SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Working American
Families Access to Health Care Act of 2001’’ or ‘‘Medi-
Access Act of 2001’’.
SEC. 2. MEDI-ACCESS PROGRAM PROVIDING INSURANCE
COVERAGE FOR LOW TO MODERATE INCOME
UNINSURED WORKING FAMILIES .
(a) AVAILABILITY OF MEDICAID COVERAGE FOR UN-
INSURED FAMILIES UNDER MEDI-ACCESS.—
(1) IN GENERAL.—
(A) COVERAGE
FOR
FAMILIES
WITH
IN-
COME BELOW 200 PERCENT OF THE POVERTY
LINE WITH NO PREMIUM REQUIRED.—Section
1916 of the Social Security Act (42 U.S.C.
1396o) is amended—
(i) in subsection (a), by striking ‘‘Sub-
ject to subsection (g)’’ and inserting ‘‘Sub-
ject to subsections (g) and (h)’’; and
(ii) by adding at the end the fol-
lowing:
‘‘(h)(1) With respect to an individual provided med-
ical assistance only under subclause (VIII) of section
1902(a)(10)(A)(i), if the individual’s family income—
‘‘(A) does not exceed 200 percent of the poverty
line (as defined in section 2110(c)(5)) applicable to
a family of the size involved, a State shall not re-
quire payment of any monthly premium;’’.
(B) COVERAGE
FOR
UNINSURED
LOWER
MIDDLE CLASS FAMILIES.—Section 1916(h) of
such Act, as so added, is amended—
(i) by adding at the end of paragraph
(1) the following new subparagraphs:
‘‘(B) exceeds 200 percent (but does not exceed
250 percent) of such poverty line applicable to a
family of the size involved, a State shall require such
individuals to pay a monthly premium equal to $15
per month for each individual in the family so cov-
ered, but not to exceed $25 per month for all indi-
viduals in the family;
‘‘(C) exceeds 250 percent (but does not exceed
300 percent) of such poverty line applicable to a
family of the size involved, a State shall require such
individuals to pay a monthly premium equal to $25
per month for each individual in the family so cov-
ered, but not to exceed $50 per month for all indi-
viduals in the family;
‘‘(D) exceeds 300 percent (but does not exceed
350 percent) of such poverty line, the State shall re-
quire such individuals to pay a monthly premium
equal to $50 per month for each individual in the
family so covered, but not to exceed $150 per month
for all individuals in the family;’’; and
(ii) by adding at the end the following
new paragraphs:
‘‘(2) A State may enter into an arrangement with an
employer that employs at least 2, but fewer than 51, em-
ployees under which the employer will pay directly for pre-
miums established under this subsection.
‘‘(3) A State shall provide for billing for premiums
under this subsection once every month. The State shall
include in such a billing information on any changes or
information alerts relevant to coverage under this title.
The State shall have a toll-free number where an enrollee
may call for any information about the Medi-Access pro-
gram or in the event that the State seeks to terminate
coverage of a family or individual under this title due to
nonpayment of a premium or any other reason.
‘‘(4) Nothing in this subsection shall be construed as
authorizing the use of premiums collected under this sub-
section for vouchers for the purchase of private health in-
surance.’’.
(C) EXPANSION OF ELIGIBILITY FOR UNIN-
SURED MIDDLE CLASS FAMILIES WITH INCOME
BETWEEN 350 AND 600 PERCENT OF THE POV-
ERTY
LINE.—Section 1902 of such Act (42
U.S.C. 1396a) is amended—
(i) in subsection (a)(10)(A)(i)—
(I) by striking ‘‘or’’ at the end of
subclause (VI);
(II) by striking the semicolon at
the end of subclause (VII) and insert-
ing ‘‘, or’’; and
(III) by adding at the end the
following new subclause:
‘‘(VIII) described in subsection
(cc);’’; and
(ii) by adding at the end, as amended
by section 2(a) of the Breast and Cervical
Cancer Prevention and Treatment Act of
2000 (Public Law 106–354; 114 Stat.
1381) and section 702(b) of the Medicare,
Medicaid, and SCHIP Benefits Improve-
ment and Protection Act of 2000 (as en-
acted into law by section 1(a)(6) of Public
Law 106–554), the following new sub-
section:
‘‘(cc)(1) For purposes of (a)(10)(A)(i)(VIII), individ-
uals described in this subsection are individuals who meet
the following requirements:
‘‘(A) The income of the individual’s family does
not exceed 350 percent of the poverty line (as de-
fined in section 2110(c)(5)) applicable to a family of
the size involved; except that beginning on January
1, 2004, the requirement of this subparagraph shall
or may be waived under paragraph (2).
‘‘(B) The individual is not otherwise described
or covered under this title under any other provision.
‘‘(C) Subject to paragraph (2), the individual
does not have creditable coverage (described in sec-
tion 2701(c)(1) of the Public Health Service Act,
but not taking into account subparagraph (F) of
that section or eligibility for benefits under title
XXI).
‘‘(2) The requirements of subparagraphs (A) and (C)
of paragraph (1) shall not apply, on or after January 1,
2004, in the case of a family or individual the income of
which does not exceed 600 percent of the poverty line (as
defined in section 2110(c)(5)), if any of the following is
demonstrated with respect to that family or individual:
‘‘(A) The family or individual has applied for
and been denied in writing coverage under private
health insurance coverage for reasons relating to
medical underwriting.