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2021 Session

Budget Amendments - SB1100 (Member Request)

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Chief Patron: Favola
Joint Commission on Health Care - Feasibility of Providing a Basic Health Program (language only)

Item 29 #1s

Item 29 #1s

Legislative Department
Joint Commission on Health Care

Language

Page 26, after line 27, insert:

"C.  As part of the study of Health Insurance Affordability in the Individual Market authorized by the Joint Commission on Health Care on December 15, 2020, the Commission shall include an analysis of the feasibility of providing a Basic Health Program (BHP), at little or no cost, to those with incomes at or below 200 percent of the federal poverty level who do not qualify for Virginia's Medicaid or CHIP programs. In conducting this analysis, the Commission shall consider the following: (i) identify the benefits of insuring the target population through a BHP that is offered through a managed care carrier; and whatever impacts such a policy would have on removing this cohort from the State Health Benefit Exchange; (ii) in an effort to control costs, consider a reasonable reimbursement rate to providers as a percentage of the current Medicaid fee-for-service rates; (iii) consider the value of any federal tax credits or other federal subsidies the State may gain, any fiscal impact that a BHP for the target population would have on State revenues, and if there would be a cost to the State to identify potential sources of revenue to cover these costs; (iv) consult with and receive assistance from the Department of Social Services, the Department of Medical Assistance Services, the State Health Benefit Exchange, and any other organizations as may be deemed necessary to complete the analysis; and (v) report the results of this analysis by no later than December 1, 2021 to the full Commission and other appropriate parties."



Explanation

(This language amendment specifies that during an existing study of "Health Insurance Affordability in the Individual Market", that the Joint Commission on Health Care shall include an analysis of the feasibility of providing a Basic Health Program at little or no cost to individuals with income below 200 percent of the federal poverty level and that do not qualify for Medicaid or CHIP.)