Texas 2021 - 87th Regular

Texas House Bill HB290

Caption

Relating to the period of continuous eligibility and a periodic eligibility review for a child for Medicaid.

Impact

The implications of HB290 for state law center on how Medicaid eligibility is determined and maintained. By restricting the frequency of income reviews and allowing continuous eligibility for a defined period, the bill seeks to reduce administrative barriers for families, ultimately promoting healthcare access for children. The proposed changes reflect a more streamlined approach, lessening the likelihood of unintentional lapses in coverage and aligning Texas state policy with federal law, which emphasizes the importance of consistent access to medical assistance.

Summary

House Bill 290 is aimed at modifying the Medicaid eligibility review process for children under the age of 19. The bill allows for two consecutive periods of eligibility without additional review during the first period, regardless of changes in household income. The second period, however, is subjected to income verification, which will utilize electronic data available to the Texas Health and Human Services Commission (HHSC). This adjustment is intended to ensure that children maintain access to necessary medical assistance while also incorporating efficient means to verify eligibility.

Sentiment

Support for HB290 is generally positive, particularly from child advocacy groups and healthcare providers who see the bill as a way to enhance stability and predictability in healthcare access for low-income families. However, some concerns were raised regarding the potential for increased costs to the state due to the provisions that allow for extended eligibility periods without frequent income verification. The sentiment among supporters highlights the importance of ensuring healthcare access for vulnerable populations, while critics emphasize fiscal responsibility and the management of state resources.

Contention

Notable points of contention include the balance between ensuring that eligible children receive the necessary medical assistance and the potential fiscal impacts on the state budget. There are ongoing discussions about the effectiveness of electronic income data verification as a means of ensuring continued eligibility without frequent oversight. Opponents argue that this could lead to abuses within the system, although proponents highlight that it also limits unnecessary disruptions in care for children who may otherwise qualify for assistance.

Companion Bills

TX SB39

Same As Relating to the period of continuous eligibility for the medical assistance program.

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