Texas House Bill HB108

Texas 2021 - 87th 1st C.S.

Caption

Relating to the creation of a Medicaid buy-in program for certain low-income individuals through the expansion of Medicaid under the federal Patient Protection and Affordable Care Act.

Impact

If enacted, HB 108 will amend the Human Resources Code to include provisions that facilitate expanded medical assistance for eligible individuals. The legislation mandates the creation of a sliding-scale premium system, allowing families earning between 133% and 200% of the federal poverty level to buy into the state Medicaid program. Furthermore, it requires an annual report on the impacts of this expansion, addressing aspects such as the uninsured population and overall state and local healthcare costs.

Summary

House Bill 108 aims to create a Medicaid buy-in program that expands eligibility for low-income individuals in Texas. This legislation leverages the federal Patient Protection and Affordable Care Act to allow individuals to purchase health coverage through the state's Medicaid program. The bill emphasizes increasing access to necessary healthcare services for those who may not have adequate coverage options available in the private marketplace. This initiative is particularly focused on children, ensuring that families with low income can afford health benefits for their dependents.

Contention

The discussions surrounding HB 108 have highlighted various points of contention, particularly regarding how the expansion of Medicaid might affect state resources and the local healthcare landscape. Proponents assert that the program could mitigate issues of uncompensated care for hospitals and potentially reduce the number of uninsured individuals. Conversely, opponents may raise concerns about the financial implications for state funds and the administrative burden on the Health and Human Services Commission to implement these changes effectively. The debate centers around balancing improved access to healthcare against fiscal responsibility.