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HB 178: "An Act adding children under the age of 21 who are eligible for adoption assistance because of special needs to the optional Medicaid coverage list and revising the order of priority in which groups eligible for optional Medicaid coverage are eliminated; and providing for an effective date."

00HOUSE BILL NO. 178 01 "An Act adding children under the age of 21 who are eligible for adoption 02 assistance because of special needs to the optional Medicaid coverage list and 03 revising the order of priority in which groups eligible for optional Medicaid 04 coverage are eliminated; and providing for an effective date." 05 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 06 * Section 1. AS 47.07.020(b) is amended to read: 07  (b) In addition to the persons specified in (a) of this section, the following 08 optional groups of persons for whom the state may claim federal financial participation 09 are eligible for medical assistance: 10  (1) persons eligible for but not receiving assistance under any plan of 11 the state approved under 42 U.S.C. 601 - 615 (Title IV-A, Social Security Act, Aid to 12 Families with Dependent Children) or 42 U.S.C. 1381 - 1383c (Title XVI, Social 13 Security Act, Supplemental Security Income); 14  (2) persons in a general hospital, skilled nursing facility, or intermediate

01 care facility, who, if they left the facility, would be eligible for assistance under one 02 of the federal programs specified in (1) of this subsection; 03  (3) persons under age 21 who are under supervision of the department, 04 for whom maintenance is being paid in whole or in part from public funds, and who 05 are in foster homes or private child-care institutions; 06  (4) aged, blind, or disabled persons, who, because they do not meet 07 income and resources requirements, do not receive supplemental security income under 08 42 U.S.C. 1381 - 1383c (Title XVI, Social Security Act), and who do not receive a 09 mandatory state supplement, but who are eligible, or would be eligible if they were not 10 in a skilled nursing facility or intermediate care facility to receive an optional state 11 supplementary payment; 12  (5) persons under age 21 who are in an institution designated as an 13 intermediate care facility for the mentally retarded and who are financially eligible as 14 determined by the standards of the federal aid to families with dependent children 15 program; 16  (6) persons in a medical or intermediate care facility whose income 17 while in the facility does not exceed 300 percent of the supplemental security income 18 benefit rate under 42 U.S.C. 1381 - 1383c (Title XVI, Social Security Act) but who 19 would not be eligible for an optional state supplementary payment if they left the 20 hospital or other facility; 21  (7) persons under age 21 who are receiving active treatment in a 22 psychiatric hospital and who are financially eligible as determined by the standards of 23 42 U.S.C. 601 - 615 (Title IV-A, Social Security Act, Aid to Families with Dependent 24 Children); 25  (8) persons under age 21 and not covered under (a) of this section, who 26 would be eligible for benefits under the federal aid to families with dependent children 27 program, except that they have the care and support of both their natural and adoptive 28 parents; 29  (9) pregnant women not covered under (a) of this section and who meet 30 the income and resource requirements of the federal aid to families with dependent 31 children program;

01  (10) persons under age 21 not covered under (a) of this section who the 02 department has determined cannot be placed for adoption without medical 03 assistance because of a special need for medical or rehabilitative care and who the 04 department has determined are hard-to-place children eligible for subsidy under 05 AS 25.23.190 - 25.23.220. [REPEALED] 06 * Sec. 2. AS 47.07.035 is amended by adding a new paragraph to read: 07  (28) individuals under age 21 who the department has determined 08 cannot be placed for adoption without medical assistance because of a special need for 09 medical or rehabilitative care and who the department has determined are hard-to-place 10 children eligible for subsidy under AS 25.23.190 - 25.23.220. 11 * Sec. 3. This Act takes effect July 1, 1993.