Budget Amendment ID: FY2015-S4-921-R1

Redraft EHS 921

Health Connector Bridge Coverage

Messrs. Tarr, Hedlund, Ross and Humason moved that the proposed new text be amended moved that the bill be amended by inserting, after section__, the following section:-

“SECTION __.  The executive office of health and human services, in consultation with the executive office for administration and finance and the Massachusetts Health Connector, shall report to the general court on the status of federal reimbursement to the commonwealth for temporary health insurance coverage extended to Massachusetts residents under the provisions of the federal Patient Protection and Affordable Care Act, Pub. L. 111-148 & 111-152.

Said report shall include, but not be limited to, the following: 1) the rate of reimbursement for federal participation for individuals determined eligible for and receiving temporary coverage subsidized in part or in whole by the commonwealth; 2) the rate of reimbursement for federal participation for those individuals receiving any temporary benefits from the state who, upon final processing of the application for said benefits, are deemed ineligible for state health insurance benefits; 3) information, including any correspondence or electronic communication, on the formal agreement between the commonwealth and the federal government as to the rates of reimbursement for federal participation for those individuals deemed eligible and those deemed ineligible for state benefits; 4) and the anticipated revenues related to reimbursement from the federal participation for fiscal years 2014 and 2015; 5) the current status of processing applications submitted pursuant to said federal act beginning on January 1, 2014 and 6) the impact on that any adjustments to the current processing system may have on the rate of approving or denying applications for state benefits and the associated impact any new system may have on the rate of federal participation.

Said report shall be filed with the clerks of the house and senate by no later than December 31, 2014.”