Bill Text: TX HB4016 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to demonstration projects to coordinate eligibility renewal and eligibility recertification for certain children in the Medicaid and child health plan programs.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-03-21 - Referred to Human Services [HB4016 Detail]
Download: Texas-2019-HB4016-Introduced.html
86R13112 JG-F | ||
By: Calanni | H.B. No. 4016 |
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relating to demonstration projects to coordinate eligibility | ||
renewal and eligibility recertification for certain children in the | ||
Medicaid and child health plan programs. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter C, Chapter 62, Health and Safety | ||
Code, is amended by adding Section 62.1025 to read as follows: | ||
Sec. 62.1025. ELIGIBILITY RENEWAL DEMONSTRATION PROJECT. | ||
(a) The commission shall establish a demonstration project through | ||
the child health plan program to allow the commission to | ||
simultaneously renew the eligibility of each child residing in the | ||
same household who is eligible for enrollment in the program. | ||
(b) The executive commissioner shall adopt rules necessary | ||
to determine the scope of and eligibility for participating in the | ||
demonstration project. | ||
(c) The commission shall, to the extent possible, operate | ||
the demonstration project established under this section in | ||
conjunction with the demonstration project established under | ||
Section 32.02614, Human Resources Code. The demonstration project | ||
may not increase the frequency with which: | ||
(1) the eligibility of children participating in the | ||
demonstration project would otherwise be renewed; or | ||
(2) those children's household incomes are reviewed | ||
under Section 62.102(b). | ||
(d) Not later than December 1, 2022, the commission shall | ||
submit a report to the legislature regarding the commission's | ||
progress in establishing and operating the demonstration project | ||
and recommendations on continuing or expanding the demonstration | ||
project. | ||
(e) This section expires September 1, 2023. | ||
SECTION 2. Subchapter B, Chapter 32, Human Resources Code, | ||
is amended by adding Section 32.02614 to read as follows: | ||
Sec. 32.02614. ELIGIBILITY RECERTIFICATION DEMONSTRATION | ||
PROJECT. (a) In this section, "child health plan program" has the | ||
meaning assigned by Section 531.001, Government Code. | ||
(b) The commission shall establish a demonstration project | ||
through the medical assistance program to allow the commission, to | ||
the greatest extent possible, to develop and test solutions to | ||
simultaneously: | ||
(1) recertify and renew, as applicable, the | ||
eligibility of each child residing in the same household who is | ||
eligible for medical assistance under this chapter or for the child | ||
health plan program, including the eligibility of siblings when a | ||
child within the household reaches the age of one; and | ||
(2) verify the household income of all persons | ||
described by Subdivision (1) in accordance with this section to | ||
determine eligibility. | ||
(c) The demonstration project must include participation by | ||
one or more households in each of the following categories: | ||
(1) a household with children who are eligible for | ||
medical assistance or the child health plan program, at least one of | ||
whom is younger than the age of one; | ||
(2) a household with children who are eligible for | ||
medical assistance or the child health plan program, at least some | ||
of whom are not siblings; and | ||
(3) a household with at least one child who is eligible | ||
for medical assistance and at least one child who is eligible for | ||
the child health plan program. | ||
(d) The commission shall simultaneously verify the | ||
household income of all children within the same household | ||
participating in the demonstration project not more frequently than | ||
three times during each 12-month period. To the extent | ||
practicable: | ||
(1) the first verification must occur before the | ||
fourth month following the earliest date that a child residing in | ||
the household was determined to be eligible for the medical | ||
assistance program; | ||
(2) the second verification must occur after the | ||
four-month period but before the eighth month following the | ||
earliest date that a child residing in the household was determined | ||
to be eligible for the medical assistance program; and | ||
(3) the third verification must occur after the | ||
eight-month period but before the annual recertification date. | ||
(e) The executive commissioner shall adopt rules necessary | ||
to determine the scope of and eligibility for participating in the | ||
demonstration project. | ||
(f) The commission may establish the demonstration project | ||
in one or more geographic areas in this state and form partnerships | ||
with entities experienced in outreach, application assistance, and | ||
enrolling recipients in the medical assistance program, the child | ||
health plan program, and any other health benefits coverage. | ||
(g) The commission shall, to the extent possible, operate | ||
the demonstration project established under this section in | ||
conjunction with the demonstration project established under | ||
Section 62.1025, Health and Safety Code. | ||
(h) Not later than December 1, 2022, the commission shall | ||
submit a report to the legislature regarding the commission's | ||
progress in establishing and operating the demonstration project | ||
and recommendations on continuing or expanding the demonstration | ||
project. | ||
(i) This section expires September 1, 2023. | ||
SECTION 3. Not later than September 1, 2020, the Health and | ||
Human Services Commission shall implement the eligibility renewal | ||
and eligibility recertification demonstration projects required by | ||
Section 62.1025, Health and Safety Code, as added by this Act, and | ||
Section 32.02614, Human Resources Code, as added by this Act. | ||
SECTION 4. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 5. This Act takes effect immediately if it receives | ||
a vote of two-thirds of all the members elected to each house, as | ||
provided by Section 39, Article III, Texas Constitution. If this | ||
Act does not receive the vote necessary for immediate effect, this | ||
Act takes effect September 1, 2019. |