AN ACT TO EXPAND TENNCARE ELIGIBILITY FOR WORKING DISABLED CITIZENS

BHB/2/15

Sponsored by Ananya Chakraborty, Eliot Long, Caroline Daniel of Baylor School

This legislation was filed in the Commerce and Insurance category

Presented as part of the YIG Volunteer 2024 conference

1 BE IT ENACTED BY THE TENNESSEE YMCA YOUTH IN GOVERNMENT
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3 Section 1) Terms in this act will be defined as follows:
4 a. Disabled: anyone who meets the Americans with Disabilities Act definition of being disabled: “a
5 person who has a physical or mental impairment that substantially limits major life activities; has
6 a record of such an impairment; or is regarded as having such an impairment”
7 b. Cost-sharing: share of costs not covered by insurance that a person pays out of their pocket
8 c. Buy-in programs: an optional work incentive program designed for disabled individuals who
9 want to work or are working
10 d. Eligibility: having the right to do something through satisfaction of the appropriate conditions
11 e. Assets: property owned by a person or company that has value and can settle debts or
12 commitments
13 f. Income: money received in exchange for labor or products that can be
14 g. Premium payments: the amount you pay for your health insurance every month
15 h. TennCare: the Medicare/Medicaid program for Tennessee
16 i. Resource limit: The maximum combined value of all resources an individual can have an
17 ownership interest in and still qualify for Medicare
18 j. Employed: a paid mutual work arrangement between between a recruiter and an employee
19 k. Involuntary Termination: the ending of an individual’s employment by their employer for
20 reasons beyond the individual’s control
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22 Section 2) This program will hereby be named the Aid for Working Disabled Persons (AWDP).
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24 Section 3)
25 A. No restrictions will be placed upon an individual based on their age or assets.
26 B. The maximum annual income that a person can earn and still be eligible for this buy-in program
27 is $182,100 without taxes.
28 a. Federal approval is required to remove any resource limit and exclude an individual’s saving
29 amassed in any separate accounts.
30 b. Income and assets of spouses and other household members should be excluded from the
31 income and assets of the disabled individual when establishing cost-sharing requirements.
32 C. A grace period of six months will be given to any disabled person who is involuntarily
33 terminated from their job.
34 a. In order to receive the grace period, the disabled individual is required to submit their place of
35 employment and reason for dismissal to the AWDP.
36 D. The AWDP will still give coverage to any disabled working person who receives heath coverage
37 from an employer. It will be in addition to any benefits from an employer.
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39 F. In order to access this program, the disabled individual is obligated to pay a monthly premium
40 of 3% of their total monthly income.
41 a. If an individual’s income changes, the premium remains the same price until the next month.
42 b. They are required to report their monthly income at the beginning of every year, but they can
43 also report it at anytime throughout the year and the premium will adapt to their new income.
44 c. People who fail to adhere to this lose privileges of the program and face charges for fraud.
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46 Section 4) This act shall be funded by the funds from the TennCare block grant funding
47 agreement.
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49 Section 5) All laws or parts of laws in conflict with this are hereby repealed.
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51 Section 6) This act shall take effect January 1st, 2025
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