Senator Donovan, bill sponsor, presented House Bill 19-1004. The bill requires the HCPF and DOI to develop and submit a proposal for a state option for health care coverage that leverages existing state health care infrastructure. The proposal must consider affordability to consumers at different income levels, the administrative and financial burden to the state, and any statutory or rule changes necessary to implement the proposed state option. The proposal must be submitted to the General Assembly by November 15, 2019.
Among other things, in developing the proposal, HCPF and DOI must:
- conduct actuarial research to identify potential costs to participants;
- evaluate the impact on consumers eligible for financial assistance for plans purchased on the exchange;
- evaluate provider rates;
- evaluate eligibility criteria for individuals and small businesses;
- determine the impact on the state budget;
- determine the impact on the stability of health care markets;
- engage in a stakeholder process; and
- review information from a pilot program to expand access to state employee group health insurance that may be initiated through Senate Bill 19-004.
After the proposal has been created and presented to the General Assembly, CPF and DOI must submit any federal waivers or state plan amendments necessary to fund and implement the state option described in the proposal. The waivers and plan amendments may be delayed by legislative action that alters the federal authorization needed.