LD 1611
pg. 3
Page 2 of 73 PUBLIC Law Chapter 469 Page 4 of 73
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LR 2137
Item 1

 
A. A qualified woman during her pregnancy and up to 60 days
following delivery when the woman's family income is equal to
or below 200% of the nonfarm income official poverty line;

 
B. An infant under one year of age when the infant's family
income is equal to or below 185% 200% of the nonfarm income
official poverty line;

 
C. A qualified elderly or disabled person when the person's
family income is equal to or below 100% of the nonfarm
income official poverty line and a qualified disabled person
when that person's family income is equal to or below 125%
of the nonfarm income official poverty line;

 
D. A child one year of age or older and under 19 years of
age when the child's family income is equal to or below 150%
200% of the nonfarm income official poverty line;

 
E. The parent or caretaker relative of a child described in
paragraph B or D when the child's family income is equal to
or below 150% 200% of the nonfarm income official poverty
line, subject to adjustment by the commissioner under this
paragraph. Medicaid services provided under this paragraph
must be provided within the limits of the program budget.
Funds appropriated for services under this paragraph must
include an annual inflationary adjustment equivalent to the
rate of inflation in the Medicaid program. On a quarterly
basis, the commissioner shall determine the fiscal status of
program expenditures under this paragraph. If the
commissioner determines that expenditures will exceed the
funds available to provide Medicaid coverage pursuant to
this paragraph, the commissioner must adjust the income
eligibility limit for new applicants to the extent necessary
to operate the program within the program budget. If, after
an adjustment has occurred pursuant to this paragraph,
expenditures fall below the program budget, the commissioner
must raise the income eligibility limit to the extent
necessary to provide services to as many eligible persons as
possible within the fiscal constraints of the program
budget, as long as the income limit does not exceed 150%
200% of the nonfarm income official poverty line; and

 
F. A person 20 to 64 years of age who is not otherwise
covered under paragraphs A to E when the person's family
income is below or equal to 100% 125% of the nonfarm income
official poverty line, provided that the commissioner shall
adjust the maximum eligibility level in accordance with the
requirements of the paragraph.


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