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Medicaid director says budget assumes premiums for children above 255% FPL; senators press on collection and disenrollment

3447245 · May 15, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

State Medicaid director Henry Littman told the Senate Finance Committee the administration’s budget assumes collecting premiums of up to 5% of family income for children in households above 255% of the federal poverty level (about 8,600 children), and senators questioned collection mechanisms, disenrollment and revenue impacts.

State Medicaid director Henry Littman told the Senate Finance Committee the administration’s budget assumes charging premiums of up to 5% of family income for children in families above 255% of the federal poverty level, and that the department estimates roughly 8,600 children could fall into the premium‑paying cohort.

Littman described the department’s approach for the children’s proposal: identify children in families above 255% of the federal poverty level, calculate premiums up to 5% of family income, and apply a collection factor in the budget to account for nonpayment and administrative…

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