Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 676 - INCOME › Subchapter 7 - FOOD STAMP PROGRAM DEDUCTIONS AND EXPENSES › Section 17-676-72 - Income deductions

Current through June, 2024
Deductions shall be allowed for the following household
					 expenses:
(1) The monthly standard
				  deduction per household which is set by the USDA;
(2) An earned income deduction of twenty per
				  cent of all gross earned income other than income excluded to compensate for
				  taxes, other mandatory deductions from salary, and work expenses;
(3) The payments for the actual costs for the
				  care of a child or other dependent when necessary for a household member to
				  accept or continue employment, attend training or education which is
				  preparatory to employment, or to seek employment in accordance with the job
				  search criteria, or an equivalent effort by those not subject to job search
				  requirements;
(4) That portion of
				  medical expenses in excess of $35 per month, excluding special diets, incurred
				  by any household member who is elderly or disabled as defined in section
				  17-663-1. Spouses or other persons receiving benefits as a dependent of the SSI
				  or disability and blindness recipient shall not be eligible to receive this
				  deduction. Persons who receive only state supplemental benefits and not federal
				  SSI benefits shall not be eligible for medical or shelter deductions as SSI
				  recipients unless the persons are elderly or disabled as defined in section
				  17-663-1.
(A) Allowable medical costs
				  include:
(i) Medical and dental care
				  including psychotherapy and rehabilitation services provided by a licensed
				  practitioner authorized by state law or other qualified health
				  professionals;
(ii) Hospitalization
				  or outpatient treatment, nursing care, andnursing home care including payments
				  by the household for an individual who was a household member immediately prior
				  to entering a hospital or nursing home provided by a facility recognized by the
				  State;
(iii) Prescription drugs
				  when prescribed by a licensed practitioner authorized under state law and other
				  over-the-counter medication, including insulin when approved by a licensed
				  practitioner or other qualified health professional;
(iv) Costs of medical supplies, sickroom
				  equipment, including rental, or other prescribed equipment;
(v) Health and hospitalization insurance
				  policy premiums. The costs of health and accident policies such as those
				  payable in lump sum settlements for death or dismemberment or income
				  maintenance policies such as those that continue mortgage or loan payments
				  while the beneficiary is disabled shall not be deductible;
(vi) Medicare premiums related to coverage
				  under Title XVIII of the Social Security Act (
				  42 U.S.C.
				  §1395 ) and any cost-sharing or spend
				  down expenses incurred by medicaid recipients;
(vii) Dentures, hearing aids, and
				  prosthetics;
(viii) Securing and
				  maintaining a seeing eye dog or hearing dog including the cost of dog food and
				  veterinarian bills;
(ix) Eye
				  glasses prescribed by a physician skilled in eye disease or by an
				  optometrist;
(x) Reasonable cost of
				  transportation and lodging to obtain medical treatment or services;
				  and
(xi) Maintaining an attendant,
				  home-maker, home health aide, child care giver, or a housekeeper to aid a
				  person because of age, infirmity, or illness. In addition, an amount equal to
				  the one person coupon allotment shall be deducted if the household furnishes
				  the majority of the attendant's meals. The allotment for the meal related
				  deduction shall be the amount in effect at the time of initial certification.
				  The department shall be required to update the allotment amount at the next
				  scheduled recertification, however, the department may do so earlier. If a
				  household incurs attendant care costs that may qualify under both the medical
				  deduction and dependent care deduction, the department shall treat the cost as
				  a medical expense.