HJ 35

Department of Medical Assistance Services; collection of data and information on Medicaid estate recovery; report. Requests the Department of Medical Assistance Services (DMAS) to collect data and information on Medicaid estate recovery in the Commonwealth. DMAS is requested to collect data and information on (i) whether the Commonwealth adjusts or recovers for long-term services and supports and related services provided through Medicaid beyond the federally required minimum and, if so, what percentage of the overall amount recovered by the Commonwealth is for such services; (ii) whether additional assets beyond a Medicaid enrollee's probate estate are recovered by the Commonwealth and, if so, what percentage of the overall amount recovered by the Commonwealth is from assets beyond such enrollees' probate estates; (iii) whether homes of modest value are excluded from Medicaid estate recovery and, if so, how DMAS defines 'home of modest value'; (iv) the cost-effectiveness threshold followed by DMAS for pursuing Medicaid estate recovery; and (v) the criteria used to evaluate undue hardship waiver applications. DMAS is requested to also collect race and demographic data for each of the most recent five years on (a) the total number of collections, (b) the number of undue hardship waiver applications submitted, and (c) the number of undue hardship waiver applications that were approved or otherwise successful. The bill requires DMAS to submit an executive summary and such data and information to the members of the House Committee on Health and Human Services and the Senate Committee on Rehabilitation and Social Services no later than the first day of the 2027 Regular Session of the General Assembly.