5 | 3 | | |
---|
6 | 4 | | |
---|
7 | 5 | | A BILL TO BE ENTITLED |
---|
8 | 6 | | AN ACT |
---|
9 | 7 | | relating to demonstration projects to coordinate eligibility |
---|
10 | 8 | | renewal and eligibility recertification for certain children in the |
---|
11 | 9 | | Medicaid and child health plan programs. |
---|
12 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
13 | 11 | | SECTION 1. Subchapter C, Chapter 62, Health and Safety |
---|
14 | 12 | | Code, is amended by adding Section 62.1025 to read as follows: |
---|
15 | 13 | | Sec. 62.1025. ELIGIBILITY RENEWAL DEMONSTRATION PROJECT. |
---|
16 | 14 | | (a) The commission shall establish a demonstration project through |
---|
17 | 15 | | the child health plan program to allow the commission to |
---|
18 | 16 | | simultaneously renew the eligibility of multiple children within |
---|
19 | 17 | | the same household who are eligible for enrollment in the program. |
---|
20 | 18 | | (b) The executive commissioner shall adopt rules necessary |
---|
21 | 19 | | to determine the scope of and eligibility for participating in the |
---|
22 | 20 | | demonstration project. |
---|
23 | 21 | | (c) The commission shall, to the extent possible, operate |
---|
24 | 22 | | the demonstration project under this section in conjunction with |
---|
25 | 23 | | the demonstration project under Section 32.02614, Human Resources |
---|
26 | 24 | | Code. The demonstration project may not increase the frequency |
---|
27 | 25 | | with which: |
---|
28 | 26 | | (1) the eligibility of children participating in the |
---|
29 | 27 | | demonstration project would otherwise be renewed; or |
---|
30 | 28 | | (2) those children's household incomes are reviewed |
---|
31 | 29 | | under Section 62.102(b). |
---|
32 | 30 | | (d) Not later than December 1, 2020, the commission shall |
---|
33 | 31 | | submit a report to the legislature regarding the commission's |
---|
34 | 32 | | progress in establishing and operating the demonstration project |
---|
35 | 33 | | and recommendations on continuing or expanding the demonstration |
---|
36 | 34 | | project. |
---|
37 | 35 | | (e) This section expires September 1, 2021. |
---|
38 | 36 | | SECTION 2. Subchapter B, Chapter 32, Human Resources Code, |
---|
39 | 37 | | is amended by adding Section 32.02614 to read as follows: |
---|
40 | 38 | | Sec. 32.02614. ELIGIBILITY RECERTIFICATION DEMONSTRATION |
---|
41 | 39 | | PROJECT. (a) In this section, "child health plan program" has the |
---|
42 | 40 | | meaning assigned by Section 531.001, Government Code. |
---|
43 | 41 | | (b) The commission shall establish a demonstration project |
---|
44 | 42 | | through the medical assistance program to allow the commission, to |
---|
45 | 43 | | the greatest extent possible, to develop and test solutions to |
---|
46 | 44 | | simultaneously: |
---|
47 | 45 | | (1) recertify and renew, as applicable, the |
---|
48 | 46 | | eligibility of multiple children within the same household who are |
---|
49 | 47 | | eligible for medical assistance under this chapter or for the child |
---|
50 | 48 | | health plan program, including the eligibility of siblings when a |
---|
51 | 49 | | child within the household reaches the age of one; and |
---|
52 | 50 | | (2) verify the household income of all persons |
---|
53 | 51 | | described by Subdivision (1) in accordance with this section to |
---|
54 | 52 | | determine eligibility. |
---|
55 | 53 | | (c) The demonstration project must include participation by |
---|
56 | 54 | | one or more households in each of the following categories: |
---|
57 | 55 | | (1) a household with children who are eligible for |
---|
58 | 56 | | medical assistance or the child health plan program, at least one of |
---|
59 | 57 | | whom is younger than the age of one; |
---|
60 | 58 | | (2) a household with children who are eligible for |
---|
61 | 59 | | medical assistance or the child health plan program, at least some |
---|
62 | 60 | | of whom are not siblings; and |
---|
63 | 61 | | (3) a household with at least one child who is eligible |
---|
64 | 62 | | for medical assistance and at least one child who is eligible for |
---|
65 | 63 | | the child health plan program. |
---|
66 | 64 | | (d) The commission shall simultaneously verify the |
---|
67 | 65 | | household income of all children within the same household |
---|
68 | 66 | | participating in the demonstration project not more frequently than |
---|
69 | 67 | | twice during each 12-month period, with the first verification |
---|
70 | 68 | | occurring before the sixth month following the earliest date that a |
---|
71 | 69 | | child within the household was determined to be eligible for the |
---|
72 | 70 | | medical assistance program, and the second verification occurring |
---|
73 | 71 | | after that six-month period but before the annual recertification |
---|
74 | 72 | | date. |
---|
75 | 73 | | (e) The executive commissioner shall adopt rules necessary |
---|
76 | 74 | | to determine the scope of and eligibility for participating in the |
---|
77 | 75 | | demonstration project. |
---|
78 | 76 | | (f) The commission may establish the demonstration project |
---|
79 | 77 | | in one or more geographic areas and form partnerships with entities |
---|
80 | 78 | | experienced in outreach, application assistance, and enrolling |
---|
81 | 79 | | recipients in the medical assistance program, the child health plan |
---|
82 | 80 | | program, and any other health benefits coverage. |
---|
83 | 81 | | (g) The commission shall, to the extent possible, operate |
---|
84 | 82 | | the demonstration project under this section in conjunction with |
---|
85 | 83 | | the demonstration project under Section 62.1025, Health and Safety |
---|
86 | 84 | | Code. |
---|
87 | 85 | | (h) Not later than December 1, 2020, the commission shall |
---|
88 | 86 | | submit a report to the legislature regarding the commission's |
---|
89 | 87 | | progress in establishing and operating the demonstration project |
---|
90 | 88 | | and recommendations on continuing or expanding the demonstration |
---|
91 | 89 | | project. |
---|
92 | 90 | | (i) This section expires September 1, 2021. |
---|
93 | 91 | | SECTION 3. Not later than September 1, 2018, the Health and |
---|
94 | 92 | | Human Services Commission shall implement the eligibility renewal |
---|
95 | 93 | | and eligibility recertification demonstration projects required by |
---|
96 | 94 | | Section 62.1025, Health and Safety Code, as added by this Act, and |
---|
97 | 95 | | Section 32.02614, Human Resources Code, as added by this Act. |
---|
98 | 96 | | SECTION 4. If before implementing any provision of this Act |
---|
99 | 97 | | a state agency determines that a waiver or authorization from a |
---|
100 | 98 | | federal agency is necessary for implementation of that provision, |
---|
101 | 99 | | the agency affected by the provision shall request the waiver or |
---|
102 | 100 | | authorization and may delay implementing that provision until the |
---|
103 | 101 | | waiver or authorization is granted. |
---|
104 | 102 | | SECTION 5. This Act takes effect immediately if it receives |
---|
105 | 103 | | a vote of two-thirds of all the members elected to each house, as |
---|
106 | 104 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
107 | 105 | | Act does not receive the vote necessary for immediate effect, this |
---|
108 | 106 | | Act takes effect September 1, 2017. |
---|