1 | 1 | | By: Herrero H.B. No. 4278 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | A BILL TO BE ENTITLED |
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5 | 5 | | AN ACT |
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6 | 6 | | relating to the child health plan program. |
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7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 8 | | SECTION 1. Sections 62.101(b), and (b-1) of the Health and |
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9 | 9 | | Safety Code, are amended to read as follows: |
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10 | 10 | | (b) The commission shall establish income eligibility |
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11 | 11 | | levels consistent with Title XXI, Social Security Act (42 U.S.C. |
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12 | 12 | | Section 1397aa et seq.), as amended, and any other applicable law or |
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13 | 13 | | regulations, and subject to the availability of appropriated money, |
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14 | 14 | | so that a child who is younger than 19 years of age and whose net |
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15 | 15 | | family income is at or below 300 [200] percent of the federal |
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16 | 16 | | poverty level is eligible for health benefits coverage under the |
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17 | 17 | | program. In addition, the commission may establish eligibility |
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18 | 18 | | standards regarding the amount and types of allowable assets for a |
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19 | 19 | | family whose net family income is above 250 [150] percent of the |
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20 | 20 | | federal poverty level. |
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21 | 21 | | SECTION 2. Section 62.102(b), Health and Safety Code, is |
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22 | 22 | | amended to read as follows: |
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23 | 23 | | (b) During the sixth month following the date of initial |
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24 | 24 | | enrollment or reenrollment of an individual whose net family income |
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25 | 25 | | exceeds 285 [185] percent of the federal poverty level, the |
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26 | 26 | | commission shall: |
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27 | 27 | | (1) review the individual's net family income and may |
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28 | 28 | | use electronic technology if available and appropriate; and |
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29 | 29 | | (2) continue to provide coverage if the individual's |
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30 | 30 | | net family income does not exceed the income eligibility limits |
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31 | 31 | | prescribed by this chapter. |
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32 | 32 | | SECTION 3. Section 62.101(b), Health and Safety Code, as |
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33 | 33 | | amended by this Act, applies to a determination of eligibility of a |
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34 | 34 | | person for coverage under the child health plan under Chapter 62, |
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35 | 35 | | Health and Safety Code, made on or after the effective date of this |
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36 | 36 | | Act, regardless of the date the person applied for that coverage. |
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37 | 37 | | SECTION 4. Section 62.102(b), Health and Safety Code, as |
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38 | 38 | | amended by this Act, applies to an enrollee under the child health |
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39 | 39 | | plan under Chapter 62, Health and Safety Code, beginning on the |
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40 | 40 | | effective date of this Act, regardless of the date the enrollment |
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41 | 41 | | period began. |
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42 | 42 | | SECTION 5. If before implementing any provision of this Act |
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43 | 43 | | a state agency determines that a waiver or authorization from a |
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44 | 44 | | federal agency is necessary for implementation of that provision, |
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45 | 45 | | the agency affected by the provision shall request a waiver or |
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46 | 46 | | authorization and may delay implementing that provision until the |
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47 | 47 | | waiver or authorization is granted. |
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48 | 48 | | SECTION 6. This Act takes effect September 1, 2009. |
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49 | 49 | | (b-1) The eligibility standards adopted under Subsection |
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50 | 50 | | (b) related to allowable assets: |
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51 | 51 | | (1) must allow a family to own at least $20,000 |
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52 | 52 | | [$10,000] in allowable assets; and |
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53 | 53 | | (2) may not in calculating the amount of allowable |
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54 | 54 | | assets under Subdivision (1) consider: |
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55 | 55 | | (A) the value of one vehicle that qualifies for |
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56 | 56 | | an exemption under commission rule based on its use; |
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57 | 57 | | (B) the value of a second or subsequent vehicle |
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58 | 58 | | that qualifies for an exemption under commission rule based on its |
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59 | 59 | | use if: |
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60 | 60 | | (i) the vehicle is worth $18,000 or less; or |
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61 | 61 | | (ii) the vehicle has been modified to |
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62 | 62 | | provide transportation for a household member with a disability; |
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63 | 63 | | (C) if no vehicle qualifies for an exemption |
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64 | 64 | | based on its use under commission rule, the [first $18,000 of] value |
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65 | 65 | | of the highest valued vehicle; or |
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66 | 66 | | (D) the first $7,500 of value of any vehicle not |
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67 | 67 | | described by Paragraph (A), (B), or (C). |
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68 | 68 | | SECTION 2. Subchapter C, Chapter 62, Health and Safety |
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69 | 69 | | Code, is amended by adding Section 62.1012 to read as follows: |
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70 | 70 | | Sec. 62.1012. FULL COST BUY-IN PROGRAM. (a) The commission |
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71 | 71 | | may establish a full cost buy-in program under which a family pays |
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72 | 72 | | premiums in an amount that fully offsets the cost of coverage under |
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73 | 73 | | the child health plan. |
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74 | 74 | | (b) A child who is not eligible for the child health plan |
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75 | 75 | | because the family's allowable assets exceed the amount established |
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76 | 76 | | under Section 62.101(b) is eligible to participate in a full cost |
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77 | 77 | | buy-in program established under this section. |
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78 | 78 | | SECTION 3. If before implementing any provision of this Act |
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79 | 79 | | a state agency determines that a waiver or authorization from a |
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80 | 80 | | federal agency is necessary for implementation of that provision, |
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81 | 81 | | the agency affected by the provision shall request the waiver or |
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82 | 82 | | authorization and may delay implementing that provision until the |
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83 | 83 | | waiter or authorization is granted. |
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84 | 84 | | SECTION 4. This Act takes effect September 1, 2009. |
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