Bill Text: TX HB4550 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to the eligibility of certain children for the Medicaid and child health plan programs.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-03-26 - Referred to Human Services [HB4550 Detail]
Download: Texas-2019-HB4550-Introduced.html
86R5467 MM-D | ||
By: Neave | H.B. No. 4550 |
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relating to the eligibility of certain children for the Medicaid | ||
and child health plan programs. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 531.02444, Government Code, is amended | ||
by amending Subsection (a) and adding Subsection (a-1) to read as | ||
follows: | ||
(a) The executive commissioner shall develop and implement: | ||
(1) a Medicaid buy-in program for persons with | ||
disabilities as authorized by the Ticket to Work and Work | ||
Incentives Improvement Act of 1999 (Pub. L. No. 106-170) or the | ||
Balanced Budget Act of 1997 (Pub. L. No. 105-33); and | ||
(2) subject to Subsection (a-1) as authorized by the | ||
Deficit Reduction Act of 2005 (Pub. L. No. 109-171), a Medicaid | ||
buy-in program for children with disabilities that is described by | ||
42 U.S.C. Section 1396a(cc)(1) whose family incomes do not exceed | ||
300 percent of the applicable federal poverty level. | ||
(a-1) The executive commissioner may by rule increase the | ||
percentage rate prescribed by Subsection (a)(2) to a rate the | ||
executive commissioner determines appropriate taking into account | ||
the income eligibility cap set under Section 32.024(l)(3), Human | ||
Resources Code. | ||
SECTION 2. Section 62.101(b), Health and Safety Code, is | ||
amended to read as follows: | ||
(b) The executive commissioner shall establish income | ||
eligibility levels consistent with Title XXI, Social Security Act | ||
(42 U.S.C. Section 1397aa et seq.), as amended, and any other | ||
applicable law or regulations, and subject to the availability of | ||
appropriated money, so that a child who is younger than 19 years of | ||
age and whose household income is at or below 376 [ |
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the federal poverty level is eligible for health benefits coverage | ||
under the program. | ||
SECTION 3. Section 62.102(b), Health and Safety Code, is | ||
amended to read as follows: | ||
(b) During the sixth month following the date of initial | ||
enrollment or reenrollment of an individual whose household income | ||
exceeds 348 [ |
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commission shall: | ||
(1) review the individual's household income and may | ||
use electronic technology if available and appropriate; and | ||
(2) continue to provide coverage if the individual's | ||
household income does not exceed the income eligibility limits | ||
prescribed by this chapter. | ||
SECTION 4. Section 32.024(l), Human Resources Code, is | ||
amended to read as follows: | ||
(l) The executive commissioner shall set the income | ||
eligibility cap for medical assistance for: | ||
(1) pregnant women [ |
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less than 130 percent of the federal poverty guidelines; | ||
(2) except as provided by Subdivision (3), children | ||
under 19 years of age at not less than 250 percent of the federal | ||
poverty guidelines; and | ||
(3) children under 19 years of age with a disability at | ||
not less than 300 percent of the federal poverty guidelines. | ||
SECTION 5. If before implementing any provision of this Act | ||
a state agency determines that an additional waiver or additional | ||
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 6. This Act takes effect September 1, 2019. |