The bill aims to enhance access to Medicare Savings Programs by increasing the income eligibility threshold to 200 percent of the federal poverty level (FPL) and eliminating the asset test that currently limits access. It amends the definition of a "specified low-income Medicare beneficiary" to allow individuals with incomes up to 200 percent of the FPL to qualify, replacing the previous thresholds of 110% and 120%. Additionally, the bill grants the Commissioner of Human Services the authority to adjust this income limit as necessary, thereby providing greater flexibility in determining eligibility.

Moreover, the bill removes the requirement that resources must not exceed 200% of the resource standard used for Supplemental Security Income eligibility, simplifying the criteria for applicants. It also allows the Commissioner to establish alternative income eligibility standards, not exceeding 230 percent of the FPL, to comply with federal regulations while maximizing federal funding. If federal law does not permit assistance under the Specified Low-Income Medicare Beneficiary (SLMB) and Qualifying Individual (QI) programs, the state will create a separate subprogram funded by state resources. The bill emphasizes that the Commissioner cannot alter federal requirements beyond the allowed flexibilities and includes provisions for applying for necessary state plan amendments or waivers to implement the act.

Statutes affected:
Introduced: 30:4D-3