SB 7 — An Act requiring the Department of Health and Social Services to apply for a waiver to establish work requirements for certain adults who are eligible for the state medical assistance program.

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"An Act requiring the Department of Health and Social Services to apply for a waiver to establish work requirements for certain adults who are eligible for the state medical assistance program;program." SENATE BILL NO.

7 01 "An Act requiring the Department of Health and providingSocial Services to apply for ana effectivewaiver date."to CS02 FORestablish SENATEwork BILLrequirements NO.for certain adults who are eligible for the state medical 03 assistance program." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:

7(HSS) 01 "An Act requiring the Department of Health and Social Services to apply for a waiver to 02 establish work requirements for certain adults who are eligible for the state medical 03 assistance program;

and providing for an effective date." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:

The uncodified law of the State of Alaska is amended by adding a new section 06 to read:

07 SHORT TITLE.

This Act may be known as the Medicaid Work Opportunities Act.

08 * Sec.

2.

0906 (h) The department shall apply for a section 1115 waiver under 42 U.S.C.

1007 1315 to establish a work requirement for adults who are eligible for medical assistance 1108 under AS 47.07.020 and who do not meet the criteria for an exemption described in 1209 (3) of this subsection.

The application for the waiver must include a plan 13to 10 (1) to require a recipient subject to the work requirement to 14 demonstrate, 11 as a condition of eligibility for medical assistance, that the recipient is participating in 12 work activities for a minimum of 8020 hours each monthweek by submitting 02 proof of 13 employment or, if the recipient is not employed, proof that the recipient is 03 actively 14 seeking employment, attendingparticipating in an educational,educational postsecondary, vocational, or 04 training program intended to lead to employment, volunteering, engaging in 05 subsistence activities, or caregiving;

0602 (2) to allow a recipient to meet the work requirement described in this 0703 subsection by demonstrating that the recipient participates in the Alaska temporary 0804 assistance program and is in compliance with the work activities requirement 0905 described in AS 47.27.035;

1006 (3) to exempt a recipient from the work requirement described in this 1107 subsection only if the recipient is 1208 (A) under 1918 years of age or 6065 years of age or older;

1309 (B) the parent or caretaker of a dependent child underof sixup yearsto 1412 10 months of age and the parent or caretaker is providing home care for the child;

1511 (C) the parent or caretaker of a child experiencing a disability 1612 and the parent or caretaker is providing home care for the child;

1713 (D) the caretaker of a relative who is experiencing a disability 1814 and requires 24-hour care;

1915 (E) the parent or caretaker of a child under six years of age and 2016 the parent or caretaker demonstrates that appropriate child care is not available;

2117 (F) unable to work for medical reasons, as determined by a 2218 licensed medical professional;

2319 (G) pregnant;

2420 (H) currently receiving unemployment insurance benefits;

or 2521 (I) participating in a tribal work program;

2622 (4) to exempt temporarily a recipient from the work requirement 2723 described in this subsection only if the recipient is 2824 (A) experiencing a family hardship outside of the control of the 2925 parent or caretaker, such as a death in the family or an immediate crisis, for the 3026 duration of the hardship;

or 3127 (B) a victim of domestic violence;

28 (5) to ensure that the work requirement does not prevent a recipient 02 with 29 a substance abuse disorder from obtaining appropriate treatment for the substance 0330 abuse disorder;

0431 (6) to notify all medical assistance recipients of the work requirement 05 as soon as practicable if the waiver is approved and, not less than 90 days after 06 providing 02 notice of the work requirement, terminate medical assistance coverage for 07 recipients 03 who become ineligible as a result of noncompliance with the work 08requirement. requirement;

notice of the work requirement must include contact information for the 09 Department of Labor and Workforce Development and a list of employment-related 10 training programs in or operated by the Department of Labor and Workforce 11 Development;

12 (7) to allow medical assistance coverage for up to 12 months after the 13 department determines a recipient is no longer eligible because of an earnings increase 14 if the recipient meets the work requirement described in this subsection and the 15 earnings increase makes the recipient ineligible for medical assistance.

16 * Sec.

3.

This Act takes effect immediately under AS 01.10.070(c).