SB 551-2_ Filed 02/21/2013, 12:04 ChairPerson

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MADAM PRESIDENT:

    The Senate Committee on Appropriations, to which was referred Senate Bill No. 551, 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 1, line 1; (13)AM055107.1. -->     Page 1, between the enacting clause and line 1, begin a new paragraph and insert:

SOURCE: IC 12-7-2-155.3; (13)AM055107.1. -->     "SECTION 1. IC 12-7-2-155.3 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 155.3. "Qualified Medicare beneficiary", for purposes of IC 12-15-2-26, has the meaning set forth in IC 12-15-2-26(b).

SOURCE: IC 12-7-2-155.5; (13)AM055107.2. -->     SECTION 2. IC 12-7-2-155.5 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 155.5. "Qualifying individual", for purposes of IC 12-15-2-26, has the meaning set forth in IC 12-15-2-26(c).

SOURCE: IC 12-7-2-180.4; (13)AM055107.3. -->     SECTION 3. IC 12-7-2-180.4 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 180.4. "Specified low-income Medicare beneficiary", for purposes of IC 12-15-2-26, has the meaning set forth in IC 12-15-2-26(d).".

SOURCE: Page 2, line 35; (13)AM055107.2. -->     Page 2, line 35, delete "Beginning January 1, 2014, the" and insert " This section applies beginning the later of the following:
        (1) The date that the office is informed that the United States Department of Health and Human Services has approved

Indiana's conversion to 1634 status within the Medicaid program.
        (2) January 1, 2014.
    (b) The".
    Page 3, line 15, after "(a)" delete "(b)" and insert " (c)".
    Page 3, line 15, delete "(c)" and insert " (d)".
    Page 3, line 15, delete "(e)," and insert " (f),".
    Page 3, line 30, delete "(c)" and insert " (d)".
    Page 3, line 30, delete "(e)," and insert " (f),".
    Page 3, line 35, delete "(d)" and insert " (e)".
    Page 3, line 36, delete "(b)" and insert " (c)".
    Page 3, line 41, delete "(e)" and insert " (f)".
    Page 4, between lines 18 and 19, begin a new paragraph and insert:

SOURCE: IC 12-15-2-26; (13)AM055107.7. -->     "SECTION 7. IC 12-15-2-26 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 26. (a) This section applies beginning the later of the following:
        (1) The date that the office is informed that the United States Department of Health and Human Services has approved Indiana's conversion to 1634 status within the Medicaid program.
        (2) January 1, 2014.
    (b) As used in this section, "qualified Medicare beneficiary" means an individual defined in 42 U.S.C. 1396d(p)(1).
     (c) As used in this section, "qualifying individual" refers to an individual described in 42 U.S.C. 1396a(a)(10)(E)(iv).
    (d) As used in this section, "specified low-income Medicare beneficiary" refers to an individual described in 42 U.S.C. 1396a(a)(10)(E)(iii).
    (e) The following individuals are eligible for the specified coverage under this section:
        (1) A qualified Medicare beneficiary whose:
            (A) income does not exceed one hundred fifty percent (150%) of the federal income poverty level; and
            (B) resources do not exceed the resource limits established by the office;
        is eligible for Medicare Part A and Medicare Part B premiums, coinsurance, and deductibles.
        (2) A specified low-income Medicare beneficiary whose:
            (A) income does not exceed one hundred seventy percent (170%) of the federal income poverty level; and
            (B) resources do not exceed the resource limits set by the

office;
        is eligible for coverage of Medicare Part B premiums.
        (3) A qualifying individual whose:
            (A) income does not exceed one hundred eighty-five percent (185%) of the federal income poverty level; and
            (B) resources do not exceed the resource limits set by the office;
        is eligible for coverage of Medicare Part B premiums.
    (f) The office may adopt rules under IC 4-22-2 to implement this section.".

