(a)  Persons who are residents of this state and:

(i)  are over the age of sixty (60) and are ineligible for Medicare Part D; or

(ii)  receive Social Security Disability Insurance benefits; or

(iii)  subject to subsection (b), are uninsured for prescription drugs and have an annual family income at or below three hundred percent (300%) of the federal poverty level, shall be eligible for the prescription drug discount program offered under the provisions of this chapter.

(b)  Persons eligible shall not include an individual who is eligible, or has been eligible for the four (4) months prior to the application for the drug discount program offered under the provisions of this chapter, for outpatient prescription drug coverage under a health benefits program, other than a worker’s compensation program, paid for in whole or in part by an employer, Medicaid, Medicare, or another state or federal health plan or pharmaceutical assistance program that uses state or federal funds to pay part or all of the individual’s prescription drug costs. This provision shall not apply to individuals who become uninsured due to a layoff or sponsored health plan bankruptcy.

(c)  An individual or a household member acting on behalf of an individual may establish eligibility by self-certification of the criteria established in subsections (a) and (b), and prospective enrollees shall be informed of the penalties for making false statements on a government application. The contractor shall facilitate distribution of information needed to make self-certification application and may provide for enrollment using telephone, Internet and such other means as are likely to reach prospective enrollees, including use of volunteers and community based outreach.