Texas House Bill HB3634

Texas 2017 - 85th Regular

Caption

Relating to the amendment of the Texas Health Care Transformation and Quality Improvement Program waiver.

Impact

The introduction of HB3634 appears to significantly reshape access to ongoing healthcare coverage for low-income families in Texas. By reinstating stricter income verification measures and imposing additional conditions for eligibility, the bill intends to reduce enrollment in these programs. This could lead to a rise in the uninsured population in the state, raising concerns over public health outcomes and access to necessary healthcare services. Additionally, the bill encourages the involvement of employers by introducing health insurance premium payment reimbursement programs, a crucial shift in financing healthcare for Medicaid recipients.

Summary

House Bill 3634 seeks to amend the Texas Health Care Transformation and Quality Improvement Program waiver under the federal Social Security Act. The primary objective of this bill is to reinstate various eligibility criteria for Medicaid and the Children's Health Insurance Program (CHIP) to match what existed prior to December 31, 2013. Key amendments include the reinstatement of income limits and asset tests, as well as setting the eligibility certification period for both Medicaid and CHIP at six months. This legislative move aims to tighten access to Medicaid, moving away from more relaxed income disregards implemented in recent years.

Contention

Debate surrounding HB3634 focuses on the potential for increased barriers to accessing Medicaid services. Proponents argue that reinstating the original eligibility criteria is essential for financial sustainability and ensures that only those truly eligible receive benefits. Critics, however, warn that these changes may disproportionately affect vulnerable populations, including children and the elderly, and could undermine public health initiatives. With the possible implementation of co-payments and fees for missed appointments, concerns arise regarding the affordability and practicality of healthcare for families already under financial strain.