SOURCE: Page 5, line 17; (13)AM055107.5. -->     Page 5, line 17, delete "Beginning January 1, 2014, the" and insert " This section applies beginning the later of the following:
        (1) The date that the office is informed that the United States Department of Health and Human Services has approved Indiana's conversion to 1634 status within the Medicaid program.
        (2) January 1, 2014.
    (b) The".
    Page 5, line 20, delete "(b)" and insert " (c)".
    Page 8, line 38, delete "." and insert " and the plan has been reviewed by the state budget committee.".
    Page 22, between lines 36 and 37, begin a new paragraph and insert:
    " (d) This title, in conformity with PPACA, applies to a health plan offered through a health benefit exchange to the same extent that this title would apply if the health plan were offered independent of a health benefit exchange.".
    Page 25, delete lines 25 through 36, begin a new paragraph and insert:
    " Sec. 3. "Application organization" means an entity that:
        (1) is a navigator described in Section 1311(i) of PPACA (42 U.S.C. 18031(i));
        (2) assists individuals with application for and enrollment in a health benefit exchange or public health insurance program, including an entity that makes presumptive eligibility determinations; and
        (3) performs the functions of a navigator with respect to a health benefit exchange as established by the commissioner.".
    Page 26, line 12, delete "a person that:" and insert " an individual who:".
    Page 26, line 13, delete "meets the grant funding requirements of" and insert " is described in".
    Page 26, line 14, delete "and".

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    Page 26, line 15, after "(2)" insert " assists other individuals with application for and enrollment in a health benefit exchange or public health insurance program, including an individual who makes presumptive eligibility determinations; and
        (3)".
    Page 26, delete lines 17 through 23, begin a new paragraph and insert:
    " (b) The term does not include a representative authorized by an individual to perform functions on behalf of the individual in connection with Medicaid.".
    Page 28, line 2, delete "Assisters" and insert " Application Organizations".
    Page 28, line 4, delete "assister" and insert " application organization".
    Page 28, line 6, delete "or an assister".
    Page 28, line 8, delete "or an assister." and insert " .".
    Page 28, line 9, delete "a navigator or an assister" and insert " an application organization".
    Page 28, line 10, delete "a" and insert " an application organization.".
    Page 28, delete line 11.
    Page 28, line 12, delete "An individual or entity that is a navigator or an assister is" and insert " The following are".
    Page 28, line 13, delete "." and insert " :
        (1) A navigator.
        (2) An application organization.".
    Page 28, line 14, delete "A" and insert " Neither a".
    Page 28, line 14, delete "or an assister is not" and insert " nor an application organization is".
    Page 28, line 16, after "A" insert " person that is a".
    Page 28, line 16, delete "assister" and insert " application organization".
    Page 28, line 33, delete "or an assister certification or" and insert " certification or an application organization".
    Page 28, line 39, delete "Shall" and insert " If the person is a navigator, shall".
    Page 29, line 6, delete "Must" and insert " If the person is a navigator, must".
    Page 29, line 13, delete "assister." and insert " application organization.".
    Page 29, line 15, delete "as a" and insert " under this chapter.".
    Page 29, delete line 16.

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    Page 29, line 17, delete "Must" and insert " If the person is a navigator, must".
    Page 29, line 25, delete "navigator or assister is an entity," and insert " person is an application organization,".
    Page 29, line 26, delete "and assister who is an individual".
    Page 29, line 27, delete "entity" and insert " application organization".
    Page 29, line 28, delete "or assister".
    Page 29, line 30, delete "or assister".
    Page 29, line 34, delete "assister;" and insert " application organization;".
    Page 29, line 35, delete "assister;" and insert " application organization;".
    Page 29, line 36, delete "assister" and insert " application organization".
    Page 29, line 37, delete "or an assister's certificate or" and insert " certification or an application organization's".
    Page 29, line 39, delete "or an assister's certificate or" and insert " certification or an application organization's".
    Page 29, line 41, delete "or an assister's" and insert " certification or an application organization's".
    Page 29, line 42, delete "certificate or".
    Page 30, line 1, delete "assister;" and insert " application organization;".
    Page 30, line 9, delete "assisters," and insert " application organizations,".
    Page 30, line 13, after "navigator" insert " certification, after which the navigator".
    Page 30, delete line 14.
    Page 30, run in lines 13 through 15.
    Page 30, between lines 16 and 17, begin a new line block indented and insert:
        " (4) Define a reasonable period for the duration of application organization registration, after which the application organization must pay a renewal fee and reapply for registration.
        (5) Develop a policy, procedure, and form for use by an application organization to attest to the commissioner that a navigator who provides the navigator's services on behalf of the application organization meets the requirements of section 3 of this chapter.".
    Page 30, line 17, delete "or an assister".

