MISSISSIPPI LEGISLATURE

2017 Regular Session

To: Public Health and Human Services

By: Representative Eubanks

House Bill 387

AN ACT TO PROVIDE THAT RECIPIENTS OF PUBLIC ASSISTANCE BENEFITS WHO ARE 18 YEARS OF AGE OR OLDER SHALL BE REQUIRED TO TAKE A DRUG TEST ANNUALLY AND SHALL BE SUBJECT TO TAKING A DRUG TEST ON A RANDOM BASIS TO DETERMINE THEIR ELIGIBILITY TO CONTINUE RECEIVING THE BENEFITS; TO PROVIDE THAT IF A RECIPIENT REFUSES TO TAKE THE REQUIRED DRUG TEST, THE ADMINISTERING AGENCY SHALL TERMINATE THE RECIPIENT'S PUBLIC ASSISTANCE BENEFITS AND THE RECIPIENT SHALL NOT BE ELIGIBLE TO RECEIVE PUBLIC ASSISTANCE BENEFITS FOR 30 DAYS AFTER A FIRST REFUSAL TO TAKE A DRUG TEST WITHIN ONE YEAR, OR FOR SIX MONTHS AFTER A SECOND REFUSAL TO TAKE A DRUG TEST WITHIN ONE YEAR; TO PROVIDE THAT ANY PERSON WHO IS INELIGIBLE FOR PUBLIC ASSISTANCE BENEFITS FOR THE REQUIRED PERIOD MAY REAPPLY TO RECEIVE PUBLIC ASSISTANCE BENEFITS AFTER NOT RECEIVING THE BENEFITS FOR THE REQUIRED PERIOD, AND WILL BE ELIGIBLE TO RECEIVE THE BENEFITS AGAIN IF THE PERSON PASSES A DRUG TEST; TO PROVIDE THAT IF A RECIPIENT OF PUBLIC ASSISTANCE BENEFITS IS GIVEN A DRUG TEST AND HE OR SHE TESTS POSITIVE FOR ANY DRUG FOR WHICH A PERSON DOES NOT HAVE A VALID PRESCRIPTION, OR TESTS POSITIVE FOR A DRUG FOR WHICH THE PERSON HAS A VALID PRESCRIPTION WITH A DOSAGE IN THE BODY THAT IS HIGHER THAN THE AMOUNT AUTHORIZED BY THE PRESCRIPTION, THE ADMINISTERING AGENCY SHALL TERMINATE THE RECIPIENT'S PUBLIC ASSISTANCE BENEFITS AND THE RECIPIENT SHALL NOT BE ELIGIBLE TO RECEIVE PUBLIC ASSISTANCE BENEFITS FOR 90 DAYS, OR FOR ONE YEAR IF THE RECIPIENT HAS TESTED POSITIVE ON THE DRUG TEST ON AT LEAST ONE OTHER OCCASION; TO PROVIDE THAT ANY PERSON WHO IS INELIGIBLE FOR PUBLIC ASSISTANCE BENEFITS FOR THE REQUIRED PERIOD MAY REAPPLY TO RECEIVE PUBLIC ASSISTANCE BENEFITS AFTER NOT RECEIVING THE BENEFITS FOR THE REQUIRED PERIOD, AND WILL BE ELIGIBLE TO RECEIVE THE BENEFITS AGAIN IF THE PERSON PASSES ANOTHER DRUG TEST; TO PROVIDE THAT THE STATE DEPARTMENT OF HEALTH SHALL PERFORM THE DRUG TESTS AUTHORIZED BY THIS ACT, AND THE COST OF THE DRUG TESTS SHALL BE PAID BY THE RECIPIENT; TO PROVIDE THAT IF A RECIPIENT TESTS NEGATIVE ON THE DRUG TEST, THEN THE ADMINISTERING AGENCY SHALL REPAY THE RECIPIENT FOR THE AMOUNT OF THE DRUG TEST; TO AMEND SECTIONS 43-13-115 AND 43-17-5, MISSISSIPPI CODE OF 1972, AND TO REPEAL SECTION 43-17-6, MISSISSIPPI CODE OF 1972, WHICH REQUIRES CERTAIN ADULT RECIPIENTS OF TANF BENEFITS TO TAKE A DRUG TEST AND PARTICIPATE IN A SUBSTANCE ABUSE DISORDER TREATMENT PLAN, TO CONFORM TO THE PROVISIONS OF THIS ACT; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  (1)  As used in this section:

          (a)  "Drug" means a controlled substance as defined in Section 41-29-105.

