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H.B. 86





Sponsor: Kory M. Holdaway

             6      LONG TITLE
             7      General Description:
             8          This bill reduces the annual fee for the primary care network to $15 per year for those
             9      people that fall below 50% of the federal poverty level.
             10      Highlighted Provisions:
             11          This bill:
             12          .    reduces the annual fee an enrollee must pay for the primary care network to $15 per
             13      year if the enrollee has an annual income that is below 50% of the federal poverty
             14      level.
             15      Monies Appropriated in this Bill:
             16          None
             17      Other Special Clauses:
             18          This bill takes effect on July 1, 2004.
             19      Utah Code Sections Affected:
             20      AMENDS:
             21          26-18-3.5, as last amended by Chapter 329, Laws of Utah 2003
             23      Be it enacted by the Legislature of the state of Utah:
             24          Section 1. Section 26-18-3.5 is amended to read:
             25           26-18-3.5. Copayments by health service recipients, spouses, and parents.
             26          (1) The department shall selectively provide for enrollment fees, premiums,
             27      deductions, cost sharing or other similar charges to be paid by recipients, their spouses, and

             28      parents, within the limitations of federal law and regulation.
             29          (2) (a) The department shall seek approval under the department's Section 1115
             30      Medicaid waiver to cap enrollment fees for the Primary Care Network Demonstration Project
             31      in accordance with Subsection (2)(b).
             32          (b) Pursuant to a waiver obtained under Subsection (2)(a), the department shall cap
             33      enrollment fees for the primary care network at $15 per year for those persons who[,]:
             34          (i) after July 1, 2003, are eligible to begin receiving General Assistance under Section
             35      35A-3-401 [.]; or
             36          (ii) have an income level that is below 50% of the federal poverty level.
             37          Section 2. Effective date.
             38          This bill takes effect on July 1, 2004.

Legislative Review Note
    as of 1-7-04 4:27 PM

A limited legal review of this legislation raises no obvious constitutional or statutory concerns.

Office of Legislative Research and General Counsel

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