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    Page 30, line 19, delete "or an assister".
    Page 30, line 38, delete "a navigator or assister" and insert " an application organization".
    Page 30, line 39, delete "a navigator or an assister" and insert " an application organization".
    Page 30, line 40, delete "a navigator or an".
    Page 30, line 41, delete "assister" and insert " an application organization".
    Page 31, line 16, delete "individual".
    Page 31, line 17, delete "or assister".
    Page 31, line 24, delete "." and insert " or in section 3 of this chapter that would be grounds for denial, suspension, or revocation of certification as a navigator under this chapter.".
    Page 31, line 34, delete "An individual navigator or assister" and insert " A navigator".
    Page 31, line 35, delete "entity that is a navigator or an assister" and insert " application organization".
    Page 31, line 36, delete "entity" and insert " application organization".
    Page 31, line 37, delete "entity," and insert " application organization,".
    Page 31, line 38, delete "an individual" and insert " a".
    Page 31, line 39, delete "or assister".
    Page 31, line 39, delete "entity," and insert " application organization,".
    Page 31, line 40, delete "entity" and insert " application organization".
    Page 32, line 2, delete "individual" and insert " navigator".
    Page 32, line 3, delete "individual's" and insert " navigator's".
    Page 32, line 8, delete "individual navigator or assister" and insert " navigator".
    Page 32, line 17, delete "navigator or an assister".
    Page 32, line 18, after "registration" insert " under this chapter".
    Page 32, line 18, delete "assister's" and insert " application organization's".
    Page 32, line 21, delete "assister" and insert " application organization".
    Page 32, line 27, delete "or an assister".
    Page 32, line 33, delete "or an assister;" and insert " ;".
    Page 32, delete line 34.
    Page 32, line 36, delete "or an assister".

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    Page 32, line 38, delete "." and insert " ; and
        (4) the obligations of a navigator related to confidentiality of information and conflicts of interest.".
    Page 32, line 42, delete "or assister; and" and insert " ;".
    Page 33, line 2, delete "or an assister".
    Page 33, line 4, delete "." and insert " ; and
        (4) the obligations of a navigator related to confidentiality of information and conflicts of interest.".
    Page 33, line 6, after "develop" insert " :
            (A)".
    Page 33, line 7, delete "and assisters;" and insert " ; and
            (B) policies and procedures to allow a registered application organization to develop a training program and a course curriculum that meets the requirements of subsection (b) for use in training navigators who perform the navigators' services on behalf of the registered application organization;".
    Page 33, line 9, delete "a" and insert " one (1) or more".
    Page 33, line 9, delete "organization to:" and insert " organizations to do any of the following with respect to the course of study described in subdivision (1)(A):".
    Page 33, delete lines 10 through 13, begin a new line double block indented and insert:
            " (A) Develop examinations and course materials.
            (B) Administer examinations and courses of study.
            (C) Collect nonrefundable course and examination fees.".
    Page 33, line 14, after "All" insert " training programs, course curriculums,".
    Page 33, line 15, delete "(d)(2)" and insert " (d)".
    Page 33, line 19, delete "and assisters;" and insert " ;".
    Page 33, line 20, delete "a" and insert " one (1) or more".
    Page 33, line 20, delete "organization" and insert " organizations".
    Page 33, line 29, delete "or an assister".
    Page 33, line 42, delete "or an assister".
    Page 34, line 2, after "navigator" insert " ; and".
    Page 34, delete line 3.

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    Page 34, line 5, delete "or an assister".
    Page 35, line 10, delete "chapter" and insert "SECTION".
    Renumber all SECTIONS consecutively.
    (Reference is to SB 551 as printed February 15, 2013.)

and when so amended that said bill do pass .

Committee Vote: Yeas 12, Nays 0.

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