          (b)  "Drug test" means a chemical test administered for the purpose of determining the presence or absence of a drug or metabolites in a person's body fluids.

          (c)  "Public assistance benefits" means any payments or grants under the Temporary Assistance for Needy Families (TANF) program, medical assistance services under the Medicaid program, and any other economic assistance payments or services provided by the Department of Human Services that are funded, in whole or in part, with state funds.

     (2)  Recipients of public assistance benefits who are eighteen (18) years of age or older shall be required to take a drug test annually and shall be subject to taking a drug test on a random basis to determine their eligibility to continue receiving the benefits.

     (3)  If a recipient refuses to take the required drug test,

the administering agency shall terminate the recipient's public assistance benefits and the recipient shall not be eligible to receive public assistance benefits for:

          (a)  Thirty (30) days after a first refusal to take a drug test within one (1) year; or

          (b)  Six (6) months after a second refusal to take a drug test within one (1) year.

     Any person who is ineligible for public assistance benefits under paragraph (a) may reapply to receive public assistance benefits after not receiving the benefits for thirty (30) days, and any person who is ineligible for public assistance benefits under paragraph (b) may reapply to receive public assistance benefits after not receiving the benefits for six (6) months, and the person will be eligible to receive the benefits again if the person passes a drug test.

     (4)  If a recipient is given a drug test and he or she tests positive for any drug for which a person does not have a valid prescription, or tests positive for a drug for which the person has a valid prescription with a dosage in the body that is higher than the amount authorized by the prescription, the administering agency shall terminate the recipient's public assistance benefits and the recipient shall not be eligible to receive public assistance benefits for:

          (a)  Ninety (90) days after the day on which the administering agency determines that the person is no longer eligible for public assistance benefits under this subsection; or

          (b)  One (1) year after the day on which the administering agency determines that the person is no longer eligible for public assistance benefits under this subsection, if the administering agency has previously determined on at least one (1) other occasion that the person is no longer eligible for public assistance benefits under this subsection.

     Any person who is ineligible for public assistance benefits under paragraph (a) may reapply to receive public assistance benefits after not receiving the benefits for ninety (90) days, and any person who is ineligible for public assistance benefits under paragraph (b) may reapply to receive public assistance benefits after not receiving the benefits for one (1) year, and the person will be eligible to receive the benefits again if the person passes another drug test.

     (5)  The State Department of Health shall perform the drug tests required by this section, and the cost of the drug tests shall be paid by the recipient.  However, if a recipient takes the drug test and tests negative for any drug for which a person does not have a valid prescription, or tests negative for a drug for which the person has a valid prescription with a dosage in the body that is higher than the amount authorized by the prescription, then the administering agency shall repay the recipient for the amount of the drug test, either in cash or by increasing the amount of the recipient's public assistance benefits for the next month by the amount paid by the recipient for the drug test.

     SECTION 2.  Section 43-13-115, Mississippi Code of 1972, is amended as follows:

     43-13-115.  A.  Recipients of Medicaid shall be the following persons only:

          (1)  Those who are qualified for public assistance grants under provisions of Title IV-A and E of the federal Social Security Act, as amended, including those statutorily deemed to be IV-A and low-income families and children under Section 1931 of the federal Social Security Act.  For the purposes of this paragraph (1) and paragraphs (8), (17) and (18) of this section, any reference to Title IV-A or to Part A of Title IV of the federal Social Security Act, as amended, or the state plan under Title IV-A or Part A of Title IV, shall be considered as a reference to Title IV-A of the federal Social Security Act, as amended, and the state plan under Title IV-A, including the income and resource standards and methodologies under Title IV-A and the state plan, as they existed on July 16, 1996.  The Department of Human Services shall determine Medicaid eligibility for children receiving public assistance grants under Title IV-E.  The division shall determine eligibility for low-income families under Section 1931 of the federal Social Security Act and shall redetermine eligibility for those continuing under Title IV-A grants.

          (2)  Those qualified for Supplemental Security Income (SSI) benefits under Title XVI of the federal Social Security Act, as amended, and those who are deemed SSI eligible as contained in federal statute.  The eligibility of individuals covered in this paragraph shall be determined by the Social Security Administration and certified to the Division of Medicaid.

