1994-04-06                     Senate Journal                      Page 3463
SB 366                                                                       
The Finance Committee considered SENATE BILL NO. 366 "An                       
Act relating to medical support for children; allowing a member of             
the teachers' retirement system or the public employees' retirement            
                                                                               

1994-04-06                     Senate Journal                      Page 3464
SB 366                                                                       
system to assign to a Medicaid-qualifying trust the member's right             
to receive a monetary benefit from the system; relating to the effect          
of a Medicaid-qualifying trust on the eligibility of a person for              
Medicaid; relating to the recovery of certain Medicaid payments from           
estates and trusts; requiring persons who receive Medicaid services            
to be liable for sharing in the cost of those services to the extent           
allowed under federal law and regulations; and providing for an                
effective date" and recommended it be replaced with                            
                                                                               
CS FOR SENATE BILL NO. 366(FIN)                                               
(Forthcoming)                                                                 
                                                                               
and further attached a Finance Committee Letter of Intent.  Signing            
do pass: Senator Frank, Cochair, Senator Rieger.  Signing no                   
recommendation: Senators Sharp, Jacko, Kelly, Kerttula.                        
                                                                               
                                Letter of Intent                               
                                      for                                      
                               CS for SB 366(FIN)                              
                                                                               
It is the intent of the Legislature that the Department of Health and          
Social Services shall impose cost sharing charges on eligible persons          
under the state Medicaid plan to the maximum extent allowed under              
federal law and regulations; however, if the department has clear and          
compelling reason to believe that application of this policy to a              
specific Medicaid service would not promote the purpose of reducing            
state expenditures or would generate savings that are insignificant in         
relation to the total cost containment possible, then the department           
shall have minimal flexibility to waive application of this policy.            
Furthermore, it is the intent of the Legislature that the department           
present a report to the first session of the Nineteenth Legislature,           
describing the status of implementation of this cost sharing policy,           
indicating any specific Medicaid service for which this policy was             
waived, and presenting the rationale for such a waiver.  The report            
shall include a listing of waivers sought from the federal government          
and an indication of those granted.                                            
                                                                               
Fiscal notes for the bill and committee substitute published today             
from Department of Health and Social Services (3).                             
                                                                               
                                                                               

1994-04-06                     Senate Journal                      Page 3465
SB 366                                                                       
SENATE BILL NO. 366 was referred to the Rules Committee.