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S.F. No. 0024 |
Health care reform demonstration project. |
Sponsored By: Joint Labor, Health and Social Services Interim Committee
AN ACT relating to health insurance; creating a health care reform demonstration project using the board and administrative structure of the Wyoming health insurance pool as specified; providing for a benefit design committee; authorizing payment of committee members' expenses as specified; providing for the design of the benefits package and plan of operation of the project; providing for eligibility; providing definitions; providing for evaluation of the project; providing for a repeal date; requiring reports; providing appropriations; and providing for an effective date.
12/9/2008 Bill Number Assigned
1/13/2009 S Received for Introduction
1/13/2009 S Introduced and Referred to S10
1/26/2009 S10 Recommended Amend and Do Pass
ROLL CALL
Ayes: Senator(s) Hastert, Hunnicutt, Landen, Schiffer and Scott
Ayes 5 Nays 0 Excused 0 Absent 0 Conflicts 0
1/26/2009 S Placed on General File
1/26/2009 S Rereferred to S02
2/2/2009 S02 Recommended Amend and Do Pass
ROLL CALL
Ayes: Senator(s) Massie, Meier and Nicholas
Nays: Senator(s) Peterson and Townsend
Ayes 3 Nays 2 Excused 0 Absent 0 Conflicts 0
2/2/2009 S Placed on General File
SF0024SS001/ADOPTED
Page 6-line 5 After "practice" insert "except for technical procedures specified in the benefit design".
Page 8-line 3 After "home" insert "unless more effectively or more economically obtained from another provider".
Page 8-line 22 After "second" insert "to help the participant take steps to improve his health and avoid the need for expensive health care, provided third".
Page 8-line 24 Delete "third" insert "fourth".
Page 10–line 19 Delete "." insert ";".
Page 10-after line 19 Insert and renumber:
"(F) May allow the state to advance money to an individual personal health account to enable the participant to meet deductibles and copayments for needed health care if the funds in the participant's account are insufficient for that purpose. Any advance shall be repaid over time. The benefit design may provide that the individual's contribution to the health account shall be increased until the advance is repaid.".
Page 11-after line 22 Insert and renumber:
"(vi) To the extent the benefit design committee deems appropriate, provide financial or other incentives to participants or providers to encourage them to participate in appropriate features of the program, including preventive services.".
Page 15-line 20 After "eligible" insert ", except that a spouse of an eligible participant shall not be required to work pursuant to subsection (a) of this section".
Page 16-after line 8 Insert and renumber:
"(e) Participants' eligibility shall be reviewed at least once per year. If a participant's family income exceeds two hundred fifty percent (250%) of the federal poverty level, the participant shall be disenrolled from the program after ninety (90) days. If the participant has not worked at least twenty (20) hours per week on average for the preceding eight (8) weeks, the participant may be disenrolled from the program after ninety (90) days unless the participant becomes employed for at least twenty (20) hours per week before the expiration of the ninety (90) day time period. The administrator may waive the work requirement of this subsection if there is a shortage of jobs, to enhance enrollment stability to facilitate evaluation of the program or due to extenuating circumstances.".
Page 18-lines 11 through 16 Delete and insert:
"(iii) Whether the project provides health coverage at a cost which is less than could be provided by other means, both public and private. When comparing with other public programs, the comparison shall both:
(A) Assume reimbursement at the public program rates; and
(B) Assume reimbursement at rates comparable to private reimbursement rates.".
Page 23-line 19 Delete "five million one hundred" insert "two million one hundred fifty-four thousand dollars ($2,154,000.00)".
Page 23-line 20 Delete through "($5,100,000.00)".
Page 24-lines 11 through 23 Delete.
Page 25-lines 1 and 2 Delete. SCOTT, CHAIRMAN
SF0024SS002/ADOPTED
Page 23–line 5 Delete "general fund" insert "tobacco settlement trust income account".
Page 23–line 20 Delete "general fund" insert "tobacco settlement trust income account". NICHOLAS, CHAIRMAN
2/3/2009 S Passed CoW
2/4/2009 S Passed 2nd Reading
2/5/2009 S Passed 3rd Reading
ROLL CALL
Ayes: Senator(s) Anderson, J., Bebout, Burns, Coe, Cooper, Decaria, Dockstader, Esquibel, F., Geis, Hastert, Hunnicutt, Jennings, Johnson, Landen, Martin, Massie, Meier, Schiffer, Scott, Sessions and Vasey
Nays: Senator(s) Case, Hines, Larson, Nicholas, Perkins, Peterson, Ross, Townsend and Von Flatern
Ayes 21 Nays 9 Excused 0 Absent 0 Conflicts 0
2/9/2009 H Received for Introduction
2/10/2009 H Introduced and Referred to H10
2/24/2009 H10 Recommended Amend and Do Pass
ROLL CALL
Ayes: Representative(s) Bonner, Esquibel, K., Goggles, Hallinan, Landon, Millin and Shepperson
Nays: Representative(s) Harvey
Excused: Representative(s) Davison
Ayes 7 Nays 1 Excused 1 Absent 0 Conflicts 0
2/24/2009 H Rereferred to H02
2/25/2009 H02 Recommended Do Pass
ROLL CALL
Ayes: Representative(s) Berger, Harshman, Pedersen, Philp and Steward
Nays: Representative(s) Hammons
Excused: Representative(s) Jorgensen
Ayes 5 Nays 1 Excused 1 Absent 0 Conflicts 0
2/25/2009 H Placed on General File
SF0024HS001/ADOPTED (TO ENGROSSED COPY)
Page 1-line 5 After "members'" insert "compensation and".
