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BILL AS INTRODUCED 2007-2008

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S.49

Introduced by   Senator Mullin of Rutland District and Senator Kittell of Franklin District

Referred to Committee on

Date:

Subject:  Health; insurance; Catamount Health; Vermont health access plan; farmers

Statement of purpose:  This bill proposes to ensure the availability of health care coverage for Vermont farmers and their employees.

AN ACT RELATING TO HEALTH INSURANCE FOR VERMONT FARMERS AND FARM EMPLOYEES

It is hereby enacted by the General Assembly of the State of Vermont:

Sec. 1.  33 V.S.A. § 1973 is amended to read:

§ 1973.  VERMONT HEALTH ACCESS PLAN

(a)  The agency of human services or its designee shall establish the Vermont health access plan (VHAP) pursuant to a waiver of federal Medicaid law.  The plan shall remain in effect as long as a federal 1115 demonstration waiver is granted or renewed.

(b)  The purpose of the Vermont health access plan is to provide health care coverage for uninsured or underinsured low income Vermonters.  The agency of human services or its designee shall establish rules regarding eligibility and administration of the plan.  The agency shall not require farmers as defined in subdivision 3752(7) of Title 32 and agricultural employees of a farmer to be uninsured to qualify for coverage under this section.

Sec. 2.  33 V.S.A. § 1974(c)(1)(B) is amended to read:

(B)  "Uninsured" means an individual who does not qualify for Medicare, Medicaid, the Vermont health access plan, or Dr. Dynasaur and had no private insurance or employer-sponsored coverage that includes both hospital and physician services within 12 months prior to the month of application, is a farmer as defined in subdivision 3752(7) of Title 32, is an agricultural employee of a farmer, or lost private insurance or employer-sponsored coverage during the prior 12 months for the following reasons:

(i)  the individual's coverage ended because of:

(I)  loss of employment;

(II)  death of the principal insurance policyholder;

(III)  divorce or dissolution of a civil union;

(IV)  no longer qualifying as a dependent under the plan of a parent or caretaker relative; or

(V)  no longer qualifying for COBRA, VIPER, or other state continuation coverage; or

(ii)  college- or university-sponsored health insurance became unavailable to the individual because the individual graduated, took a leave of absence, or otherwise terminated studies.

Sec. 3.  33 V.S.A. § 1982(2) is amended to read:

(2)  "Uninsured" means an individual who does not qualify for Medicare, Medicaid, the Vermont health access plan, or Dr. Dynasaur and had no private insurance or employer-sponsored coverage that includes both hospital and physician services within 12 months prior to the month of application, is a farmer as defined in subdivision 3752(7) of Title 32, is an agricultural employee of a farmer, or lost private insurance or employer-sponsored coverage during the prior 12 months for the following reasons:

(A)  the individual's private insurance or employer-sponsored coverage ended because of:

(i)  loss of employment;

(ii)  death of the principal insurance policyholder;

(iii)  divorce or dissolution of a civil union;

(iv)  no longer qualifying as a dependent under the plan of a parent or caretaker relative; or

(v)  no longer qualifying for COBRA, VIPER, or other state continuation coverage; or

(B)  college- or university-sponsored health insurance became unavailable to the individual because the individual graduated, took a leave of absence, or otherwise terminated studies.

Sec. 4.  8 V.S.A. § 4080f(a)(9) is amended to read:

(9)  “Uninsured” means an individual who does not qualify for Medicare, Medicaid, the Vermont health access plan, or Dr. Dynasaur and had no private insurance or employer-sponsored coverage that includes both hospital and physician services within 12 months prior to the month of application, is a farmer as defined in subdivision 3752(7) of Title 32, is an agricultural employee of a farmer, or lost private insurance or employer-sponsored coverage during the prior 12 months for the following reasons:

(A)  the individual's private insurance or employer-sponsored coverage ended because of:

(i)  loss of employment;

(ii)  death of the principal insurance policyholder;

(iii)  divorce or dissolution of a civil union;

(iv)  no longer qualifying as a dependent under the plan of a parent or caretaker relative; or

(v)  no longer qualifying for COBRA, VIPER, or other state continuation coverage; or

(B)  college- or university-sponsored health insurance became unavailable to the individual because the individual graduated, took a leave of absence, or otherwise terminated studies.



Published by:

The Vermont General Assembly
115 State Street
Montpelier, Vermont


www.leg.state.vt.us