibility for MO HealthNet benefits.

Be it enacted by the General Assembly of the state of Missouri, as follows:

            Section A. Chapter 208, RSMo, is amended by adding thereto one new section, to be known as section 208.995, to read as follows:

            208.995. 1. For purposes of this section, the following terms mean:

            (1) "Child" or "children", a person or persons who are under nineteen years of age;

            (2) "CHIP-eligible children", children who are eligible for Missouri's children's health insurance program as provided in sections 208.631 to 208.658, including paying the premiums required under sections 208.631 to 208.658;

            (3) "Department", the Missouri department of social services, or a division or unit within the department as designated by the department's director;

            (4) "MAGI", the individual's modified adjusted gross income as defined in Section 36B(d)(2) of the Internal Revenue Code of 1986, as amended, and:

            (a) Any foreign earned income or housing costs;

            (b) Tax-exempt interest received or accrued by the individual; and

            (c) Tax-exempt Social Security income;

            (5) "MAGI equivalent net income standard", an income eligibility threshold based on modified adjusted gross income that is not less than the income eligibility levels that were in effect prior to the enactment of Public Law 111-148 and Public Law 111-152.

            2. (1) Effective January 1, 2014, notwithstanding any other provision of law to the contrary, the following individuals shall be eligible for MO HealthNet coverage as provided in this section:

            (a) Individuals covered by MO HealthNet for families as provided in section 208.145;

            (b) Individuals covered by transitional MO HealthNet as provided in 42 U.S.C. Section 1396r-6;

            (c) Individuals covered by extended MO HealthNet for families on child support closings as provided in 42 U.S.C. Section 1396r-6;

            (d) Pregnant women as provided in subdivisions (10), (11), and (12) of subsection 1 of section 208.151;

            (e) Children under one year of age as provided in subdivision (12) of subsection 1 of section 208.151;

            (f) Children under six years of age as provided in subdivision (13) of subsection 1 of section 208.151;

            (g) Children under nineteen years of age as provided in subdivision (14) of subsection 1 of section 208.151;

            (h) CHIP-eligible children; and

            (i) Uninsured women as provided in section 208.659.

            (2) Effective January 1, 2014, the department shall determine eligibility for individuals eligible for MO HealthNet under subdivision (1) of this subsection based on the following income eligibility standards, unless and until they are changed under subsection 2 of section 208.151:

            (a) For individuals listed in paragraphs (a), (b) and (c) of subdivision (1) of this subsection, the department shall apply the July 16, 1996, Aid to Families with Dependent Children (AFDC) income standard as converted to the MAGI equivalent net income standard;

            (b) For individuals listed in paragraph (f) of subdivision (1) of this subsection, the department shall apply one hundred thirty-three percent of the federal poverty level converted to the MAGI equivalent net income standard;

            (c) For individuals listed in paragraph (h) of subdivision (1) of this subsection, the department shall convert the income eligibility standard set forth in section 208.633 to the MAGI equivalent net income standard;

            (d) For individuals listed in paragraphs (d), (e) and (i) of subdivision (1) of this subsection, the department shall apply one hundred eighty-five percent of the federal poverty level converted to the MAGI equivalent net income standard;

            (e) For individuals listed in paragraph (g) of subdivision 1 of this subsection, the department shall apply one hundred percent of the federal poverty level converted to the MAGI equivalent net income standard.

            (3) Individuals eligible for MO HealthNet under subdivision (1) of this subsection shall receive all applicable benefits under section 208.152.

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