District Of Columbia 2023-2024 Regular Session

District Of Columbia Council Bill B25-0419 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	~~ENROLLED~~ ORIGINAL
	1	+	ENGROSSED ORIGINAL
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6	6		1
7		-	AN ACT
8		-
9		-	___________________
10		-
11		-	IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
12		-
13		-	_________________________
14		-
15		-
16		-	To amend the Medical Assistance Expansion Program Act of 1999 to provide for continuous
17		-	coverage for children 0 to 6 years of age under Medicaid, the Children’s Health Insurance
18		-	Program, and the Immigrant Children’s Program.
19		-
20		-	BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
21		-	act may be cited as the “Childhood Continuous Coverage Amendment Act of 2024”.
22		-
23		-	Sec. 2. The Medical Assistance Expansion Program Act of 1999, effective October 20,
24		-	1999 (D.C. Law 13-38; D.C. Official Code § 1-307.03 passim), is amended by adding a new
25		-	section 2203a to read as follows:
26		-	“Sec. 2203a. Childhood continuous eligibility requirements.
27		-	“(a)(1) Except as otherwise provided in subsection (c) of this section, a child who is 0 to
28		-	5 years of age, excluding those eligible for Medicaid based on the home and community-based
29		-	services waiver under 42 CFR § 435.217, who enrolls in Medicaid or the Children’s Health
30		-	Insurance Program authorized under section 2203, shall be eligible to receive continuous
31		-	coverage through Medicaid or the Children’s Health Insurance Program, regardless of the
32		-	family’s change in income, until the end of the month in which the child turns 6 years of age;
33		-	provided, that the continuous coverage described by this subsection shall not apply until such
34		-	time that the Centers for Medicare & Medicaid Services approves the waiver or exemption, or
35		-	amendment to the Medicaid state plan described in paragraph (2) of this subsection.
36		-	“(2) By September 30, 2024, the Mayor shall seek any waivers and exemptions
37		-	from federal statutes and regulations, or amendments to the Medicaid state plan, necessary to
38		-	provide the continuous coverage described in this subsection.
39		-	“(b) Except as otherwise provided in subsection (c) of this section, a child who is 0 to 5
40		-	years of age who enrolls in the Immigrant Children’s Program established under section 2202(b)
41		-	shall be eligible to receive continuous coverage through the Immigrant Children’s Program,
42		-	regardless of the family’s change in income, until the end of the month in which the child turns 6
43		-	years of age.
44		-	“(c) A child’s eligibility to receive continuous coverage under this section shall be
45		-	redetermined or terminated if:
46		-	“(1) The child is no longer a resident of the District; ENROLLED ORIGINAL
	7	+	A BILL 1
	8	+	2
	9	+	25-419 3
	10	+	4
	11	+	IN THE COUNCIL OF THE DISTRICT OF COLUMBIA 5
	12	+	6
	13	+	_________________________ 7
	14	+	8
	15	+	9
	16	+	To amend the Medical Assistance Expansion Program Act of 1999 to provide for continuous 10
	17	+	coverage for children 0 to 6 years of age under Medicaid, the Children’s Health Insurance 11
	18	+	Program, and the Immigrant Children’s Program. 12
	19	+	13
	20	+	BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this 14
	21	+	act may be cited as the “Childhood Continuous Coverage Amendment Act of 2023”. 15
	22	+	Sec. 2. The Medical Assistance Expansion Program Act of 1999, effective October 20, 16
	23	+	1999 (D.C. Law 13-38; D.C. Official Code § 1-307.03 passim), is amended by adding a new 17
	24	+	section 2203a to read as follows: 18
	25	+	“Sec. 2203a. Childhood continuous eligibility requirements. 19
	26	+	“(a)(1) Except as otherwise provided in subsection (c) of this section, a child who is 0 to 20
	27	+	5 years of age, excluding those eligible for Medicaid based on the home and community-based 21
	28	+	services waiver under 42 CFR § 435.217, who enrolls in Medicaid or the Children’s Health 22
	29	+	Insurance Program authorized under section 2203, shall be eligible to receive continuous 23
	30	+	coverage through Medicaid or the Children’s Health Insurance Program, regardless of the 24
	31	+	family’s change in income, until the end of the month in which the child turns 6 years of age; 25
	32	+	provided, that the continuous coverage described by this subsection shall not apply until such 26 ENGROSSED ORIGINAL
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48	34
49	35
50	36
51	37		2
52		-	“(2) The child’s parent or legal guardian requests termination of eligibility;
53		-	“(3) The child dies; or
54		-	“(4) The Department of Healthcare Finance determines that the child’s eligibility
55		-	was erroneously granted at the most recent determination, redetermination, or renewal of
56		-	eligibility because of agency error, fraud, abuse, or perjury.”.
