1. Coverage must be available to a person who has:

A. A confirmed diagnosis of cancer by a qualified physician;

B. Resided in the State for at least 6 months prior to applying for coverage;

C. A gross family income at or below 400% of the federal poverty level; and

D. No health insurance or no insurance coverage that is adequate for the diagnosis or treatment of cancer.

Age, assets and family status may not be factors in determining eligibility.

2. The department shall adopt rules to implement the program. The rules must contain the following provisions.

A. Coverage is limited to the enrollee and does not include family members.

B. An enrollee must pay minimal copayments.

C. Coverage is limited to the diagnosis and treatment costs for cancer and treatment costs for medical care required as a result of cancer treatment and must last as long as the person is receiving treatment for cancer.

D. Coverage must include the costs for the diagnosis and treatment of cancer that were incurred within 3 months prior to the date of enrollment.

E. For an enrollee who has health coverage, coordination of benefits, subrogation of coverage or redirection of the premium payments must occur in order to decrease costs to the State. Medicaid rules regarding estate recovery apply to Medicaid expenditures incurred under the waiver.

F. Coverage must last as long as the enrollee is a resident of the State, is undergoing treatment and the program is operated by the State.