H.B. 86 Enrolled

PRIMARY CARE NETWORK AMENDMENTS
2004 GENERAL SESSION
STATE OF UTAH
Sponsor: Kory M. Holdaway

LONG TITLE
General Description:
This bill reduces the annual fee for the primary care network to $25 per year for those
people that fall below 50% of the federal poverty level.
Highlighted Provisions:
This bill:
. reduces the annual fee an enrollee must pay for the primary care network to $25 per
year if the enrollee has an annual income that is below 50% of the federal poverty
level.
Monies Appropriated in this Bill:
None
Other Special Clauses:
This bill takes effect on July 1, 2004.
Utah Code Sections Affected:
AMENDS:
26-18-3.5, as last amended by Chapter 329, Laws of Utah 2003

Be it enacted by the Legislature of the state of Utah:
Section 1. Section 26-18-3.5 is amended to read:
26-18-3.5. Copayments by health service recipients, spouses, and parents.
(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) (a) The department shall seek approval under the department's Section 1115

Medicaid waiver to cap enrollment fees for the Primary Care Network Demonstration Project in
accordance with Subsection (2)(b).
(b) Pursuant to a waiver obtained under Subsection (2)(a), the department shall cap
enrollment fees for the primary care network at $15 per year for those persons who, after July 1,
2003, are eligible to begin receiving General Assistance under Section 35A-3-401 .
(c) Beginning July 1, 2004, and pursuant to a waiver obtained under Subsection (2)(a),
the department shall cap enrollment fees for the primary care network at $25 per year for those
persons who have an income level that is below 50% of the federal poverty level.
Section 2. Effective date.
This bill takes effect on July 1, 2004.

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