          (3)  Qualified pregnant women who would be eligible for Medicaid as a low-income family member under Section 1931 of the federal Social Security Act if her child were born.  The eligibility of the individuals covered under this paragraph shall be determined by the division.

          (4)  [Deleted]

          (5)  A child born on or after October 1, 1984, to a woman eligible for and receiving Medicaid under the state plan on the date of the child's birth shall be deemed to have applied for Medicaid and to have been found eligible for Medicaid under the plan on the date of that birth, and will remain eligible for  Medicaid for a period of one (1) year so long as the child is a member of the woman's household and the woman remains eligible for Medicaid or would be eligible for Medicaid if pregnant.  The eligibility of individuals covered in this paragraph shall be determined by the Division of Medicaid.

          (6)  Children certified by the State Department of Human Services to the Division of Medicaid of whom the state and county departments of human services have custody and financial responsibility, and children who are in adoptions subsidized in full or part by the Department of Human Services, including special needs children in non-Title IV-E adoption assistance, who are approvable under Title XIX of the Medicaid program.  The eligibility of the children covered under this paragraph shall be determined by the State Department of Human Services.

          (7)  Persons certified by the Division of Medicaid who are patients in a medical facility (nursing home, hospital, tuberculosis sanatorium or institution for treatment of mental diseases), and who, except for the fact that they are patients in that medical facility, would qualify for grants under Title IV, Supplementary Security Income (SSI) benefits under Title XVI or state supplements, and those aged, blind and disabled persons who would not be eligible for Supplemental Security Income (SSI) benefits under Title XVI or state supplements if they were not institutionalized in a medical facility but whose income is below the maximum standard set by the Division of Medicaid, which standard shall not exceed that prescribed by federal regulation.

          (8)  Children under eighteen (18) years of age and pregnant women (including those in intact families) who meet the financial standards of the state plan approved under Title IV-A of the federal Social Security Act, as amended.  The eligibility of children covered under this paragraph shall be determined by the Division of Medicaid.

          (9)  Individuals who are:

               (a)  Children born after September 30, 1983, who have not attained the age of nineteen (19), with family income that does not exceed one hundred percent (100%) of the nonfarm official poverty level;

              (b)  Pregnant women, infants and children who have not attained the age of six (6), with family income that does not exceed one hundred thirty-three percent (133%) of the federal poverty level; and

              (c)  Pregnant women and infants who have not attained the age of one (1), with family income that does not exceed one hundred eighty-five percent (185%) of the federal poverty level.

     The eligibility of individuals covered in (a), (b) and (c) of this paragraph shall be determined by the division.

          (10)  Certain disabled children age eighteen (18) or under who are living at home, who would be eligible, if in a medical institution, for SSI or a state supplemental payment under Title XVI of the federal Social Security Act, as amended, and therefore for Medicaid under the plan, and for whom the state has made a determination as required under Section 1902(e)(3)(b) of the federal Social Security Act, as amended.  The eligibility of individuals under this paragraph shall be determined by the Division of Medicaid.

          (11)  Until the end of the day on December 31, 2005, individuals who are sixty-five (65) years of age or older or are disabled as determined under Section 1614(a)(3) of the federal Social Security Act, as amended, and whose income does not exceed one hundred thirty-five percent (135%) of the nonfarm official poverty level as defined by the Office of Management and Budget and revised annually, and whose resources do not exceed those established by the Division of Medicaid.  The eligibility of individuals covered under this paragraph shall be determined by the Division of Medicaid.  After December 31, 2005, only those individuals covered under the 1115(c) Healthier Mississippi waiver will be covered under this category.

     Any individual who applied for Medicaid during the period from July 1, 2004, through March 31, 2005, who otherwise would have been eligible for coverage under this paragraph (11) if it had been in effect at the time the individual submitted his or her application and is still eligible for coverage under this paragraph (11) on March 31, 2005, shall be eligible for Medicaid coverage under this paragraph (11) from March 31, 2005, through December 31, 2005.  The division shall give priority in processing the applications for those individuals to determine their eligibility under this paragraph (11).

          (12)  Individuals who are qualified Medicare beneficiaries (QMB) entitled to Part A Medicare as defined under Section 301, Public Law 100-360, known as the Medicare Catastrophic Coverage Act of 1988, and whose income does not exceed one hundred percent (100%) of the nonfarm official poverty level as defined by the Office of Management and Budget and revised annually.

