PRINTER'S NO. 2955
No. 2246 Session of 2000
INTRODUCED BY MELIO, COY, DeWEESE, HARHAI, FREEMAN, LESCOVITZ, M. COHEN, STURLA, DeLUCA, GEORGE, TRAVAGLIO, SCRIMENTI, MUNDY, WASHINGTON, ROBINSON, VAN HORNE, VEON, BELARDI, SANTONI, WALKO, TIGUE, SOLOBAY, MANN, STABACK, MANDERINO, GRUCELA, SHANER, BEBKO-JONES, JOSEPHS, YUDICHAK, BATTISTO, CASORIO, YOUNGBLOOD, PISTELLA, LaGROTTA, TANGRETTI AND GORDNER, FEBRUARY 9, 2000
REFERRED TO COMMITTEE ON INSURANCE, FEBRUARY 9, 2000
AN ACT 1 Providing for a portion of the tobacco litigation settlement 2 agreement funds to be used to provide grants to assist 3 individuals to purchase group health insurance upon 4 employment termination; imposing powers and duties on the 5 Department of Labor and Industry; establishing the Uninsured 6 Interim Coverage Fund; and making an appropriation. 7 The General Assembly of the Commonwealth of Pennsylvania 8 hereby enacts as follows: 9 Section 1. Short title. 10 This act shall be known and may be cited as the Interim 11 Coverage for the Uninsured Act. 12 Section 2. Declaration of policy. 13 The General Assembly finds and declares as follows: 14 (1) Access to and affordability of health care coverage 15 is a crucial concern for unemployed Pennsylvanians. 16 (2) Under the Consolidated Omnibus Budget Reconciliation 17 Act of 1985 (Public Law 99-272, 100 Stat. 82), referred to as
1 COBRA, an employee who is insured under a group health 2 insurance policy through his place of employment has the 3 right, upon termination of employment, to continue coverage 4 under the group policy at the employee's expense. 5 (3) While many Pennsylvanians are entitled to access to 6 health insurance under COBRA, most cannot afford the cost of 7 coverage. 8 (4) Thousands of unemployed Pennsylvanians receive 9 financial support from the unemployment compensation program, 10 and many of these individuals are in great need of assistance 11 payments for health insurance under COBRA. 12 (5) Providing assistance to the unemployed in securing 13 health insurance coverage will reduce the economic burden on 14 these individuals and their families, and will ensure that 15 they receive appropriate care at an appropriate time. 16 Section 3. Definitions. 17 The following words and phrases when used in this act shall 18 have the meanings given to them in this section unless the 19 context clearly indicates otherwise: 20 "COBRA." Title X of the Consolidated Omnibus Budget 21 Reconciliation Act of 1985 (Public Law 99-272, 100 Stat. 82). 22 "COBRA continuation coverage." Coverage under a group health 23 plan provided pursuant to Title XXII of the Public Health 24 Service Act (58 Stat. 682, 42 U.S.C. § 300bb-1 et seq.), section 25 4980B of the Internal Revenue Code of 1986 (Public Law 99-514, 26 26 U.S.C. § 4980B) or Title VI of the Employee Retirement Income 27 Security Act of 1974 (Public Law 93-406, 88 Stat. 829). 28 "Department." The Department of Labor and Industry of the 29 Commonwealth. 30 "Master settlement agreement." The settlement agreement and 20000H2246B2955 - 2 -
1 related documents entered into on November 23, 1998, by the 2 Commonwealth and leading United States tobacco product 3 manufacturers and approved by the court in Commonwealth v. 4 Philip Morris, April Term 1997, No. 2443 (C.P. Philadelphia 5 County), on January 13, 1999. 6 "Tobacco settlement fund." The fund established in the State 7 Treasury to receive payments to the Commonwealth as provided 8 under the master settlement agreement. 9 "Unemployment compensation." The income support program 10 established by the act of December 5, 1936 (2nd Sp.Sess., 1937 11 P.L.2897, No.1), known as the Unemployment Compensation Law. 12 "Unemployment compensation recipient." An individual 13 receiving unemployment compensation benefits. 14 Section 4. Interim coverage for the uninsured. 15 (a) Payment for health insurance costs.--The department 16 shall pay the health insurance premium for any eligible 17 unemployment compensation recipient who elects to receive this 18 payment. 19 (b) Eligibility.--An unemployment compensation recipient 20 shall be eligible for health insurance premium payments if the 21 recipient: 22 (1) is eligible for COBRA continuation coverage; 23 (2) does not have access to health insurance through 24 another source, such as a family member or another government 25 program; and 26 (3) has, at the time of enrollment in the unemployment 27 compensation program, a projected annual income in relation 28 to family size that does not exceed 300% of the poverty level 29 by family size, as defined by the United States Bureau of the 30 Census and revised annually. 20000H2246B2955 - 3 -
1 (c) Reduction in unemployment compensation benefits.--The 2 unemployment compensation payments for unemployment compensation 3 recipients who elect to receive health insurance premium 4 payments under this act shall be reduced by 20%. An amount 5 equivalent to the savings realized by this reduction shall be 6 transferred from the Unemployment Compensation Fund or other 7 department unemployment compensation funds to the Uninsured 8 Interim Coverage Fund, which is hereby established as a special 9 nonlapsing fund in the State Treasury. 10 (d) Informing beneficiaries.--The department shall inform 11 all unemployment compensation recipients of the availability of 12 health insurance premium payment assistance, and it shall assist 13 them in determining their eligibility and applying for COBRA 14 continuation coverage. 15 Section 5. Regulations. 16 The department shall administer this act and shall promulgate 17 rules, regulations and standards for its proper enforcement and 18 administration. 19 Section 6. Appropriation. 20 The sum of $65,000,000 is hereby appropriated from the 21 tobacco settlement fund to the Uninsured Interim Coverage Fund 22 for the fiscal year July 1, 2000, to June 30, 2001, to carry out 23 the provisions of this act. This appropriation shall be a 24 continuing appropriation and shall not lapse at the end of the 25 fiscal year. 26 Section 7. Effective date. 27 This act shall take effect July 1, 2000, or immediately, 28 whichever is later. A24L35BIL/20000H2246B2955 - 4 -