Bill Text: TX HB1001 | 2013-2014 | 83rd Legislature | Introduced
Bill Title: Relating to the expansion of eligibility for Medicaid in certain counties under the federal Patient Protection and Affordable Care Act.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2013-03-05 - Referred to Appropriations [HB1001 Detail]
Download: Texas-2013-HB1001-Introduced.html
83R2333 EES-D | ||
By: Johnson | H.B. No. 1001 |
|
||
|
||
relating to the expansion of eligibility for Medicaid in certain | ||
counties under the federal Patient Protection and Affordable Care | ||
Act. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subtitle I, Title 4, Government Code, is amended | ||
by adding Chapter 538 to read as follows: | ||
CHAPTER 538. WAIVER TO EXPAND MEDICAID IN CERTAIN COUNTIES | ||
Sec. 538.001. APPLICABILITY OF CHAPTER. This chapter | ||
applies only to a county: | ||
(1) that has a population of 2.2 million or more and is | ||
adjacent to a county with a population of more than 600,000; and | ||
(2) in which more than 5,000 physicians are practicing | ||
medicine. | ||
Sec. 538.002. DEFINITION. In this chapter, "Medicaid" | ||
means the medical assistance program established under Title XIX, | ||
Social Security Act (42 U.S.C. Section 1396 et seq.). | ||
Sec. 538.003. FEDERAL AUTHORIZATION FOR MEDICAID EXPANSION | ||
IN CERTAIN COUNTIES. (a) On the request of a county to which this | ||
chapter applies, the executive commissioner shall, on behalf of the | ||
county, seek a waiver under Section 1115 of the federal Social | ||
Security Act (42 U.S.C. Section 1315) to the state Medicaid plan to | ||
expand the categories of persons eligible for Medicaid benefits by | ||
allowing the county to provide Medicaid benefits to any resident of | ||
the county: | ||
(1) who is not otherwise eligible to receive Medicaid | ||
benefits under the program established under Chapter 32, Human | ||
Resources Code, and operated by the state, including through a | ||
waiver, other than one granted under this section, to the program; | ||
(2) who applies to receive Medicaid benefits; and | ||
(3) for whom federal matching funds are available | ||
under the Patient Protection and Affordable Care Act (Pub. L. No. | ||
111-148) as amended by the Health Care and Education Reconciliation | ||
Act of 2010 (Pub. L. No. 111-152) to provide Medicaid benefits. | ||
(b) The terms of a waiver under this section must: | ||
(1) specify how, and with the assistance of what | ||
entities, the county will implement and operate a delivery system | ||
for the provision of Medicaid benefits to persons described by | ||
Subsection (a); | ||
(2) specify the role of the commission in facilitating | ||
the provision of those Medicaid benefits; | ||
(3) identify the sources of funds to be used to pay the | ||
state's share of the cost of Medicaid benefits provided by the | ||
county; | ||
(4) establish qualifications for a person to be | ||
considered a resident of the county for purposes of receiving | ||
Medicaid benefits from the county; and | ||
(5) if appropriate, prescribe changes to the | ||
commission's eligibility determination process for Medicaid | ||
benefits to accommodate the expanded categories of persons eligible | ||
to receive Medicaid benefits from the county. | ||
(c) The executive commissioner shall adopt rules necessary | ||
to implement this section. | ||
SECTION 2. Not later than December 1, 2013, the executive | ||
commissioner of the Health and Human Services Commission shall | ||
adopt rules necessary to implement Section 538.003, Government | ||
Code, as added by this Act, including rules that specify procedures | ||
by which a county may request that the commission seek a waiver | ||
under that section. | ||
SECTION 3. This Act takes effect September 1, 2013. |