Bill
H 1413
Overview: H 1413, An Act regarding Medicare savings programs eligibility, Reporting date extended to Wednesday, March 18, 2026, Introduced on February 27, 2025 (bill)Purpose and In
Overview: H 1413, An Act regarding Medicare savings programs eligibility, Reporting date extended to Wednesday, March 18, 2026, Introduced on February 27, 2025 (bill)
Purpose and Intent: This bill aims to expand eligibility for Medicare Savings Programs (MSPs) in the state. MSPs help low-income Medicare beneficiaries pay for out-of-pocket healthcare costs, such as premiums, deductibles, and copayments. By increasing the income and asset limits for MSP eligibility, the bill seeks to provide financial assistance to more Medicare enrollees.
Key Provisions:
- Raises the income limit for Qualified Medicare Beneficiary (QMB) program eligibility from 100% to 135% of the federal poverty level
- Increases the asset limit for QMB, Specified Low-Income Medicare Beneficiary (SLMB), and Qualifying Individual (QI) programs from $7,970 to $15,940 for individuals and from $11,960 to $23,920 for couples
- Directs the state Medicaid agency to conduct outreach and education to raise awareness of the expanded MSP eligibility
Affected Parties and Impacts:
- Low-income Medicare beneficiaries who will gain or maintain access to MSP assistance
- Healthcare providers who may see reduced uncompensated care costs as more Medicare enrollees receive financial support
- State Medicaid program, which will experience increased enrollment and costs associated with the expanded MSP eligibility
Procedural and Timeline Considerations:
The reporting date for this bill has been extended to March 18, 2026, indicating that the legislature is still considering the proposal. If passed, the expanded MSP eligibility would likely take effect in the following fiscal year.
Compiled from official sources — confirm details with the bill’s official record.
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