Child health insurance program management.

2017
STATE OF WYOMING
17LSO-0625
Introduced
1.2

SENATE FILE

NO.

SF0143

Child health insurance program management.

Sponsored by:
Senator(s) Scott

A BILL

for

AN ACT relating to health insurance; providing for the administration of the child health insurance program by the department of family services; providing for the transfer of positions, property, personnel and funds associated with the program to the department of family services; and providing for an effective date.

Be It Enacted by the Legislature of the State of Wyoming:

Section
1
.

W.S. 35
‑
25
‑
102(
a)(ii)
, 35
‑
25
‑
103, 35
‑
25
‑
106(c) and 35
‑
25
‑
107(c)

are
amended to read:

35
‑
25
‑
102
.

Definitions.

(a)

As used in this act:

(ii)

"Department" means the department of
health

family services
;

35
‑
25
‑
103
.

Child health insurance program eligibility.

Subject to approval of the state plan by the United States secretary of health and human services, and subject to available state and federal funding the department shall provide a health insurance plan offered through a private insurance company licensed by the insurance commissioner to write insurance in Wyoming for an eligible child whose monthly gross family income is not more than one hundred eighty
‑
five percent (185%) of the federal poverty level, until July 1, 2005, and thereafter, whose monthly gross family income is not more than two hundred percent (200%) of the federal poverty level. A child who is determined eligible to receive benefits under this section shall remain eligible for twelve (12) months as long as the child
resides in the state of Wyoming and has not yet attained nineteen (19) years of age. A child's eligibility to receive benefits under this act shall be redetermined on an annual basis. A simplified application process, which includes minimum eligibility requirements, shall be provided throughout the state at various public and private establishments approved by the department of
health

family services
. To be determined eligible to receive benefits under this section, a child shall not be eligible under the Wyoming Medical Assistance and Services Act, shall not have been covered under another health insurance plan for a minimum of one (1) month prior to application for coverage under this act or, upon birth, the child would not otherwise be covered by a public or private health insurance plan. Eligibility under this section shall be determined by the department of
health

family services
or its designee.

35
‑
25
‑
106
.

Private health insurance plan request for proposals.

(c)

If the department does not receive a proposal from an insurance company within one hundred twenty (120) days after issuing the request for proposals required in subsection (a) of this section, the department may provide services to children eligible under this act with a public health benefit package designed to provide the same services as authorized under the Wyoming Medical Assistance and Services Act. A medical provider who accepts payment for services provided under this subsection shall not charge or attempt to collect payments in excess of the rate schedule established by the department of
health

family services
.

35
‑
25
‑
107
.

Program expenditures; monitoring; recommendations; required action to limit expenditures to budget available.

(c)

The funding for the child health insurance program shall be deemed to be included within the
division of health care financing

assistance and services
line item within the department of
health

family services
budget unless a separate line item is provided in the budget bill.
General fund expenditures for the child health program shall not exceed the amount needed to match federal funds without explicit authorization enacted in the budget bill.

Section 2
.

The positions, personnel, property and appropriated funds associated with
the child health insurance program
within the
department of health
shall be transferred to the
department of family services
.

Section 3
.

This act is effective July 1, 2017
.

(END)

1
SF0143