AMEND HEALTH INSURANCE RISK POOL STATUTES.

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View NCGA Bill Details2011-2012 Session
House Bill 138 (Public) Filed Thursday, February 17, 2011
TO AMEND THE HEALTH INSURANCE RISK POOL STATUTES.
Intro. by Dockham.

Status: Ch. SL 2011-58 (House Action) (Apr 28 2011)

Bill History:

H 138/S.L. 2011-58

Bill Summaries:

  • Summary date: Apr 28 2011 - View Summary

    AN ACT TO AMEND THE HEALTH INSURANCE RISK POOL STATUTES. Summarized in Daily Bulletin 2/17/11 and 3/2/11. Enacted April 28, 2011. Effective April 28, 2011.


  • Summary date: Mar 2 2011 - View Summary

    House committee substitute makes the following changes to 1st edition.
    Adds a new section, amending GS 58-50-180(c), to increase the number of successive terms that a member on the N.C. Health Insurance Risk Pool Board of Directors may serve from two to three. Makes a technical change.
    Amends GS 55-50-190(b) (Risk Pool risk rates) to provide that the Pool rates will be 135% to 175% (125% to 175% in previous version) of rates established as applicable for individual standard rates and will be adjusted annually.
    Makes act effective when it becomes law (effective October 1, 2011, in previous version).


  • Summary date: Feb 17 2011 - View Summary

    Amends GS 58-50-180(e)(4a) (powers and authority of the Health Insurance Risk Pool) to add that the Health Insurance Risk Pool (Pool) may provide premium subsidies from (1) federal grants made to the Pool, and (2) the Pool’s own funds, not to exceed the amount of the most recent year that the Pool received a federal grant award, as specified. Current law allows the Pool to provide premium subsidies if federal grant funds are available for individuals with incomes up to 300% of the federal poverty guidelines, and if the Pool Board of Directors (Board) deems it is fiscally prudent to do so. Proposed amendments would delete the federal grant funds requirement and would allow the Pool to provide premium subsidies for individuals with incomes up to 300% of the federal poverty guidelines where the Board deems it is fiscally prudent.
    Amends GS 55-50-190(b) (Risk Pool risk rates) to provide that the Pool rates will be 125% to 175% (currently, 150% to 200%) of rates established as applicable for individual standard rates and will be adjusted annually.
    Enacts new GS 58-50-195(a)(8) to add that any individual who is and continues to be a resident of North Carolina is eligible for Poolcoverage if the individual is eligible for and has not exhausted current COBRA health insurance coverage at a rate exceeding the Pool rate and provides evidence of eligibility for Pool coverage under any of the subdivisions (1) through (4) of GS 58-50-195(a).
    Amends GS 58-50-210(a) to direct Pool coverage to exclude charges or expenses incurred during the first six months (currently, 12 months) following the effective date of coverage, for any condition for which medical advice, care, or treatment was recommended or received during the 12-month period immediately preceding the effective date of coverage, except as specified.
    Effective October 1, 2011.