Texas Senate Bill SB1825

Texas 2019 - 86th Regular

Caption

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

Impact

The implementation of SB1825 is expected to broaden access to healthcare services for children with disabilities, potentially benefiting a significant number of families by allowing them to retain healthcare coverage while working. This change also emphasizes the state's commitment to supporting disabled children and their families, aligning with federal laws such as the Ticket to Work and Work Incentives Improvement Act. With direct assessments for determining eligibility, the bill aims for a more streamlined and efficient process, enhancing the experience for families navigating these programs.

Summary

Senate Bill 1825 addresses the eligibility criteria for two important healthcare programs for children: the Medicaid buy-in for children and the Medically Dependent Children Program (MDCP) waiver. The bill amends Section 531.02444 of the Government Code, which pertains to these programs, expanding the income eligibility threshold for families of children with disabilities. Specifically, it sets family income eligibility for the buy-in program at up to 300 percent of the federal poverty level, ensuring that more families can access essential healthcare services without the financial burden that typically comes with medical costs.

Contention

Notably, discussions surrounding the bill could center on the potential fiscal implications, as increasing the eligibility for Medicaid buy-in may lead to higher expenditures. Critics might express concerns about the sustainability of funding for these vital programs given the potential increase in enrollment. Nevertheless, supporters argue that the long-term healthcare benefits for children outweigh immediate financial considerations. The requirement for direct assessments by the commission, prohibiting outsourcing to managed care organizations, may also spark debate over efficiency and the quality of assessments, weighing state control against the practicality of utilizing external resources.