                                 CODE OF VIRGINIA

MEDICAID INNOVATION AND REFORM COMMISSION; MEMBERSHIP; TERMS; COMPENSATION AND
EXPENSES; DEFINITION (§ 30-347)

A. The Medicaid Innovation and Reform Commission (the Commission) is established
as a commission in the legislative branch of state government. The purpose of
the Commission shall be to review, recommend and approve innovation and reform
proposals affecting the implementation of Title XIX and Title XXI of the Social
Security Act, including eligibility and financing for proposals set out in Item
307 of Chapter 806 of the 2013 Acts of Assembly. Specifically, the Commission
shall review (i) the development of reform proposals; (ii) progress in obtaining
federal approval for reforms such as benefit design, service delivery, payment
reform, and quality and cost containment outcomes; and (iii) implementation of
reform measures.

B. The Commission shall consist of 12 members as follows: the chair of the House
Committee on Appropriations, or his designee, and four members of the House
Committee on Appropriations appointed by the chair and the chair of the Senate
Committee on Finance and Appropriations, or his designee, and four members of
the Senate Committee on Finance and Appropriations appointed by the chair. In
addition, the Secretaries of Finance and Health and Human Resources shall serve
as ex officio, nonvoting members of the Commission.

C. Members shall serve terms coincident with their terms of office. Vacancies
for unexpired terms shall be filled in the same manner as the original
appointments. Members may be reappointed for successive terms.

D. 1. The members of the Commission shall elect a chairman and vice chairman
annually. A majority of the voting members of the Commission shall constitute a
quorum. The meetings of the Commission shall be held at the call of the chairman
or whenever the majority of the members so request. The Commission shall meet
bimonthly beginning in June 2013, or as soon as possible thereafter.

   2. An affirmative vote by three of the five members of the Commission from the
   House of Delegates and three of the five members of the Commission from the
   Senate shall be required to endorse any reform proposal to amend the State
   Plan for Medical Assistance under Title XIX of the Social Security Act, and
   any waivers thereof, to implement coverage for newly eligible individuals
   pursuant to 42 U.S.C. &#xA7; 1396d(y)(1)[2010] of the Patient Protection and
   Affordable Care Act.

E. Legislative members of the Commission shall receive such compensation as
provided in &#xA7; 30-19.12, and nonlegislative members shall receive such
compensation as provided in &#xA7; 2.2-2813.

HISTORY: 2013, c. 806.