     The eligibility of individuals covered under this paragraph shall be determined by the Division of Medicaid, and those individuals determined eligible shall receive Medicare cost-sharing expenses only as more fully defined by the Medicare Catastrophic Coverage Act of 1988 and the Balanced Budget Act of 1997.

          (13)  (a)  Individuals who are entitled to Medicare Part A as defined in Section 4501 of the Omnibus Budget Reconciliation Act of 1990, and whose income does not exceed one hundred twenty percent (120%) of the nonfarm official poverty level as defined by the Office of Management and Budget and revised annually.  Eligibility for Medicaid benefits is limited to full payment of Medicare Part B premiums.

              (b)  Individuals entitled to Part A of Medicare, with income above one hundred twenty percent (120%), but less than one hundred thirty-five percent (135%) of the federal poverty level, and not otherwise eligible for Medicaid.  Eligibility for Medicaid benefits is limited to full payment of Medicare Part B premiums.  The number of eligible individuals is limited by the availability of the federal capped allocation at one hundred percent (100%) of federal matching funds, as more fully defined in the Balanced Budget Act of 1997.

     The eligibility of individuals covered under this paragraph shall be determined by the Division of Medicaid.

          (14)  [Deleted]

          (15)  Disabled workers who are eligible to enroll in Part A Medicare as required by Public Law 101-239, known as the Omnibus Budget Reconciliation Act of 1989, and whose income does not exceed two hundred percent (200%) of the federal poverty level as determined in accordance with the Supplemental Security Income (SSI) program.  The eligibility of individuals covered under this paragraph shall be determined by the Division of Medicaid and those individuals shall be entitled to buy-in coverage of Medicare Part A premiums only under the provisions of this paragraph (15).

          (16)  In accordance with the terms and conditions of approved Title XIX waiver from the United States Department of Health and Human Services, persons provided home- and community-based services who are physically disabled and certified by the Division of Medicaid as eligible due to applying the income and deeming requirements as if they were institutionalized.

          (17)  In accordance with the terms of the federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193), persons who become ineligible for assistance under Title IV-A of the federal Social Security Act, as amended, because of increased income from or hours of employment of the caretaker relative or because of the expiration of the applicable earned income disregards, who were eligible for Medicaid for at least three (3) of the six (6) months preceding the month in which the ineligibility begins, shall be eligible for Medicaid for up to twelve (12) months.  The eligibility of the individuals covered under this paragraph shall be determined by the division.

          (18)  Persons who become ineligible for assistance under Title IV-A of the federal Social Security Act, as amended, as a result, in whole or in part, of the collection or increased collection of child or spousal support under Title IV-D of the federal Social Security Act, as amended, who were eligible for Medicaid for at least three (3) of the six (6) months immediately preceding the month in which the ineligibility begins, shall be eligible for Medicaid for an additional four (4) months beginning with the month in which the ineligibility begins.  The eligibility of the individuals covered under this paragraph shall be determined by the division.

          (19)  Disabled workers, whose incomes are above the Medicaid eligibility limits, but below two hundred fifty percent (250%) of the federal poverty level, shall be allowed to purchase Medicaid coverage on a sliding fee scale developed by the Division of Medicaid.

          (20)  Medicaid eligible children under age eighteen (18) shall remain eligible for Medicaid benefits until the end of a period of twelve (12) months following an eligibility determination, or until such time that the individual exceeds age eighteen (18).

          (21)  Women of childbearing age whose family income does not exceed one hundred eighty-five percent (185%) of the federal poverty level.  The eligibility of individuals covered under this paragraph (21) shall be determined by the Division of Medicaid, and those individuals determined eligible shall only receive family planning services covered under Section 43-13-117(13) and not any other services covered under Medicaid.  However, any individual eligible under this paragraph (21) who is also eligible under any other provision of this section shall receive the benefits to which he or she is entitled under that other provision, in addition to family planning services covered under Section 43-13-117(13).

     The Division of Medicaid shall apply to the United States Secretary of Health and Human Services for a federal waiver of the applicable provisions of Title XIX of the federal Social Security Act, as amended, and any other applicable provisions of federal law as necessary to allow for the implementation of this paragraph (21).  The provisions of this paragraph (21) shall be implemented from and after the date that the Division of Medicaid receives the federal waiver.

          (22)  Persons who are workers with a potentially severe disability, as determined by the division, shall be allowed to purchase Medicaid coverage.  The term "worker with a potentially severe disability" means a person who is at least sixteen (16) years of age but under sixty-five (65) years of age, who has a physical or mental impairment that is reasonably expected to cause the person to become blind or disabled as defined under Section 1614(a) of the federal Social Security Act, as amended, if the person does not receive items and services provided under Medicaid.

