Legislative Session number- 84

Bill Name: SF0020

1E "Children's Health Security Act"; requiring the commissioner of human
services to establish the children's health security program, specifying
eligibility requirements and covered services, enrollment to be voluntary with
no enrollee premiums or cost sharing requirements; enumerating application
procedures; providing for the delivery of services through commissioner
contracts with health maintenance organizations (HMO), community integrated
service networks (CISN) and accountable provider networks, authorizing the
commissioner to contract with a private sector entity to administer and manage
the contracts and requiring commissioner contracting with health care and social
service providers on a fee for service basis to provide program enrollees with
services available only under medical assistance (MA) home and community based
waivers; requiring the commissioner in consultation with a health care actuary
to establish the method and amount of payments for services and to develop and
implement a risk adjustment system for the program; requiring commissioner
assistance to applicants in choosing a health plan company and designation of an
ombudsperson to advocate for children enrolled in the program; requiring the
commissioner to require participating health plan companies and providers to
submit data required for assessing enrollee satisfaction, quality of care, cost
and use of services for evaluation purposes; increasing the tax on cigarettes
and tobacco products and imposing a floor stocks tax to fund the program,
creating a children's health security account for the deposit of receipts;
requiring the commissioner to develop an implementation plan for the program for
presentation to the legislature by a certain date and to evaluate the provision
of services to children with disabilities for presentation of change
recommendations to the legislature by a certain later date; requiring the
seeking of federal waivers and approvals necessary for implementation purposes
and the adoption of rules
(ra)