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Budget Recommendations

Executive Office of Health and Human Services

Health and Human Services
         Executive Office of Health and Human Services
Account Description
FY06
GAA
FY07
House 2
 
Children's Medical Security Plan  
   4000-0990   For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 18 pursuant to the provisions of section 10F of chapter 118E of the General Laws; provided, that the executive office shall pre-screen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in said program until said applicant has been denied eligibility for the MassHealth program; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; and provided further, that notwithstanding subsection (d) of said section 10F of said chapter 118E, or any general or special law to the contrary, premiums for this program shall be collected according to the following eligibility categories: (1) enrollees in households earning less than 200 per cent of the federal poverty level shall not be responsible for contributing to program premium costs; (2) enrollees in households earning between 200 per cent and 300 per cent of the federal poverty level, inclusive, shall contribute not less than 20 per cent and not more than 30 per cent of the monthly premium cost according to a sliding scale established by the executive office; provided further, that additional contributions shall not be required for any enrollee after the third enrollee in such a household; (3) enrollees in households earning between 301 per cent and 400 per cent of the federal poverty level, inclusive, shall contribute not less than 85 per cent and not more than 90 per cent of the monthly premium cost according to a sliding scale established by the executive office; provided further, that additional contributions shall not be required for any enrollee after the first enrollee in such a household; and (4) enrollees in households earning more than 400 per cent of the federal poverty level shall pay not more than the full premium cost of the program 21,078,379 18,232,293
 
 
 Reduced funding to meet projected need.