Utah 2023 Regular Session

Utah House Bill HB0558 Compare Versions

Only one version of the bill is available at this time.
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11 H.B. 558
22 LEGISLATIVE GENERAL COUNSEL
33 6 Approved for Filing: A. Houston 6
44 6 02-23-23 12:30 PM 6
55 H.B. 558
66 1 MEDICAID DISABILITY COVERAGE AMENDMENTS
77 2 2023 GENERAL SESSION
88 3 STATE OF UTAH
99 4 Chief Sponsor: Melissa G. Ballard
1010 5 Senate Sponsor: ____________
1111 6
1212 7LONG TITLE
1313 8General Description:
1414 9 This bill addresses Medicaid coverage for children under age 19 with a disability.
1515 10Highlighted Provisions:
1616 11 This bill:
1717 12 <defines terms; and
1818 13 <requires the Department of Health and Human Services to submit a Medicaid state
1919 14plan amendment to provide treatment to qualified enrollees who live at home and
2020 15meet the financial eligibility criteria established in the state plan.
2121 16Money Appropriated in this Bill:
2222 17 None
2323 18Other Special Clauses:
2424 19 None
2525 20Utah Code Sections Affected:
2626 21ENACTS:
2727 22 26-18-430, Utah Code Annotated 1953
2828 23
2929 24Be it enacted by the Legislature of the state of Utah:
3030 25 Section 1. Section 26-18-430 is enacted to read:
3131 26 26-18-430. Medicaid coverage for children under age 19 with a disability.
3232 27 (1) As used in this section:
3333 *HB0558* H.B. 558 02-23-23 12:30 PM
3434 - 2 -
3535 28 (a) "Existing home and community-based services waiver" means the existing home
3636 29and community-based services waiver in the state described in Section 26-18-410.
3737 30 (b) "Qualified enrollee" means an individual:
3838 31 (i) who is less than 19 years old;
3939 32 (ii) who is not served under an existing home and community-based services waiver;
4040 33 (iii) who, because of a physical, intellectual, or developmental disability, meets the
4141 34level of care criteria for admission to a hospital, nursing facility, or intermediate care facility
4242 35and can receive such care at home; and
4343 36 (iv) for whom the department has determined that providing care at home would cost
4444 37no more than it would cost to provide that care in a setting described in Subsection (1)(b)(iii).
4545 38 (2) Before July 1, 2024, the department shall apply with CMS for a state plan
4646 39amendment to provide treatment to qualified enrollees who live at home and meet the financial
4747 40eligibility criteria established in the state plan.
4848 41 (3) If the state plan amendment described in Subsection (2) is approved, the department
4949 42shall offer a program that provides treatment for qualified enrollees.