Legislative Session number- 85

Bill Name: SF0015

3E "Children's Health Security Act"; requiring the commissioner of human
services to establish the children's health security program, specifying
eligibility requirements and covered services, providing for voluntary
enrollment with no enrollee premiums or cost sharing requirements; specifying
application procedures and eligibility determination, providing for availability
of coverage under the program during a presumptive eligibility period; providing
for the delivery of services, requiring the commissioner to contract with health
maintenance organizations (HMOs), county based purchasing plans, and health care
and social service providers under a fee for service system, specifying health
plan company requirements; requiring the commissioner in consultation with a
health care actuary to establish the method and amount of payments for services
and to develop and implement a risk adjustment system for the program; requiring
the commissioner to assist applicants in choosing a health plan company and
requiring the commissioner to designate an ombudsperson to advocate for children
enrolled in the program; requiring the commissioner to require participating
health plan companies and providers to submit data required for assessing
enrollee satisfaction, quality of care, cost and utilization of services for
evaluation purposes; requiring the commissioner to develop an implementation
plan for the program and present the plan to the legislature by a certain date
and to evaluate the provision of services under the program to children with
disabilities and present recommendations to the legislature by a certain later
date; requiring the seeking of federal waivers and approvals necessary for
implementation; establishing the task force on children's health care coverage,
specifying membership, study and staff support requirements; requiring the task
force to make a report to the legislature by a certain date, sunset provision;
authorizing the commissioner to adopt rules; appropriating money to the
commissioner of human services for development and implementation of the program
and to the legislative coordinating commission for staff support for the task
force
(je)