57		-
58		-	Sec. 3. Applicability.
59		-	(a) This act shall apply upon the date of inclusion of its fiscal effect in an approved
60		-	budget and financial plan.
61		-	(b) The Chief Financial Officer shall certify the date of the inclusion of the fiscal effect in
62		-	an approved budget and financial plan, and provide notice to the Budget Director of the Council
63		-	of the certification.
64		-	(c)(1) The Budget Director shall cause the notice of the certification to be published in
65		-	the District of Columbia Register.
66		-	(2) The date of publication of the notice of the certification shall not affect the
67		-	applicability of this act.
68		-
69		-	Sec. 4. Fiscal impact statement.
70		-	The Council adopts the fiscal impact statement in the committee report as the fiscal
71		-	impact statement required by section 4a of the General Legislative Procedures Act of 1975,
72		-	approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
73		-
74		-	Sec. 5. Effective date.
75		-	This act shall take effect after approval by the Mayor (or in the event of veto by the
76		-	Mayor, action by the Council to override the veto), a 30-day period of congressional review as
77		-	provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December
78		-	24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)), and publication in the District of
79		-	Columbia Register.
	38	+	time that the Centers for Medicare and Medicaid Services approves the waiver or exemption, or 27
	39	+	amendment to the Medicaid state plan, described in paragraph (2) of this subsection. 28
	40	+	“(2) By September 30, 2024, the Mayor shall seek any waivers and exemptions 29
	41	+	from federal statutes and regulations, or amendments to the Medicaid state plan, necessary to 30
	42	+	provide the continuous coverage described in this subsection. 31
	43	+	“(b) Except as otherwise provided in subsection (c) of this section, a child who is 0 to 5 32
	44	+	years of age who enrolls in the Immigrant Children’s Program established under section 2202(b) 33
	45	+	shall be eligible to receive continuous coverage through the Immigrant Children’s Program, 34
	46	+	regardless of the family’s change in income, until the end of the month in which the child turns 6 35
	47	+	years of age. 36
	48	+	“(c) A child’s eligibility to receive continuous coverage under this section shall be 37
	49	+	redetermined or terminated if: 38
	50	+	“(1) The child is no longer a resident of the District; 39
	51	+	“(2) The child’s parent or legal guardian requests termination of eligibility; 40
	52	+	“(3) The child dies; or 41
	53	+	“(4) The Department of Healthcare Finance determines that the child’s eligibility 42
	54	+	was erroneously granted at the most recent determination, redetermination, or renewal of 43
	55	+	eligibility because of agency error, fraud, abuse, or perjury.”. 44
	56	+	Sec. 3. Fiscal impact statement. 45 ENGROSSED ORIGINAL
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83		-	______________________________
84		-	Chairman
85		-	Council of the District of Columbia
86	60
87		-
88		-
89		-	_________________________________
90		-	Mayor
91		-	District of Columbia
	61	+	3
	62	+	The Council adopts the fiscal impact statement in the committee report as the fiscal 46
	63	+	impact statement required by section 4a of the General Legislative Procedures Act of 1975, 47
	64	+	approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a). 48
	65	+	Sec. 4. Effective date. 49
	66	+	This act shall take effect after approval by the Mayor (or in the event of veto by the 50
	67	+	Mayor, action by the Council to override the veto), a 30-day period of congressional review as 51
	68	+	provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December 52
	69	+	24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)), and publication in the District of 53
	70	+	Columbia Register. 54