Page 3-line 10 After "providers" insert ", medical clinics".
Page 4-line 6 After "physician" delete "," and insert "and his associates, which may include"; delete "nurse" insert "nurses".
Page 4-line 7 Delete "assistant" insert "assistants,".
Page 4-line 10 Delete "seek to".
Page 4-line 11 Delete "replacing" insert "supplementing".
Page 7-line 2 After "receive" insert "compensation at an hourly rate for time actually spent in committee meetings, calculated by dividing the daily legislative salary provided in W.S. 28-5-101(d) by eight (8) to determine the hourly rate, and".
Page 8-line 21 Delete "In priority order,".
Page 8-line 22 Delete "first".
Page 8-line 24 Delete "provided second".
Page 9-line 2 Delete "provided third".
Page 9-line 4 Delete "provided fourth to minimize" insert "do so in a manner that minimizes".
Page 9-line 5 After "care" insert "for the health benefits realized".
Page 12-line 15 After "plan" insert "only if doing so will not affect funding of any other plans authorized under article 1 of this chapter".
Page 13-line 2 Before "governor" insert "chairmen of the joint labor, health and social services interim committee and the".
Page 14-line 9 After "project" insert "at the market rate. Any losses in excess of premiums paid shall be paid from the tobacco settlement income account and shall not be paid from assets of the pool".
Page 14-line 15 After "project" insert "and the custodianship of the personal health account".
Page 16-line 4 After "other" insert "private or".
Page 17-line 21 Delete "there is" insert "it can be demonstrated that prolonged unemployment is the result of".
Page 18-line 7 Delete "and" insert "including"; after "their" insert "enrolled".
Page 19-line 15 Delete "as appropriate".
Page 19-line 18 After "consider" insert "and provide scientifically valid data as to".
Page 20-line 1 Delete "to which" insert "of".
Page 20-line 2 Delete "interferes with" insert "and its effect on".
Page 20-line 23 Delete "July" insert "October".
Page 23-line 1 After "health" delete balance of line and insert "and".
Page 23-line 2 Delete "shall consider" insert "after considering".
Page 23-line 4 After "program" delete balance of the line and insert ", are". LANDON, CHAIRMAN
SF0024HW001/ADOPTED (TO ENGROSSED COPY)
Page 12-line 21 Delete "." insert ";".
Page 12-after line 21 Insert:
"(vii) A maximum lifetime benefit for each participant not to exceed two hundred thousand dollars ($200,000.00).". LANDON, BERGER
SF0024HW002/ADOPTED (TO ENGROSSED COPY)
Page 22-line 18 Delete "may" insert "shall".
Page 22-line 19 After "of" insert "an"; delete "consultants. In comparing" insert "consultant, approved by the governor, who shall issue a final evaluation report. The final evaluation report shall compare".
Page 22-line 20 Delete ", the administrator shall" insert "and".
Page 23-line 10 Delete "a" insert "the"; after "report" insert "required by subsection (e) of this section".
Page 25-line 9 Delete "and" insert ",".
Page 25-line 10 After "evaluating" insert "and reporting". HALLINAN
2/27/2009 H Failed CoW; Indef Postponed
ROLL CALL
Ayes: Representative(s) Barbuto, Berger, Blake, Bonner, Byrd, Carson, Connolly, Craft, Diercks, Esquibel, K., Gilmore, Hallinan, Hammons, Illoway, Jaggi, Landon, Lockhart, McOmie, Meyer, Millin, Philp, Roscoe, Shepperson, Simpson, Stubson, Thompson, Throne and Zwonitzer, Dn.
Nays: Representative(s) Anderson, R., Bagby, Brechtel, Brown, Buchanan, Cannady, Childers, Cohee, Davison, Edmonds, Gingery, Hales, Harvey, Jorgensen, Lubnau, Madden, McKim, Mercer, Moniz, Patton, Peasley, Pedersen, Petersen, Quarberg, Semlek, Steward, Teeters, Wallis and Zwonitzer, Dv.
Excused: Representative(s) Goggles, Harshman and Miller
Ayes 28 Nays 29 Excused 3 Absent 0 Conflicts 0