Authority: Title 32.1, Chapter 13, Code of Virginia.
A. Pursuant to Chapter 679, Acts of Assembly of 1997, the State Corporation Commission shall annually, on or before June 30, 1998, and each year thereafter, calculate the premium differential between: (i) 0.75 percent of the direct gross subscriber fee income derived from eligible contracts and (ii) the amount of license tax revenue generated pursuant to subdivision A 4 of § 58.1-2501 for the immediately preceding taxable year and notify the Comptroller of the Commonwealth to transfer such amounts to the Virginia Children's Medical Security Insurance Plan Trust Fund as established on the books of the Comptroller.
B.1. As a condition of this appropriation, revenues from the Virginia Medical Security Insurance Plan Trust Fund, shall be used to match federal funds for the State Children's Health Insurance Program.
2. As a condition of this appropriation, $1,131,758 from dedicated special revenue and $2,263,516 from federal funds the first year and $1,131,758 from dedicated special revenue and $2,263,516 from federal funds the second year shall be transferred from this Item to Item 383 for local departments of social services to administer the Virginia Children's Medical Security Insurance Plan.
3. The Department of Medical Assistance Services shall reimburse the Department of Social Services for agreed upon costs incurred by the Department of Social Services and the local Department of Social Services in the operation of Virginia’s Title XXI children’s health program; originally named the Virginia Children’s Medical Security Insurance Plan and which is renamed the Family Access to Medical Insurance Security Plan, effective upon approval by the Health Care Financing Administration, pursuant to Title 32.1, Chapter 13, Code of Virginia.
C. Every eligible child applying for health insurance as provided for in Title 32.1, Chapter 13, Code of Virginia, shall be enrolled and served in the program. To the extent that appropriations in this item are insufficient, the Director of the Department of Planning and Budget shall transfer general fund appropriations from Item 319 into this item, to be used as state match for federal Title XXI funds.
D. The Department of Medical Assistance Services shall enter into agreements with the Department of Education and the Department of Health so that children receiving free or reduced-fee school lunches or services through the Women, Infants, and Children (WIC) program can be identified for outreach and have eligibility for Title XXI determined on an expedited and streamlined basis. A report on the agreements shall be provided to the Chairmen of the Senate Finance and House Appropriations Committees by July 1, 2001.
E. The Department of Medical Assistance Services shall monitor the implementation and impact of FAMIS monthly premiums, including but not limited to, the effect of premiums on enrollment, disenrollment, and re-enrollment, and the administrative costs of collecting and enforcing premium payments. The Department shall make quarterly reports to the Chairmen of the Senate Finance and House Appropriations Committees, and the Joint Commission on Health Care on the impact of premium payments, after monthly premiums have been implemented.
F. As a condition of this appropriation, the Department of Medical Assistance Services shall amend the Family Access to Medical Security Insurance Plan to (i) provide an exception to the waiting period for individuals with previous health insurance coverage in cases in which the individual can document that the cost of such health insurance exceeded 10 percent of the family's countable monthly income and (ii) include a provision allowing a child's application to be filed by a parent, legal guardian, or any other adult caretaker relative who has exercised responsibility for the daily care and supervision of such child for at least 90 consecutive days.