The bill proposes amendments to Chapter 40-8 of the General Laws, specifically by adding a new section 40-8-3.2, which pertains to the eligibility for Medicare savings programs. The bill stipulates that starting from July 1, 2023, the executive office of health and human services is required to annually increase income disregards for determining eligibility for federal Medicare Savings Programs. The income disregards will be adjusted to equalize the income level at or below 185% of the federal poverty level for the Qualified Medicare Beneficiary Program, 200% for the Specified Low Income Medicare Beneficiary Program, and 225% for the Qualifying Individual Program. Additionally, the bill mandates that an asset test should not be applied for eligibility under these programs and requires the secretary to submit any necessary Medicaid state plan amendment or waiver to implement these provisions.
The bill's enactment would effectively expand eligibility for the three federal Medicare Savings Programs by setting higher income thresholds based on the federal poverty level. The Qualified Medicare Beneficiary Program would be accessible to those with incomes at or below 185% of the federal poverty level, the Specified Low Income Medicare Beneficiary Program at or below 200%, and the Qualifying Individual Program at or below 225%. The elimination of the asset test is also a significant change, as it removes a potential barrier to eligibility. The act is set to take effect immediately upon passage.