The bill proposes amendments to Chapter 40-8 of the General Laws, specifically adding a new section that would expand eligibility for the federal Medicare Savings Programs. The new insertions stipulate that beginning July 1, 2023, the secretary of the executive office of health and human services is required to increase income disregards for determining eligibility for these programs. The Qualified Medicare Beneficiary Program's income level will be raised to at or below 185% of the federal poverty level, the Specified Low Income Medicare Beneficiary Program to at or below 200%, and the Qualifying Individual Program to at or below 225%. Additionally, the bill mandates that an asset test shall not be applied for eligibility under these programs, and the secretary must submit any necessary Medicaid state plan amendments or waivers to implement these provisions.
The legislative explanation clarifies that these changes aim to increase the income eligibility thresholds for three Medicare Savings Programs, which assist with paying Medicare Part B premiums and other cost-sharing aspects. The Qualified Medicare Beneficiary Program will be accessible to those with incomes at or below 185% of the federal poverty level, the Specified Low Income Medicare Beneficiary Program to those at or below 200%, and the Qualifying Individual Program to those at or below 225%. The bill also eliminates the asset test for eligibility to these programs and will become effective immediately upon passage.