Bill Text: TX HB511 | 2021-2022 | 87th Legislature | Introduced

---

Bill Title: Relating to a Medicaid buy-in program for Medicaid recipients with increased household income from employment with a small business.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2021-03-01 - Referred to Human Services [HB511 Detail]

Download: Texas-2021-HB511-Introduced.html

---

By: Beckley H.B. No. 511

A BILL TO BE ENTITLED
AN ACT
relating to a Medicaid buy-in program for Medicaid recipients with
increased household income from employment with a small business.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 531, Government Code, is
amended by adding Section 531.024442 to read as follows:
Sec. 531.024442. MEDICAID BUY-IN PROGRAM FOR CERTAIN
PERSONS WITH INCREASED HOUSEHOLD INCOME FROM EMPLOYMENT. (a) In
this section, "small business" means a business with an annual
gross revenue of $850,000 or less.
(b) The commission shall operate a Medicaid buy-in program
for Medicaid recipients:
(1) who are not eligible for a Medicaid buy-in program
established under Section 531.02444; and
(2) whose eligibility for Medicaid is otherwise being
terminated solely because of an increase in household income
received from employment with a small business.
(c) The program under this section must be substantively
identical to the Medicaid buy-in programs for persons with
disabilities established under Section 531.02444, except to the
extent that programmatic differences are appropriate because of the
populations served by the programs.
(d) The executive commissioner shall adopt rules for
participation in the program under this section that provide for:
(1) eligibility requirements, including household
income limits for participation; and
(2) requirements for program participants to pay
premiums or cost-sharing payments.
SECTION 2. Not later than January 1, 2022, the executive
commissioner of the Health and Human Services Commission shall
adopt the rules required by Section 531.024442, Government Code, as
added by this Act, and the commission shall implement the program
required by that section.
SECTION 3. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 4. This Act takes effect September 1, 2021.