Bill Text: FL S1086 | 2014 | Regular Session | Comm Sub
Bill Title: Mandatory Medical Payments for Pregnancy
Spectrum: Bipartisan Bill
Status: (Failed) 2014-05-02 - Died in Appropriations Subcommittee on Health and Human Services [S1086 Detail]
Download: Florida-2014-S1086-Comm_Sub.html
Florida Senate - 2014 CS for SB 1086 By the Committee on Health Policy; and Senators Flores, Abruzzo, and Altman 588-03223-14 20141086c1 1 A bill to be entitled 2 An act relating to mandatory medical payments for 3 pregnancy; amending s. 409.903, F.S.; revising 4 eligibility criteria for a pregnant woman or a child 5 under 1 year of age to qualify for medical assistance 6 and related services payments; providing an effective 7 date. 8 9 Be It Enacted by the Legislature of the State of Florida: 10 11 Section 1. Section 409.903, Florida Statutes, is amended to 12 read: 13 409.903 Mandatory payments for eligible persons.—Subject to 14 the availability of moneys and any limitations established by 15 the General Appropriations Act or chapter 216, the agency shall 16 make payments for medical assistance and related services on 17 behalf of the following Medicaid eligible persons who the 18 department, or the Social Security Administration by contract 19 with the Department of Children and FamiliesFamily Services, 20 determines to be eligible, subject to the income, assets, and 21 categorical eligibility tests set forth in federal and state 22 law:. Payment on behalf of these Medicaid eligible persons is23subject to the availability of moneys and any limitations24established by the General Appropriations Act or chapter 216.25 (1) Low-income families with children are eligible for 26 Medicaid provided they meet the following requirements: 27 (a) The family includes a dependent child who is living 28 with a caretaker relative. 29 (b) The family’s income does not exceed the gross income 30 test limit. 31 (c) The family’s countable income and resources do not 32 exceed the applicable Aid to Families with Dependent Children 33 (AFDC) income and resource standards under the AFDC state plan 34 in effect in July 1996, except as amended in the Medicaid state 35 plan to conform as closely as possible to the requirements of 36 the welfare transition program, to the extent permitted by 37 federal law. 38 (2) A person who receives payments from, who is determined 39 eligible for, or who was eligible for but lost cash benefits 40 from the federal program known as the Supplemental Security 41 Income program (SSI). This category includes a low-income person 42 age 65 or over and a low-income person under age 65 considered 43 to be permanently and totally disabled. 44 (3) A child under age 21 living in a low-income, two-parent 45 family, and a child under age 7 living with a nonrelative, if 46 the income and assets of the family or child, as applicable, do 47 not exceed the resource limits under the Temporary Cash 48 Assistance Program. 49 (4) A child who is eligible under Title IV-E of the Social 50 Security Act for subsidized board payments, foster care, or 51 adoption subsidies, and a child for whom the state has assumed 52 temporary or permanent responsibility and who does not qualify 53 for Title IV-E assistance but is in foster care, shelter or 54 emergency shelter care, or subsidized adoption. This category 55 includes a young adult who is eligible to receive services under 56 s. 409.1451, until the young adult reaches 21 years of age, 57 without regard to any income, resource, or categorical 58 eligibility test that is otherwise required. This category also 59 includes a person who as a child was eligible under Title IV-E 60 of the Social Security Act for foster care or the state-provided 61 foster care and who is a participant in the Road-to-Independence 62 Program. 63 (5) A pregnant woman for the duration of her pregnancy and 64 for the postpartum period as defined in federal law and rule, or 65 a child under age 1,if either is living in a family that has an66income which is at or below 150 percent of the most current67federal poverty level, or, effective January 1, 1992,that has 68 an income which is at or below 200185percent of the most 69 current federal poverty level. Such a person is not subject to 70 an assets test. Further, a pregnant woman who applies for 71 eligibility for the Medicaid program through a qualified 72 Medicaid provider must be offered the opportunity, subject to 73 federal rules, to be made presumptively eligible for the 74 Medicaid program. 75 (6) A child born after September 30, 1983, living in a 76 family that has an income which is at or below 100 percent of 77 the current federal poverty level, who has attained the age of 78 6, but has not attained the age of 19. In determining the 79 eligibility of such a child, an assets test is not required. A 80 child who is eligible for Medicaid under this subsection must be 81 offered the opportunity, subject to federal rules, to be made 82 presumptively eligible. A child who has been deemed 83 presumptively eligible for Medicaid shall not be enrolled in a 84 managed care plan until the child’s full eligibility 85 determination for Medicaid has been completed. 86 (7) A child living in a family that has an income which is 87 at or below 133 percent of the current federal poverty level, 88 who has attained the age of 1, but has not attained the age of 89 6. In determining the eligibility of such a child, an assets 90 test is not required. A child who is eligible for Medicaid under 91 this subsection must be offered the opportunity, subject to 92 federal rules, to be made presumptively eligible. A child who 93 has been deemed presumptively eligible for Medicaid shall not be 94 enrolled in a managed care plan until the child’s full 95 eligibility determination for Medicaid has been completed. 96 (8) A person who is age 65 or over or is determined by the 97 agency to be disabled, whose income is at or below 100 percent 98 of the most current federal poverty level and whose assets do 99 not exceed limitations established by the agency. However, the 100 agency may only pay for premiums, coinsurance, and deductibles, 101 as required by federal law, unless additional coverage is 102 provided for any or all members of this group by s. 409.904(1). 103 Section 2. This act shall take effect July 1, 2014.