,,ii #aae? ,,congress #a/ ,session ,s4 #ahce ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #ai1 #bjag ,ms4 ,coll9s 7= h]self & ,mr4 ,nelson7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to provide support to ,/ates to e/abli% invisible high-risk pool or re9surance programs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,l[] ,premiums ,?r\gh ,re9surance ,act ( #bjag4 #b4 ,invisible high-risk pool & re9surance programs ,section #accb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjeb7 is am5d$-- 7#a7 by add+ at ! end ! foll[+3 7f7 ,high-,risk pools & re9surance programs 7#a7 ,9 g5]al 7,a7 ,application ,any ,/ate may apply to ! ,secret>y = approval to use ! fund+ describ$ 9 subp>agraph 7,b7 to support an invisible high-risk pool or re9surance program t is describ$ 9 p>agraph 7#b74 ,! ,secret>y %all approve a ,/ate application "u ?is subp>agraph ) respect to any program t-- 7i7 meets ! requirem5ts ( subp>agraph 7,a71 7,b71 7,c71 or 7,d7 ( p>agraph 7#b72 & 7ii7 meets ! requirem5ts ( subp>agraphs 7,a7 ?r\gh 7,d7 ( subsection 7b77#a74 7,b7 ,fund+ ,if a ,/ate application "u subp>agraph 7,a7 is approv$1 ! ,/ate may fund su* invisible high-risk pool or re9surance program us+ "o or bo? ( ! foll[+3 7i7 ,am\nts receiv$ ?r\gh a grant describ$ 9 subp>agraph 7,c74 7ii7 ,) respect to a ,/ate t has receiv$ a waiv] "u ?is section1 all (1 or a portion (1 ! paym5ts made to ! ,/ate z describ$ 9 subsection 7a77#c71 consi/5t ) ! in=mation ! ,/ate provides "u subsection 7a77#a77;,b77iii74 7,c7 ,f$]al fund+ = invisible high-risk pool & re9surance programs ,!re are au?oriz$ to be appropriat$1 & !re are appropriat$1 to ! ,secret>y1 out ( monies 9 ! ,treasury n o!rwise obligat$1 #b1bej1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai1 to rema9 available until exp5d$1 = purposes ( aw>d+ grants to ,/ates to support ! e/abli%m5t or ma9t5ance ( invisible high-risk pool & re9surance programs t meet ! requirem5ts ( p>agraph 7#b74 ,any funds provid$ "u ?is subp>agraph %all n be consid]$ 9 det]m9+ "u subp>agraph 7,a77ii7 :e!r ! ,/ate plan increases ! ,f$]al deficit4 7#b7 ,program design ,an invisible high-risk pool or re9surance program describ$ 9 ?is p>agraph is a program t meets "o ( ! foll[+ requirem5ts3 7,a7 ,an invisible high-risk pool "u :i* heal? insurance issu]s1 ) respect to designat$ high-risk individuals enroll$ 9 heal? insurance cov]age (f]$ 9 ! individual m>ket1 c$e risk to ! pool1 )\t affect+ ! premium paid by ! designat$ individuals or _! t]ms ( cov]age4 ,) respect to su* pool1 ! ,/ate1 or an entity op]at+ ! pool on behalf ( ! ,/ate1 %all e/abli%-- 7i7 ! premium am\nt ! c$+ insur] %all pay to ! re9surance pool2 7ii7 ! applicable atta*m5t po9ts or co9surance p]c5tages if ! c$+ insur] reta9s any portion ( ! risk "u c$$ policies2 & 7iii7 ! me*anism by :i* high-risk individuals are designat$ = cession to ! pool1 :i* may include a risk ( designat$ high-co/ heal? conditions4 7,b7 ,a re9surance program t assumes a portion ( ! risk = high-co/ claims )9 ! ,/ate 9 a mann] sub/antially simil> to ! re9surance program t op]at$ 9 ! ,/ate 9 accordance ) section #acda4 7,c7 ,a new re9surance program e/abli%$ by ! ,/ate4 7,d7 ,a program bas$ on ano!r ,/ate's re9surance program-- 7i7 describ$ 9 subp>agraph 7,a71 7,b71 or 7,c71 = :i* an application has be5 approv$ "u ?is subsection2 or 7ii7 :i* 0 implem5t$ prior to ,septemb] #a1 #bjag1 & :i* ! ,secret>y det]m9es meets ! requirem5ts ( subp>agraph 7,a74 7#c7 ,exp$it$ approval 7,a7 ,9 g5]al ,! ,secret>y %all provide an exp$it$ approval process = an application "u p>agraph 7#a77;,a7-- 7i7 ) respect to an invisible high-risk pool or re9surance program describ$ 9 subp>agraph 7,a71 7,b71 or 7,d7 ( p>agraph 7#b72 or 7ii7 t uses a template =m design$ by ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 9 consultation ) ! ,secret>y ( ! ,treasury1 = an application bas$ on a program t is ! same or sub/antially ! same z a program implem5t$ 9 accordance ) an application previ\sly approv$ "u ?is subsection4 7,b7 ,timeframe ,! ,secret>y %all make a det]m9ation on an application eligible = exp$it$ review "u subp>agraph 7,a7 n lat] ?an #ij days aft] receipt ( su* application4 7,c7 ,/&>d ( review ,no?+ 9 ?is p>agraph %all be con/ru$ z affect+ ! requirem5ts "u clauses 7i7 & 7ii7 ( p>agraph 7#a77;,a7 ) respect to an application approv$ 9 accordance ) ! process "u subp>agraph 7,a74 7#d7 ,s+le-risk pool ,an invisible high-risk pool or re9surance program e/abli%$ 9 accordance ) ?is subsection %all n be consid]$ a sep>ate risk pool = purposes ( section #acab7;c74 2 & 7#b7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a77;,b7-- 7i7 9 clause 7i71 by /rik+ 2 & & ins]t+ a semicolon2 & 7ii7 by add+ at ! end ! foll[+3 7iii7 9 ! case ( a ,/ate apply+ "u subsection 7f7 to use any portion ( ! paym5ts made to ! ,/ate "u p>agraph 7#c7 to support an invisible high-risk pool or re9surance program1 consi/5t ) subsection 7f71 su* in=mation ab\t su* program z ! ,secret>y may require1 & ! portion ( su* paym5ts "u p>agraph 7#c7 su* ,/ate int5ds to use = su* program2 & 2 7,b7 9 p>agraph 7#c7-- 7i7 by ins]t+ full am\nt ( be=e premium tax cr$its2 & 7ii7 by ins]t+ be=e ! p]iod ( ! fir/ s5t5ce ! foll[+3 1 or1 9 ! case ( su* a ,/ate ^: invisible high-risk pool or re9surance program is approv$ "u subsection 7f77#a7 & t has submitt$ ! in=mation describ$ 9 p>agraph 7#a77;,b77iii71 support+ su* invisible high-risk pool or re9surance program2 & 7,c7 9 p>agraph 7#f77;,a71 by ins]t+ & ) respect to applications "u subsection 7f7 be=e ! semicolon4