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HOUSE BILL NO. 13
IN THE LEGISLATURE OF THE STATE OF ALASKA
THIRTY-FIRST LEGISLATURE - SECOND SESSION
BY REPRESENTATIVES KOPP, Jackson, Rasmussen, Johnson
Introduced: 2/20/19
Referred: Health and Social Services, Labor and Commerce, Finance
A BILL
FOR AN ACT ENTITLED
1 "An Act requiring the Department of Health and Social Services to apply for a waiver to
2 establish work requirements for certain adults who are eligible for the state medical
3 assistance program."
4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
5 * Section 1. AS 47.07.036 is amended by adding a new subsection to read:
6 (h) The department shall apply for a section 1115 waiver under 42 U.S.C.
7 1315 to establish a work requirement for adults who are eligible for medical assistance
8 under AS 47.07.020 and who do not meet the criteria for an exemption described in
9 (3) of this subsection. The application for the waiver must include a plan to
10 (1) require a recipient subject to the work requirement to demonstrate,
11 as a condition of eligibility for medical assistance, that the recipient is participating in
12 work activities for a minimum of 20 hours each week by submitting proof of
13 employment or, if the recipient is not employed, proof that the recipient is actively
14 seeking employment, participating in an educational or training program intended to
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1 lead to employment, volunteering, engaging in subsistence activities, or caregiving;
2 (2) allow a recipient to meet the work requirement described in this
3 subsection by demonstrating that the recipient participates in the Alaska temporary
4 assistance program and is in compliance with the work activities requirement
5 described in AS 47.27.035;
6 (3) exempt a recipient from the work requirement described in this
7 subsection only if the recipient is
8 (A) under 18 years of age or 65 years of age or older;
9 (B) the parent or caretaker of a dependent child of up to 12
10 months of age and the parent or caretaker is providing home care for the child;
11 (C) the parent or caretaker of a child experiencing a disability
12 and the parent or caretaker is providing home care for the child;
13 (D) the caretaker of a relative who is experiencing a disability
14 and requires 24-hour care;
15 (E) the parent or caretaker of a child under six years of age and
16 the parent or caretaker demonstrates that appropriate child care is not available;
17 (F) unable to work for medical reasons, as determined by a
18 licensed medical professional;
19 (G) pregnant;
20 (H) currently receiving unemployment insurance benefits; or
21 (I) participating in a tribal work program;
22 (4) temporarily exempt a recipient from the work requirement
23 described in this subsection only if the recipient is
24 (A) experiencing a family hardship outside of the control of the
25 parent or caretaker, such as a death in the family or an immediate crisis, for the
26 duration of the hardship; or
27 (B) a victim of domestic violence;
28 (5) ensure that the work requirement does not prevent a recipient with
29 a substance abuse disorder from obtaining appropriate treatment for the substance
30 abuse disorder; and
31 (6) notify all medical assistance recipients of the work requirement as
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1 soon as practicable if the waiver is approved and, not less than 90 days after providing
2 notice of the work requirement, terminate medical assistance coverage for recipients
3 who become ineligible as a result of noncompliance with the work requirement.
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Statutes affected:
HB0013A, AM HB 13, introduced 02/20/2019: 47.07.036