Rhode Island 2023 Regular Session

Rhode Island House Bill H5254 Compare Versions

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55 2023 -- H 5254
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99 S TATE OF RHODE IS LAND
1010 IN GENERAL ASSEMBLY
1111 JANUARY SESSION, A.D. 2023
1212 ____________
1313
1414 A N A C T
1515 RELATING TO HUMAN SE RVICES -- MEDICAL ASSISTANCE
1616 Introduced By: Representatives Morales, Casimiro, Felix, Giraldo, Vella-Wilkinson,
1717 Stewart, Tanzi, Sanchez, Potter, and Phillips
1818 Date Introduced: January 27, 2023
1919 Referred To: House Finance
2020
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2222 It is enacted by the General Assembly as follows:
2323 SECTION 1. Chapter 40-8 of the General Laws entitled "Medical Assistance" is hereby 1
2424 amended by adding thereto the following section: 2
2525 40-8-33. Continued eligibility for certain recipients. 3
2626 (a) The general assembly makes the following findings of fact: 4
2727 (1) The Families First Coronavirus Response Act, Pub. L. No. 116-127 (2020), mandated 5
2828 continuous Medicaid enrollment throughout the federal Covid-19 public health emergency for 6
2929 nearly all of those enrolled in Medicaid on or after the date of enactment of March 18, 2020. These 7
3030 provisions have provided for federal funds to help fund the enrollment of individuals in Medicaid 8
3131 and in the Children’s Health Insurance Program (“CHIP”). 9
3232 (2) In the event the United States Health and Human Services office gives notice of the 10
3333 lifting or expiration of the Covid-19’s public health emergency, and as a result Medicaid’s 11
3434 continuous enrollment provisions come to an end, there is a high likelihood that many enrollees in 12
3535 Medicaid and Chip shall be forced to leave the program due to the loss of eligibility. In this event, 13
3636 those persons shall need another source of coverage. 14
3737 (3) The U.S. Office of Health and Human Services has suggested that the Inflation 15
3838 Reduction Act of 2022 (Pub. L. 117-169), extends the provisions of the American Rescue Plan 16
3939 (Pub. L. 117-2) and its enhanced Marketplace premium tax credit provisions until 2025, and that 17
4040 this may provide a source of alternative coverage for those losing Medicaid eligibility because of 18
4141 the lifting or expiration of the declared Covid-19 state of emergency. 19
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4545 (4) States are directly responsible for redeterminations of eligibility for Medicaid and 1
4646 CHIP. 2
4747 (b) If the public health emergency declared in response to the Covid-19 pandemic is lifted 3
4848 or declared by the United States Health and Human Services Department to expire, and such lifting 4
4949 results in a decrease in federal funds for Medicaid and CHIP and also directly results in the 5
5050 ineligibility of current recipients, the state shall not remove those individuals from Medicaid or 6
5151 CHIP who are presently eligible solely as a result of the declaration, but shall maintain Medicaid 7
5252 and CHIP eligibility for those persons through January 1, 2024. This eligibility shall be maintained 8
5353 even if the person would not meet the eligibility requirements of this chapter, including, but not 9
5454 limited to, the provisions of § 40-8-3. 10
5555 (c) The department of human services shall investigate alternative options for coverage for 11
5656 these individuals so impacted and deemed otherwise ineligible on January 1, 2024, pursuant to the 12
5757 provisions of subsection (b) of this section. 13
5858 SECTION 2. This act shall take effect upon passage. 14
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6565 EXPLANATION
6666 BY THE LEGISLATIVE COUNCIL
6767 OF
6868 A N A C T
6969 RELATING TO HUMAN SE RVICES -- MEDICAL ASSISTANCE
7070 ***
7171 This act would extend Medicaid and CHIP assistance to certain individuals who would 1
7272 otherwise lose such coverage as a result of the federal government declaring an end to the public 2
7373 health emergency declared in response to the Covid-19 pandemic, through to January 1, 2024. 3
7474 This act would take effect upon passage. 4
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