00                              HOUSE BILL NO. 13                                                                          
01 "An Act requiring the Department of Health and Social Services to apply for a waiver to                                 
02 establish work requirements for certain adults who are eligible for the state medical                                   
03 assistance program."                                                                                                    
04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
05    * Section 1. AS 47.07.036 is amended by adding a new subsection to read:                                           
06 (h)  The department shall apply for a section 1115 waiver under 42 U.S.C.                                               
07 1315 to establish a work requirement for adults who are eligible for medical assistance                                 
08 under AS 47.07.020 and who do not meet the criteria for an exemption described in                                       
09       (3) of this subsection. The application for the waiver must include a plan to                                     
10 (1)  require a recipient subject to the work requirement to demonstrate,                                                
11 as a condition of eligibility for medical assistance, that the recipient is participating in                            
12 work activities for a minimum of 20 hours each week by submitting proof of                                              
13 employment or, if the recipient is not employed, proof that the recipient is actively                                   
14 seeking employment, participating in an educational or training program intended to                                     
01       lead to employment, volunteering, engaging in subsistence activities, or caregiving;                              
02 (2)  allow a recipient to meet the work requirement described in this                                                   
03 subsection by demonstrating that the recipient participates in the Alaska temporary                                     
04 assistance program and is in compliance with the work activities requirement                                            
05       described in AS 47.27.035;                                                                                        
06                 (3)  exempt a recipient from the work requirement described in this                                     
07       subsection only if the recipient is                                                                               
08                      (A)  under 18 years of age or 65 years of age or older;                                            
09                      (B)  the parent or caretaker of a dependent child of up to 12                                      
10            months of age and the parent or caretaker is providing home care for the child;                              
11 (C)  the parent or caretaker of a child experiencing a disability                                                       
12            and the parent or caretaker is providing home care for the child;                                            
13 (D)  the caretaker of a relative who is experiencing a disability                                                       
14            and requires 24-hour care;                                                                                   
15 (E)  the parent or caretaker of a child under six years of age and                                                      
16 the parent or caretaker demonstrates that appropriate child care is not available;                                      
17 (F)  unable to work for medical reasons, as determined by a                                                             
18            licensed medical professional;                                                                               
19                      (G)  pregnant;                                                                                     
20                      (H)  currently receiving unemployment insurance benefits; or                                       
21                      (I)  participating in a tribal work program;                                                       
22 (4)  temporarily exempt a recipient from the work requirement                                                           
23       described in this subsection only if the recipient is                                                             
24 (A)  experiencing a family hardship outside of the control of the                                                       
25 parent or caretaker, such as a death in the family or an immediate crisis, for the                                      
26            duration of the hardship; or                                                                                 
27                      (B)  a victim of domestic violence;                                                                
28 (5)  ensure that the work requirement does not prevent a recipient with                                                 
29 a substance abuse disorder from obtaining appropriate treatment for the substance                                       
30       abuse disorder; and                                                                                               
31 (6)  notify all medical assistance recipients of the work requirement as                                                
01       soon as practicable if the waiver is approved and, not less than 90 days after providing                          
02       notice of the work requirement, terminate medical assistance coverage for recipients                              
03       who become ineligible as a result of noncompliance with the work requirement.