H. B. 2469
(By Delegates Rodighiero and Reynolds)
[Introduced January 13, 2011; referred to the
Committee on Health and Human Resources then Finance.]
A BILL to amend the Code of West Virginia, 1931, as amended, be amended by adding thereto a new section, designated §5-16B-6e, relating to qualifying children of state employees, receiving income of $25,000 per year or less, for the West Virginia Children’s Health Insurance Program.
Be it enacted by the Legislature of West Virginia:
That the Code of West Virginia, 1931, as amended, be amended by adding thereto a new section, designated §5-16B-6e, to read as follows:
ARTICLE 16B. WEST VIRGINIA CHILDREN’S HEALTH INSURANCE PROGRAM.
§5-16B-6e. Expansion of West Virginia Children’s Health Insurance Program to children of state employees.
(a) Upon approval by the Centers for Medicare and Medicaid Services, the board shall implement a program for uninsured children of state employees, as defined by paragraph three, section two, article sixteen of this chapter, receiving income of $25,000 per year or less.
(b) The benefit plans offered pursuant to this section shall include services determined to be appropriate for children, but may vary from those currently offered by the board.
(c) The board shall structure the benefit plans for this expansion to include premiums, coinsurance or copays and deductibles. The board shall develop the cost-sharing features in such a manner as to keep the program fiscally stable without creating a barrier to enrollment. Such features may include different cost-sharing features within this group based upon the percentage of the federal poverty level.
(d) Any provision in this chapter to the contrary notwithstanding, children covered by West Virginia State Employee Health Insurance are eligible for coverage under this expansion; in which instance this expansion shall be a complement to and/or a supplement to the gaps in coverage provided for a child under a parent’s West Virginia State Employee Health Insurance plan.
(e) Provider reimbursement schedules shall be no lower than the reimbursement provided for the same services under the plans offered in article sixteen of this chapter.
(f) All provisions of this article are applicable to this expansion unless expressly addressed in this section.
(g) The board is directed to report no less than quarterly to the Legislative Oversight Commission on Health and Human Resources Accountability on the development, implementation and progress of the expansion authorized in this section.
NOTE: The purpose of this bill is to qualify children of state employees, receiving income of $25,000 per year or less, for the West Virginia Children’s Health Insurance Program.
This section is new; therefore, it has been completely underscored.