This bill proposes the establishment of the "Insurance Medicaid Buy-In Program" in West Virginia, aimed at providing residents with access to a high-quality, low-cost health insurance option. The Department of Human Services is tasked with developing and administering this program, which will include eligibility criteria for individuals who do not qualify for Medicaid or Medicare. The program will offer a range of benefits, including emergency services, mental health care, and preventive services, while ensuring that reimbursement rates for healthcare providers align with Medicaid standards. Additionally, the bill mandates the creation of an advisory council to oversee the program's implementation and affordability.

To support the program's funding, the Department of Human Services is required to apply for federal financial assistance through various waivers and options under the Affordable Care Act. The bill also stipulates that individuals who do not meet financial qualifications can purchase the plan at full cost. Furthermore, it includes provisions to prevent employers from denying enrollment to employees based on their potential eligibility for the Buy-In Program. The bill emphasizes the importance of affordability and accessibility, aiming to minimize gaps in health insurance coverage for West Virginia residents.

Statutes affected:
Introduced Version: 9-4F-1, 9-4F-2, 9-4F-3, 9-4F-4, 9-4F-5, 9-4F-6, 9-4F-7, 9-4F-8, 9-4F-9