§ 1010.1. Short title--Oklahoma Medicaid Program Reform Act of 2003--Purpose--Coverage--Waivers...
Oklahoma Statutes AnnotatedTitle 56. Poor PersonsEffective: November 1, 2022
Effective: November 1, 2022
56 Okl.St.Ann. § 1010.1
§ 1010.1. Short title--Oklahoma Medicaid Program Reform Act of 2003--Purpose--Coverage--Waivers--Health Employee and Economy Improvement Act (HEEIA) Revolving Fund
B. Recognizing that many Oklahomans do not have health care benefits or health care coverage, that many small businesses cannot afford to provide health care benefits to their employees, and that, under federal law, barriers exist to providing Medicaid benefits to the uninsured, the Legislature hereby establishes provisions to lower the number of uninsured, assist businesses in their ability to afford health care benefits and coverage for their employees, and eliminate barriers to providing health coverage to eligible enrollees under federal law.
D. 1. The Authority is directed to apply for a waiver or waivers to the Centers for Medicare and Medicaid Services (CMS) that will accomplish the purposes outlined in subsection B of this section. The Authority is further directed to negotiate with CMS to include in the waiver authority provisions to:
c. enable small employers, and/or employed, uninsured adults with or without children to purchase employer-sponsored, state-approved private, or state-sponsored health care coverage through a state premium assistance payment plan. If by January 1, 2012, the Employer/Employee Partnership for Insurance Coverage Premium Assistance Program is not consuming more than seventy-five percent (75%) of its dedicated source of funding, then the program will be expanded to include parents of children eligible for Medicaid, and
b. Foster parents employed by employers with greater than two hundred fifty employees shall be exempt from the qualifying employer requirement provided for in this paragraph and shall be eligible to qualify for the premium assistance program provided for in this section if supported by existing funding.
E. For purposes of this paragraph, “for-profit employer” shall mean an entity which is not exempt from taxation pursuant to the provisions of Section 501(c)(3) of the Internal Revenue Code1 and “not-for-profit employer” shall mean an entity which is exempt from taxation pursuant to the provisions of Section 501(c)(3) of the Internal Revenue Code.
F. The Authority is authorized to seek from the Centers for Medicare and Medicaid Services any waivers or amendments to existing waivers necessary to accomplish an extension of the premium assistance program to include qualified employees whose family income does not exceed two hundred fifty percent (250%) of the federal poverty level, subject to the limit of federal financial participation.
b. monies received by the Authority due to federal financial participation pursuant to Title XIX of the Social Security Act,2 and
I. 1. The Authority shall establish a procedure for verifying an applicant's individual income by utilizing available Oklahoma Tax Commission records, new hire report data collected by the Oklahoma Employment Security Commission, and child support payment data collected by the Department of Human Services in accordance with federal and state law.
2. The Oklahoma Tax Commission, Oklahoma Employment Security Commission, and Department of Human Services shall cooperate in accordance with federal and state law with the Authority to establish procedures for the secure electronic transmission of an applicant's individual income data to the Authority.
J. A health care plan participating in the premium assistance program created under this section as of the effective date of this act3 that at a later date becomes a self-funded or self-insured health care plan may continue to participate in the premium assistance program if:
2. The self-funded or self-insured health care plan continues to be recognized as a health care plan by the Insurance Department under Section 1 of this act;4
Credits
Laws 1993, c. 336, § 1, eff. July 1, 1993; Laws 1997, c. 421, § 1; Laws 1999, c. 288, § 1, eff. Sept. 1, 1999; Laws 1999, c. 323, § 1, emerg. eff. June 8, 1999; Laws 2000, c. 251, § 3, eff. July 1, 2000; Laws 2003, c. 464, § 1, eff. July 1, 2003; Laws 2004, c. 136, § 1, eff. July 1, 2004; Laws 2006, c. 315, § 15, eff. June 9, 2006; Laws 2007, c. 230, § 1, eff. Nov. 1, 2007; Laws 2008, c. 3, § 27, emerg. eff. Feb. 28, 2008; Laws 2008, c. 158, § 1, eff. Nov. 1, 2008; Laws 2008, c. 412, § 1, eff. Nov. 1, 2008; Laws 2009, c. 128, § 5, eff. Nov. 1, 2009; Laws 2010, c. 309, § 3, eff. Nov. 1, 2010; Laws 2017, c. 136, § 1, eff. Nov. 1, 2017; Laws 2020, c. 19, § 1, eff. July 1, 2020; Laws 2022, c. 309, § 2, eff. Nov. 1, 2022.
Footnotes
26 U.S.C.A. § 501.
42 U.S.C.A. § 1396 et seq.
O.S.L. c. 309, eff. Nov. 1, 2022.
Title 36, § 6012.
56 Okl. St. Ann. § 1010.1, OK ST T. 56 § 1010.1
Current with emergency effective legislation through Chapter 257 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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