87(R) HB 143 - Introduced version - Bill Text

	87R1119 MM-D
	By:  Bernal	H.B.  No.  143

	A BILL TO BE ENTITLED
	AN ACT
	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 540 to read as follows:
	CHAPTER 540. FEDERAL WAIVER TO EXPAND MEDICAID IN CERTAIN COUNTIES
	Sec.  540.0001.    DEFINITION. Notwithstanding Section
	531.001, 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.  540.0002.    FEDERAL AUTHORIZATION FOR MEDICAID
	EXPANSION IN CERTAIN COUNTIES. (a) On the request of a county and
	notwithstanding any other law, the executive commissioner shall, on
	behalf of the county, seek a waiver under Section 1115 of the 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 a waiver sought 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, 2021, the executive
	commissioner of the Health and Human Services Commission shall
	adopt rules necessary to implement Section 540.0002, Government
	Code, as added by this Act, including rules that specify procedures
	by which a county may request that the executive commissioner seek a
	waiver under that section.
	SECTION  3.    This Act takes effect immediately if it receives
	a vote of two-thirds of all the members elected to each house, as
	provided by Section 39, Article III, Texas Constitution. If this
	Act does not receive the vote necessary for immediate effect, this
	Act takes effect September 1, 2021.