Staff Analysis of the Legislation
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Senate Bill 106, referred to as the 'Patients First Act', authorizes the Department of
Community Health (DCH) to submit a Section 1115 waiver request to the United States Department of Health
and Human Services Centers for Medicare and Medicaid Services by June 30, 2020. This may include an
increase in the income threshold of up to a maximum of 100 percent of the federal poverty level. Upon approval
of this waiver, the bill also authorizes DCH to implement the terms and conditions without any further
legislative action.
Additionally, Senate Bill 106 authorizes the governor to submit a Section 1332 innovation waiver proposal, or
multiple thereof, to the United States Secretaries of Health and Human Services and the U.S. Treasury by
December 31, 2021.
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