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A BILL TO BE ENTITLED
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AN ACT
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relating to an electronic financial record matching program to |
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verify the assets of certain applicants and recipients under the |
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medical assistance program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.02612 to read as follows: |
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Sec. 32.02612. ASSET VERIFICATION PROGRAM: ELECTRONIC |
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FINANCIAL RECORD MATCHING PROGRAM. (a) In this section: |
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(1) "Electronic financial record matching program" |
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means the electronic financial record matching program established |
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under this section. |
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(2) "Financial institution" means: |
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(A) a depository institution, as defined by |
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Section 3(c), Federal Deposit Insurance Act (12 U.S.C. Section |
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1813(c)); |
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(B) an institution-affiliated party, as defined |
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by Section 3(u), Federal Deposit Insurance Act (12 U.S.C. Section |
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1813(u)); |
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(C) a federal credit union or a state credit |
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union, as defined by Section 101, Federal Credit Union Act (12 |
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U.S.C. Section 1752), including an institution-affiliated party of |
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a credit union, as defined by Section 206(r), Federal Credit Union |
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Act (12 U.S.C. Section 1786(r)); or |
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(D) any benefit association, insurance company, |
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safe deposit company, money-market mutual fund, or similar entity |
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authorized to do business in the state. |
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(3) "Other individual" means an individual whose |
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resources are required by law to be disclosed to determine the |
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eligibility of an applicant for or recipient of medical assistance |
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benefits. |
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(b) In accordance with 42 U.S.C. Section 1396w and subject |
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to the requirements of this section, the department, or an agent of |
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the department, shall develop and operate an electronic financial |
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record matching program for the purpose of verifying assets to |
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determine or redetermine the eligibility of an applicant for or |
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recipient of medical assistance benefits provided on the basis of |
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the applicant or recipient, as applicable, being aged or blind or |
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having a disability. |
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(c) A financial institution doing business in this state |
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shall comply with any request for a financial record from the |
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department under the electronic financial record matching program. |
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(d) In developing an electronic financial record matching |
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program, the department shall enter into an agreement with |
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appropriate financial institutions doing business in the state |
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under which: |
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(1) the parties agree to use electronic data |
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exchanges; |
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(2) the financial institutions, in a mutually agreed |
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on process, are required to provide on at least a quarterly basis |
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financial records necessary to verify the assets of an applicant |
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for or recipient of medical assistance benefits, or other |
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individual, including records that specify: |
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(A) the name or assumed names on file with |
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respect to the applicant, recipient, or other individual; |
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(B) any address on file with respect to the |
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applicant, recipient, or other individual; |
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(C) the social security number or other tax |
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identification number on file for the applicant, recipient, or |
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other individual; and |
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(D) any other identifying information requested |
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by the department; and |
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(3) the financial institutions are required to respond |
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to records requests not later than: |
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(A) 48 hours after a request for current |
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financial information is received by the institutions; and |
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(B) 30 days after the date a request for |
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historical financial information is received by the institutions. |
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(e) The department may receive historical financial |
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information under the electronic financial record matching program |
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for the 60-month period preceding the date of the authorization |
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provided in accordance with Subsection (f). |
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(f) Notwithstanding any other law, an applicant for or |
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recipient of medical assistance benefits or other individual shall, |
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at the time of the initial application for medical assistance |
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benefits or at the time of any redetermination for the continuation |
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of medical assistance benefits, provide, directly or through a |
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person acting on behalf of the applicant or recipient, |
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authorization for the disclosure of financial records to the |
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department by financial institutions under the electronic |
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financial record matching program. The authorization must remain in |
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effect as long as the recipient or, in the case of an other |
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individual, the recipient on whose behalf the authorization is |
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required by law to be provided, receives benefits under the medical |
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assistance program. |
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(g) An authorization obtained by the department: |
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(1) in accordance with 42 U.S.C. Section 1396w(d)(1): |
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(A) is considered to meet the requirements of |
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Section 1103(a), the Right to Financial Privacy Act of 1978 (12 |
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U.S.C. Section 3403(a)); and |
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(B) does not need not be provided to the |
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financial institution; and |
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(2) in accordance with 42 U.S.C. Section 1396w(c), |
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remains effective until the earlier of the date of: |
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(A) the rendering of a final adverse decision on |
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an applicant's eligibility decision; |
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(B) the termination of a recipient's eligibility |
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for medical assistance benefits; or |
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(C) an express written revocation by the |
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applicant, recipient, or other individual of the authorization |
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provided to the department. |
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(h) If an applicant for or recipient of medical assistance |
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benefits or other individual refuses to provide or revokes an |
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authorization made by that person under the electronic financial |
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record matching program, the department may, on that basis, |
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determine that the applicant or recipient, as applicable, is |
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ineligible for benefits under the medical assistance program. |
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(i) The department may use information provided by a |
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financial institution under the electronic financial record |
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matching program only for verifying assets for the purpose of |
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determining eligibility or redetermining eligibility for medical |
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assistance. The department may not use or disclose information |
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received from a financial institution concerning account holders |
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who are not applicants for or recipients of medical assistance |
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benefits or other individuals. |
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(j) A financial institution, including the institution's |
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agent, may not use or disclose information provided to the |
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institution under the electronic financial record matching program |
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except to the extent the use or disclosure is necessary to conduct |
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data matches. A financial institution, including the institution's |
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agent, shall return, erase, or destroy all information provided to |
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the institution under the electronic financial record matching |
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program after the institution conducts data matches required under |
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the program. |
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(k) A financial institution is not liable to any person for: |
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(1) the disclosure of information to the department |
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under this section; or |
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(2) any other action taken in good faith to comply with |
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the requirements of this section. |
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SECTION 2. The Health and Human Services Commission shall |
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establish the electronic financial record matching program in |
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accordance with Section 32.02612, Human Resources Code, as added by |
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this Act, not later than January 1, 2016. |
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SECTION 3. Section 32.02612, Human Resources Code, as added |
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by this Act, applies to an initial determination or redetermination |
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of eligibility of a person for medical assistance under Chapter 32, |
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Human Resources Code, that is made on or after January 1, 2016. |
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SECTION 4. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 5. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2015. |