26B-3-110. Copayments by recipients -- Employer sponsored plans.

217 words·~1 min read·/ut/title-26b/chapter-3/26b-3-110

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Effective 5/1/2024

(1)The department shall selectively provide for enrollment fees, premiums, deductions, cost sharing or other similar charges to be paid by recipients, their spouses, and parents, within the limitations of federal law and regulation.

(2)Within appropriations by the Legislature and as a means to increase health care coverage among the uninsured, the department shall take steps to promote increased participation in employer sponsored health insurance, including:

(a)maximizing the health insurance premium subsidy provided under the state's 1115 demonstration waiver by:

(i)ensuring that state funds are matched by federal funds to the greatest extent allowable; and

(ii)as the department determines appropriate, seeking federal approval to do one or more of the following:

(A)eliminate or otherwise modify the annual enrollment fee;

(B)eliminate or otherwise modify the schedule used to determine the level of subsidy provided to an enrollee each year;

(C)reduce the maximum number of participants allowable under the subsidy program; or

(D)otherwise modify the program in a manner that promotes enrollment in employer sponsored health insurance; and

(b)exploring the use of other options, including the development of a waiver under the Medicaid Health Insurance Flexibility Demonstration Initiative or other federal authority.

Amended by Chapter 284 , 2024 General Session