SCS/SB 80 - This act modifies the Metabolic Formula Distribution Program. Under current law, formula for the treatment of inherited diseases of amino acids and organic acids are provided to persons meeting certain criteria and an income-based means test determined by the Department of Health and Senior Services. This act modifies those provisions and specifies four separate categories of applicants eligible for assistance under the Metabolic Distribution Formula Program. These four categories of applicants include: (1) Applicants ages birth to five years old who have exhausted all benefits from third party payers, including all government assistance programs;
(2) Applicants between the ages of six to eighteen who have exhausted all benefits from third party payers, including all government assistance programs and whose family income is below three hundred percent of the federal poverty level;
(3) Applicants between the ages of six to eighteen who have exhausted all benefits from third party payers, including all government assistance programs and whose family income is at three hundred percent of the federal poverty level or above. For these applicants, the department shall establish a sliding scale of fees and monthly premiums to be paid in order to receive assistance under the formula distribution program; and
(4) Applicants age nineteen and above who have exhausted all benefits from third party payers, including all government assistance programs and who are eligible under an income-based means test established by the department.
The provisions of this act are contained in HB 948 (2007).
ADRIANE CROUSE