Texas House Bill HB2309

Texas 2019 - 86th Regular

Caption

Relating to a Medicaid buy-in program for Medicaid recipients with increased household income from employment with a small business.

Impact

Should the bill be enacted, it would amend the Government Code to establish specific eligibility requirements for this Medicaid buy-in program. Importantly, it would allow those affected to maintain their health coverage despite increased income, which is particularly beneficial for working individuals who rely on small business employment. This measure could enhance economic stability for families as it provides a safety net that facilitates upward mobility without the fear of losing healthcare coverage.

Summary

House Bill 2309 introduces a Medicaid buy-in program specifically aimed at Medicaid recipients who are experiencing an increase in household income from employment with small businesses. The bill defines a small business as one with annual gross revenues of $850,000 or less. This initiative is significant as it seeks to minimize the impact on individuals whose Medicaid eligibility is terminated when they begin earning higher incomes, thereby promoting job growth within small businesses without sacrificing essential healthcare access.

Contention

One point of contention surrounding HB2309 might center on the implications of program implementation. The necessity for rule adoption by the executive commissioner of the Health and Human Services Commission by a specified date adds an element of urgency but also raises questions about the administrative challenges involved. Additionally, the stipulation that the enactment of components of the program depends on potential federal waivers introduces complexity, potentially delaying implementation and affecting the immediate availability of the program for eligible participants.