     The eligibility of persons under this paragraph (22) shall be conducted as a demonstration project that is consistent with Section 204 of the Ticket to Work and Work Incentives Improvement Act of 1999, Public Law 106-170, for a certain number of persons as specified by the division.  The eligibility of individuals covered under this paragraph (22) shall be determined by the Division of Medicaid.

          (23)  Children certified by the Mississippi Department of Human Services for whom the state and county departments of human services have custody and financial responsibility who are in foster care on their eighteenth birthday as reported by the Mississippi Department of Human Services shall be certified Medicaid eligible by the Division of Medicaid until their twenty-first birthday.

          (24)  Individuals who have not attained age sixty-five (65), are not otherwise covered by creditable coverage as defined in the Public Health Services Act, and have been screened for breast and cervical cancer under the Centers for Disease Control and Prevention Breast and Cervical Cancer Early Detection Program established under Title XV of the Public Health Service Act in accordance with the requirements of that act and who need treatment for breast or cervical cancer.  Eligibility of individuals under this paragraph (24) shall be determined by the Division of Medicaid.

          (25)  The division shall apply to the Centers for Medicare and Medicaid Services (CMS) for any necessary waivers to provide services to individuals who are sixty-five (65) years of age or older or are disabled as determined under Section 1614(a)(3) of the federal Social Security Act, as amended, and whose income does not exceed one hundred thirty-five percent (135%) of the nonfarm official poverty level as defined by the Office of Management and Budget and revised annually, and whose resources do not exceed those established by the Division of Medicaid, and who are not otherwise covered by Medicare.  Nothing contained in this paragraph (25) shall entitle an individual to benefits.  The eligibility of individuals covered under this paragraph shall be determined by the Division of Medicaid.

          (26)  The division shall apply to the Centers for Medicare and Medicaid Services (CMS) for any necessary waivers to provide services to individuals who are sixty-five (65) years of age or older or are disabled as determined under Section 1614(a)(3) of the federal Social Security Act, as amended, who are end stage renal disease patients on dialysis, cancer patients on chemotherapy or organ transplant recipients on antirejection drugs, whose income does not exceed one hundred thirty-five percent (135%) of the nonfarm official poverty level as defined by the Office of Management and Budget and revised annually, and whose resources do not exceed those established by the division.  Nothing contained in this paragraph (26) shall entitle an individual to benefits.  The eligibility of individuals covered under this paragraph shall be determined by the Division of Medicaid.

          (27)  Individuals who are entitled to Medicare Part D and whose income does not exceed one hundred fifty percent (150%) of the nonfarm official poverty level as defined by the Office of Management and Budget and revised annually.  Eligibility for payment of the Medicare Part D subsidy under this paragraph shall be determined by the division.

     B.  In order to be eligible for Medicaid assistance under this article, the recipient must be in compliance with the drug testing provisions of Section 1 of this act.

     C.  The division shall redetermine eligibility for all categories of recipients described in each paragraph of this section not less frequently than required by federal law.

     SECTION 3.  Section 43-17-5, Mississippi Code of 1972, is amended as follows:

     43-17-5.  (1)  The amount of Temporary Assistance for Needy Families (TANF) benefits which may be granted for any dependent child and a needy caretaker relative shall be determined by the county department with due regard to the resources and necessary expenditures of the family and the conditions existing in each case, and in accordance with the rules and regulations made by the Department of Human Services which shall not be less than the Standard of Need in effect for 1988, and shall be sufficient when added to all other income (except that any income specified in the federal Social Security Act, as amended, may be disregarded) and support available to the child to provide such child with a reasonable subsistence compatible with decency and health.  The first family member in the dependent child's budget may receive an amount not to exceed One Hundred Ten Dollars ($110.00) per month; the second family member in the dependent child's budget may receive an amount not to exceed Thirty-six Dollars ($36.00) per month; and each additional family member in the dependent child's budget an amount not to exceed Twenty-four Dollars ($24.00) per month.  The maximum for any individual family member in the dependent child's budget may be exceeded for foster or medical care or in cases of children with an intellectual disability or a physical disability.  TANF benefits granted shall be specifically limited only (a) to children existing or conceived at the time the caretaker relative initially applies and qualifies for such assistance, unless this limitation is specifically waived by the department, or (b) to a child born following a twelve-consecutive-month period of discontinued benefits by the caretaker relative.

