Texas Senate Bill SB1870

Texas 2023 - 88th Regular

• Filed: 3/8/23

Caption

Relating to a child's eligibility for the Medicaid buy-in program for children or the medically dependent children (MDCP) waiver program.

Impact

If enacted, SB1870 will directly impact the way Texas assesses eligibility for vital Medicaid programs that support children with disabilities. By increasing the threshold for maximum family income, the bill could extend access to healthcare services for a larger number of families. This change aligns with both the Ticket to Work Act and the Balanced Budget Act by intending to provide necessary supports for individuals with disabilities, promoting inclusivity and access to essential medical resources.

Summary

SB1870 aims to reconfigure the eligibility criteria for children participating in Texas' Medicaid buy-in program and the medically dependent children (MDCP) waiver program. Specifically, it amends Section 531.02444 of the Government Code to allow for a more flexible assessment of family income limits for children with disabilities seeking access to Medicaid benefits. The bill also mandates that disability determination assessments and medical necessity assessments for children be conducted directly by the commission rather than through contracted organizations, thereby centralizing these processes within state bureaucracy.

Sentiment

The sentiment around SB1870 appears to be generally supportive among advocates for children with disabilities and healthcare reform. Proponents argue that the bill will enhance access to much-needed services and empower families facing financial barriers. However, there is anticipation of opposition based on concerns regarding the state's capability to manage these evaluations effectively. Given the bill's emphasis on the commission conducting assessments, critics may raise issues about bureaucratic efficiency and the potential for increased waiting times in healthcare access.

Contention

While SB1870 is primarily seen as a positive reform, there are notable points of contention surrounding its implementation. Critics may express skepticism about the state's ability to manage a direct assessment process without external support, fearing that this could lead to inefficiencies or prolonged timelines for families in need. Additionally, concerns surrounding the bill's affordability and the potential impact of changing income eligibility on current beneficiaries may present significant discussion points during legislative reviews.

Texas Constitutional Statutes Affected

Government Code

• Chapter 531. Health And Human Services Commission
  • Section: 02444
  • Section: New Section