Page 395

House Bill No. 5506

Public Act No. 22-118 395 of 739

individual market at a silver level of coverage, [;] and (vi) are utilizing the full amount of applicable premium subsidies for such plan; and (D) On and after July 1, 2022, for the following additional family members of parents, caretaker relatives, and adults receiving coverage under such qualified health plan, provided the requirements of subparagraph (C) of subdivision (1) of this subsection are met: (i) A child over twenty-six years of age who is permanently and totally disabled, as defined by the Internal Revenue Service pursuant to 26 USC 152, or (ii) a child who is over the age of twenty-six and is incapable of self-sustaining employment by reason of mental or physical handicap and is chiefly dependent upon the parent or caretaker relative for support and maintenance, as described in sections 38a-489 and 38a-512a, or (iii) a child or stepchild, as described in sections 38a-497 and 38a-512b. (2) Not earlier than July 1, 2022, provide dental and nonemergency medical transportation services, as provided under chapter 319v, to all [parents, needy caretaker relatives and nonpregnant low-income adults who (A) are between eighteen and sixty-four years of age, (B) are eligible for premium and cost-sharing subsidies for a qualified health plan, (C) are ineligible for Medicaid because their income exceeds the Medicaid income limits under chapter 319v, (D) have household income up to one hundred seventy-five per cent of the federal poverty level, and (E) are receiving coverage under the benchmark qualified health plan offered through the exchange in the individual market at a silver level of coverage] eligible individuals described in subdivision (1) of this subsection; (3) Establish procedures to, on a quarterly basis, pay in reimbursement to each health carrier offering the qualified health plan described in subparagraph (A) or (B) of subdivision (1) of this subsection, as applicable, the premium and cost-sharing subsidies required under subdivision (1) of this subsection to ensure fully subsidized coverage; and