00                             HOUSE BILL NO. 107                                                                          
01 "An Act relating to an optional group of persons eligible for medical assistance who                                    
02 require treatment for breast or cervical cancer; relating to cost sharing by those                                      
03 recipients under the medical assistance program; and providing for an effective date."                                  
04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
05    * Section 1.  AS 47.07.020(b) is amended by adding a new paragraph to read:                                        
06                 (15)  persons who have been diagnosed with breast or cervical cancer                                    
07       and who are eligible for coverage under 42 U.S.C. 1396a(a)(10)(A)(ii)(XVIII).                                     
08    * Sec. 2.  AS 47.07.042 is amended by adding a new subsection to read:                                             
09            (e)  Except as provided in (c) of this section and notwithstanding (b) of this                               
10       section, the department shall require premiums and other cost-sharing contributions                               
11       from recipients who are eligible for assistance under AS 47.07.020(b)(15) to the                                  
12       maximum extent allowed by federal law.  The department shall                                                      
13                 (1)  adopt in regulation a sliding scale for those premiums or                                          
14       contributions based on household income; and                                                                      
01                 (2)  implement a system by which the department or its designee                                         
02       collects the premiums or other cost-sharing contributions.                                                        
03    * Sec. 3.  Section 1, ch. 33, SLA 2001, is repealed.                                                               
04    * Sec. 4.  The uncodified law of the State of Alaska is amended by adding a new section to                         
05 read:                                                                                                                   
06       TRANSITION:  CONTINUED ELIGIBILITY FOR CURRENT RECIPIENTS.  A                                                     
07 person who applied, and was determined eligible, for medical assistance under sec. 1, ch. 33,                           
08 SLA 2001, may continue to receive that medical assistance under AS 47.07.020(b)(15),                                    
09 enacted by sec. 1 of this Act, without reapplying for an eligibility determination under                                
10 AS 47.07.020(b)(15), enacted by sec. 1 of this Act, so long as the person remains eligible for                          
11 that assistance under AS 47.07.020(b)(15), enacted by sec. 1 of this Act.                                               
12    * Sec. 5.  The uncodified law of the State of Alaska is amended by adding a new section to                         
13 read:                                                                                                                   
14       TRANSITION:  REGULATIONS.  To the extent the regulations are not inconsistent                                     
15 with this Act, regulations relating to the optional group of persons eligible for medical                               
16 assistance who require treatment for breast or cervical cancer adopted by the Department of                             
17 Health and Social Services and in effect before the effective date of this section remain in                            
18 effect as valid regulations implementing this Act.  The Department of Health and Social                                 
19 Services may administer and enforce those previously adopted regulations relating to this                               
20 optional group.                                                                                                         
21    * Sec. 6.  The uncodified law of the State of Alaska is amended by adding a new section to                         
22 read:                                                                                                                   
23       TRANSITION.  State plan provisions adopted under AS 47.07.042(a) - (c) and                                        
24 approved by the federal government apply to persons who are eligible for assistance under                               
25 AS 47.07.020(b)(15), enacted by sec. 1 of this Act, until conflicting state plan amendments                             
26 are adopted under AS 47.07.042(e), enacted by sec. 2 of this Act, and are approved by the                               
27 federal government.                                                                                                     
28    * Sec. 7.  This Act takes effect immediately under AS 01.10.070(c).