HOUSE BILL REPORT

EHB 2003

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

Floor Activity:

Passed House: 3/2/11, 96-0.

First Special Session

Passed House: 5/24/11, 96-0.

Passed Senate: 5/25/11, 46-0.

Passed Legislature.

Brief Summary of Engrossed Bill

Requires children in families with incomes greater than 200 percent of the Federal Poverty level who are not eligible for the federally-funded Children's Health Insurance Program to pay premiums at a level set every two years that is no greater than the average state only per capita cost of coverage in the state-funded Children's Health Program.

Majority Report: Do pass. Signed by 27 members: Representatives Hunter, Chair; Darneille, Vice Chair; Hasegawa, Vice Chair; Alexander, Ranking Minority Member; Bailey, Assistant Ranking Minority Member; Dammeier, Assistant Ranking Minority Member; Orcutt, Assistant Ranking Minority Member; Carlyle, Chandler, Cody, Dickerson, Haigh, Haler, Hinkle, Hudgins, Hunt, Kagi, Kenney, Ormsby, Parker, Pettigrew, Ross, Schmick, Seaquist, Springer, Sullivan and Wilcox.

Background:

The Department of Social and Health Services (DSHS) operates the Apple Health for Kids program, which provides medical coverage for children under age 19 in families with incomes at or below 300 percent of the federal poverty level (FPL). Apple Health for Kids includes three programs for financing this coverage. The joint state-federal Medicaid program provides coverage for children with family incomes at or below 133 percent of the FPL. The joint state-federal Children's Health Insurance Program (CHIP) provides coverage for children with family incomes above 133 percent and at or below 300 percent of the FPL. The state-funded Children's Health Program (CHP) provides coverage for children with family incomes at or below 300 percent of the FPL who are not eligible for Medicaid or CHIP due to their citizenship status.

Children with family incomes greater than 200 percent of the FPL are required to pay premiums for health care coverage. The premiums are based on family income and cannot exceed the premium limitations in the federal Social Security Act.

Children with family incomes above 300 percent of the FPL can purchase coverage from the DSHS without state subsidy.

Summary of Engrossed Bill:

Children in families with incomes greater than 200 percent of the FPL who are not eligible for the federally-funded CHIP are required to pay premiums at a level set every two years that is no greater than the average state only per capita cost of coverage in the state-funded CHP.

Staff Summary of Public Testimony:

(In support) None.

(Other) This bill is not desirable because it will restrict access to health care for children, but it is necessary to implement the budget. This partial reduction is better than the Governor's proposal to completely eliminate the CHP. The provision that allows financial sponsors to pay premiums could be significant in helping families purchase health care for children impacted by this reduction.

(Opposed) None.