110 HR 5748 IH: Ryan Dant Health Care Opportunity Act of U.S. House of Representatives 2008-04-09 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I 110th CONGRESS 2d Session H. R. 5748 IN THE HOUSE OF REPRESENTATIVES April 9, 2008 Mr. Marchant introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to permit States to exclude earned income in determining eligibility for medical assistance for individuals with extremely high prescription drug costs.

1.

Short title

This Act may be cited as the Ryan Dant Health Care Opportunity Act of 2008.

2.

Medicaid State option to exclude earned income in determining eligibility for individuals with extremely high prescription drug costs

Section 1915 of the Social Security Act (42 U.S.C. 1396n) is amended by adding at the end the following new subsection: (k)

State option To exclude earned income in determining eligibility for individuals with extremely high prescription drug costs

(1)

In general

A State may provide, through amendment to its State plan under this title, that in determining the eligibility for medical assistance under such plan of an individual described in paragraph (2) during a year, earned income of the individual (or any member of the individual’s household) shall be excluded but only insofar as the amount of such income in the year does not exceed twice the amount specified in paragraph (3). (2)

Individual described

An individual described in this paragraph for a year is an individual who— (A)is covered under health insurance or a health benefits plan during the year that has prescription drug coverage with a maximum lifetime limit of not less than $1,000,000; (B)has exhausted all available prescription drug coverage under the plan for the year; and (C)incurs (or is reasonably expected to incur) on an annual basis during the year costs for prescription drugs in excess of the amount specified in paragraph (3) for the year. (3)

Amount specified

The amount specified in this paragraph— (A)for 2008 or 2009, is $250,000; or (B)for a subsequent year, is the amount specified in this subparagraph (A) (or this subparagraph) for the previous year increased by the annual rate of increase in the medical care component of the consumer price index (U.S. city average) for the 12-month period ending in August of the previous year. Any amount computed under subparagraph (B) that is not a multiple of $1,000 shall be rounded to the nearest multiple of $1,000..