SB 112-1_ Filed 01/19/2006, 08:30



    The Senate Committee on Health and Provider Services, to which was referred Senate Bill No. 112, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows:

SOURCE: Page 13, line 1; (06)CR011201.13. -->     Page 13, between lines 1 and 2, begin a new paragraph and insert:
    " Sec. 17. (a) A family shall participate in the cost of programs and services provided under this chapter to the extent allowed by federal law according to the following cost participation schedule:
    Percentage of        Copayment            Maximum
    Federal Income        Per        Monthly
    Poverty Level        Treatment    Cost Share
    At     But Not
    Least     More Than
    0%     250%     $ 0     $ 0
    251%     350%     $ 3     $ 24
    351%     450%     $ 6     $ 48
    451%     550%     $ 15     $ 120
    551%     650%     $ 25     $ 200
    651%     750%     $ 50     $ 400
    751%     850%     $ 75     $ 600
    851%     1000%     $ 100     $ 800
    1001%          $ 120      $ 960

     (b) A cost participation plan used by the division for families to participate in the cost of the programs and services provided under this chapter:
        (1) must:
            (A) be based on income and ability to pay;
            (B) provide for a review of a family's cost participation amount:
                (i) annually; and
                (ii) within thirty (30) days after the family reports a reduction in income; and
            (C) allow the division to waive a required copayment if:
                (i) other medical expenses or personal care needs expenses for any member of the family reduce the level of income the family has available to pay copayments under this section; or
                (ii) the program receives payment from the family's health care coverage;
        (2) may allow a family to voluntarily contribute payments that exceed the family's required cost participation amount;
        (3) must require the family to allow the division access to all health care coverage information that the family has concerning the infant or toddler who is to receive services;
        (4) must require families to consent to the division billing third party payors for early intervention services provided; and
        (5) may allow the division to waive the billing to third party payors if the family is able to demonstrate financial or personal hardship on the part of the family member.

     (c) Funds received through a cost participation plan under this section must be used to fund programs described in section 18 of this chapter.".
    Page 13, line 2, delete "Sec. 17. (a)" and insert " Sec. 18.".
    Page 13, delete lines 8 through 42.

    Page 14, delete lines 1 through 14.
    Page 14, line 15, delete "(f)" and insert " Sec. 19.".
    Page 14, line 36, delete "Sec. 18." and insert " Sec. 20.".
    (Reference is to SB 112 as introduced.)

and when so amended that said bill do pass.

Committee Vote: Yeas 9, Nays 0.



CR011201/DI 104    2006