Bill > HB0310

This bill establishes a new program to provide wraparound services for qualified individuals with disabilities by creating a Medicaid waiver that will cover additional medical services not included in their primary health insurance. The bill defines a "qualified individual" as a disabled person who has recently been on Medicaid, is currently enrolled in minimum essential coverage, has a household income between 250% and 800% of the federal poverty level, and has assets under $125,000. Before July 1, 2025, the state department will apply for a Medicaid waiver to offer these wraparound services, with cost-sharing requirements based on a sliding scale that considers the individual's household income. For individuals with household income over 400% of the federal poverty level, they will be required to pay at least 10% of service costs, with a maximum monthly out-of-pocket expense of $1,500. The bill also ensures that premium payments for their primary health insurance will be credited toward their wraparound service costs. The department is tasked with creating administrative rules to implement the program and will provide continuous enrollment for qualified individuals for 12 months. The bill is set to take effect on May 7, 2025, with the goal of supporting disabled individuals who might not qualify for full Medicaid coverage but still need additional medical services.

Business and Industry, Health and Social Services

https://le.utah.gov/~2025/bills/static/HB0310.html