Bill Text: FL S1086 | 2014 | Regular Session | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
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-Introduced.html
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-Introduced.html
Florida Senate - 2014 SB 1086 By Senator Flores 37-01238-14 20141086__ 1 A bill to be entitled 2 An act relating to optional medical payments for 3 prenatal care; amending s. 409.903, F.S.; revising 4 eligibility criteria for a pregnant woman to qualify 5 for medical assistance payments; providing an 6 effective date. 7 8 Be It Enacted by the Legislature of the State of Florida: 9 10 Section 1. Section 409.903, Florida Statutes, is amended to 11 read: 12 409.903 Mandatory payments for eligible persons.—The agency 13 shall make payments for medical assistance and related services 14 on behalf of the following persons who the department, or the 15 Social Security Administration by contract with the Department 16 of Children and FamiliesFamily Services, determines to be 17 eligible, subject to the income, assets, and categorical 18 eligibility tests set forth in federal and state law. Payment on 19 behalf of these Medicaid eligible persons is subject to the 20 availability of moneys and any limitations established by the 21 General Appropriations Act or chapter 216. 22 (1) Low-income families with children are eligible for 23 Medicaid provided they meet the following requirements: 24 (a) The family includes a dependent child who is living 25 with a caretaker relative. 26 (b) The family’s income does not exceed the gross income 27 test limit. 28 (c) The family’s countable income and resources do not 29 exceed the applicable Aid to Families with Dependent Children 30 (AFDC) income and resource standards under the AFDC state plan 31 in effect in July 1996, except as amended in the Medicaid state 32 plan to conform as closely as possible to the requirements of 33 the welfare transition program, to the extent permitted by 34 federal law. 35 (2) A person who receives payments from, who is determined 36 eligible for, or who was eligible for but lost cash benefits 37 from the federal program known as the Supplemental Security 38 Income program (SSI). This category includes a low-income person 39 age 65 or over and a low-income person under age 65 considered 40 to be permanently and totally disabled. 41 (3) A child under age 21 living in a low-income, two-parent 42 family, and a child under age 7 living with a nonrelative, if 43 the income and assets of the family or child, as applicable, do 44 not exceed the resource limits under the Temporary Cash 45 Assistance Program. 46 (4) A child who is eligible under Title IV-E of the Social 47 Security Act for subsidized board payments, foster care, or 48 adoption subsidies, and a child for whom the state has assumed 49 temporary or permanent responsibility and who does not qualify 50 for Title IV-E assistance but is in foster care, shelter or 51 emergency shelter care, or subsidized adoption. This category 52 includes a young adult who is eligible to receive services under 53 s. 409.1451, until the young adult reaches 21 years of age, 54 without regard to any income, resource, or categorical 55 eligibility test that is otherwise required. This category also 56 includes a person who as a child was eligible under Title IV-E 57 of the Social Security Act for foster care or the state-provided 58 foster care and who is a participant in the Road-to-Independence 59 Program. 60 (5) A pregnant woman for the duration of her pregnancy and 61 for the postpartum period as defined in federal law and rule, or 62 a child under age 1, if either is living in a family that has an 63 income which is at or below 150 percent of the most current 64 federal poverty level, or, effective January 1, 1992,that has 65 an income which is at or below 200185percent of the most 66 current federal poverty level. Such a person is not subject to 67 an assets test. Further, a pregnant woman who applies for 68 eligibility for the Medicaid program through a qualified 69 Medicaid provider must be offered the opportunity, subject to 70 federal rules, to be made presumptively eligible for the 71 Medicaid program. 72 (6) A child born after September 30, 1983, living in a 73 family that has an income which is at or below 100 percent of 74 the current federal poverty level, who has attained the age of 75 6, but has not attained the age of 19. In determining the 76 eligibility of such a child, an assets test is not required. A 77 child who is eligible for Medicaid under this subsection must be 78 offered the opportunity, subject to federal rules, to be made 79 presumptively eligible. A child who has been deemed 80 presumptively eligible for Medicaid shall not be enrolled in a 81 managed care plan until the child’s full eligibility 82 determination for Medicaid has been completed. 83 (7) A child living in a family that has an income which is 84 at or below 133 percent of the current federal poverty level, 85 who has attained the age of 1, but has not attained the age of 86 6. In determining the eligibility of such a child, an assets 87 test is not required. A child who is eligible for Medicaid under 88 this subsection must be offered the opportunity, subject to 89 federal rules, to be made presumptively eligible. A child who 90 has been deemed presumptively eligible for Medicaid shall not be 91 enrolled in a managed care plan until the child’s full 92 eligibility determination for Medicaid has been completed. 93 (8) A person who is age 65 or over or is determined by the 94 agency to be disabled, whose income is at or below 100 percent 95 of the most current federal poverty level and whose assets do 96 not exceed limitations established by the agency. However, the 97 agency may only pay for premiums, coinsurance, and deductibles, 98 as required by federal law, unless additional coverage is 99 provided for any or all members of this group by s. 409.904(1). 100 Section 2. This act shall take effect July 1, 2014.