West Virginia 2025 Regular Session

West Virginia House Bill HB3233

Introduced
3/7/25  

Caption

Creating the Affordable Medicaid Buy-in Program

Impact

If enacted, HB 3233 would significantly impact healthcare access in West Virginia by offering a new state option that increases choices for health insurance among residents. The proposed legislation aims to provide comprehensive benefits, including services like emergency care, hospitalization, and preventive services, thereby enhancing health outcomes for those currently lacking affordable options. Furthermore, it would require the introduction of measures to ensure coverage continuity between Medicaid and the new program, aiming to improve overall healthcare stability for low-income individuals.

Summary

House Bill 3233 aims to create the Insurance Buy-In Program in West Virginia, which would enable residents who are ineligible for Medicaid or Medicare to purchase a state-administered, low-cost health insurance plan. The bill mandates that the Department of Human Services develop and manage this program, ensuring it leverages existing Medicaid structures to maximize federal funding opportunities. This program is designed to provide affordable healthcare coverage options for individuals, focusing on those with incomes below certain thresholds and establishing a sliding scale for premiums based on household income.

Sentiment

The sentiment surrounding HB 3233 appears largely supportive among advocates of expanded healthcare access. Proponents view it as a significant step towards addressing the gaps in coverage that leave many residents without health insurance. This positive perspective is bolstered by the potential for enhanced access to care and the benefits tied to federal funding. However, there may be concerns from those apprehensive about the program's funding mechanisms and long-term sustainability, reflecting a divided sentiment regarding the program's success and potential drawbacks.

Contention

Notable points of contention regarding HB 3233 include the limitations imposed on employers, which prevent them from denying enrollment based on perceived eligibility for the Insurance Buy-In Program. Critics may argue about the potential impacts on employer-sponsored health coverage, raising questions about how the bill interacts with existing health insurance frameworks. Additionally, the need for significant federal financial participation could lead to ongoing debates about the reliance on external funding to maintain the program's affordability and effectiveness.

Companion Bills

No companion bills found.

Similar Bills

HI SB1132

Relating To The Medicaid Sustainability Program.

HI HB978

Relating To The Medicaid Sustainability Program.

MI HB4496

Human services: medical services; general changes to the medical assistance program; provide for. Amends secs. 105b & 109f of 1939 PA 280 (MCL 400.105b & 400.109f) & repeals secs. 105c & 105f of 1939 PA 280 (MCL 400.105c & 400.105f).

TX SB1475

Relating to establishing an enhanced Medicaid managed care consumer support system.

NJ S3538

Establishes "Equitable Drug Pricing and Patient Access Act."

MT HB881

Revise medicaid buy-in program to include children with disabilities

MS HB1496

Certified Community Behavioral Health Clinics; Dept. of Mental Health and Medicaid apply to join Demonstration Program for Certification of CMHCs as.

KY HB695

AN ACT relating to the Medicaid program and declaring an emergency.