     (2)  TANF benefits in Mississippi shall be provided to the recipient family by an online electronic benefits transfer system.

     (3)  The Department of Human Services shall deny TANF benefits to the following categories of individuals, except for individuals and families specifically exempt or excluded for good cause as allowed by federal statute or regulation:

          (a)  Families without a minor child residing with the custodial parent or other adult caretaker relative of the child;

          (b)  Families which include an adult who has received TANF assistance for sixty (60) months after the commencement of the Mississippi TANF program, whether or not such period of time is consecutive;

          (c)  Families not assigning to the state any rights a family member may have, on behalf of the family member or of any other person for whom the family member has applied for or is receiving such assistance, to support from any other person, as required by law;

          (d)  Families who fail to cooperate in establishing paternity or obtaining child support, as required by law;

          (e)  Any individual who has not attained eighteen (18) years of age, is not married to the head of household, has a minor child at least twelve (12) weeks of age in his or her care, and has not successfully completed a high school education or its equivalent, if such individual does not participate in educational activities directed toward the attainment of a high school diploma or its equivalent, or an alternative educational or training program approved by the department;

          (f)  Any individual who has not attained eighteen (18) years of age, is not married, has a minor child in his or her care, and does not reside in a place or residence maintained by a parent, legal guardian or other adult relative or the individual as such parent's, guardian's or adult relative's own home;

          (g)  Any minor child who has been, or is expected by a parent or other caretaker relative of the child to be, absent from the home for a period of more than thirty (30) days;

          (h)  Any individual who is a parent or other caretaker relative of a minor child who fails to notify the department of the absence of the minor child from the home for the thirty-day period specified in paragraph (g), by the end of the five-day period that begins with the date that it becomes clear to the individual that the minor child will be absent for the thirty-day period;

          (i)  Any individual who fails to comply with the provisions of the Employability Development Plan signed by the individual which prescribe those activities designed to help the individual become and remain employed, or to participate satisfactorily in the assigned work activity, as authorized under subsection (6)(c) and (d), or who does not engage in applicant job search activities within the thirty-day period for TANF application approval after receiving the advice and consultation of eligibility workers and/or caseworkers of the department providing a detailed description of available job search venues in the individual's county of residence or the surrounding counties;

          (j)  A parent or caretaker relative who has not engaged in an allowable work activity once the department determines the parent or caretaker relative is ready to engage in work, or once the parent or caretaker relative has received TANF assistance under the program for twenty-four (24) months, whether or not consecutive, whichever is earlier;

          (k)  Any individual who is fleeing to avoid prosecution, or custody or confinement after conviction, under the laws of the jurisdiction from which the individual flees, for a crime, or an attempt to commit a crime, which is a felony under the laws of the place from which the individual flees, or who is violating a condition of probation or parole imposed under federal or state law;

          (l)  Aliens who are not qualified under federal law;

          (m)  For a period of ten (10) years following conviction, individuals convicted in federal or state court of having made a fraudulent statement or representation with respect to the individual's place of residence in order to receive TANF, food stamps or Supplemental Security Income (SSI) assistance under Title XVI or Title XIX simultaneously from two (2) or more states;

          (n)  Individuals who are recipients of federal Supplemental Security Income (SSI) assistance; and

          (o)  Individuals who are eighteen (18) years of age or older who are not in compliance with the drug testing * * *and substance use disorder treatment requirements provisions of Section * * *43-17-6 1 of this act.

     (4)  (a)  Any person who is otherwise eligible for TANF benefits, including custodial and noncustodial parents, shall be required to attend school and meet the monthly attendance requirement as provided in this subsection if all of the following apply:

              (i)  The person is under age twenty (20);

              (ii)  The person has not graduated from a public or private high school or obtained a High School Equivalency Diploma equivalent;

              (iii)  The person is physically able to attend school and is not excused from attending school; and

              (iv)  If the person is a parent or caretaker relative with whom a dependent child is living, child care is available for the child.

     The monthly attendance requirement under this subsection shall be attendance at the school in which the person is enrolled for each day during a month that the school conducts classes in which the person is enrolled, with not more than two (2) absences during the month for reasons other than the reasons listed in paragraph (e)(iv) of this subsection.  Persons who fail to meet participation requirements in this subsection shall be subject to sanctions as provided in paragraph (f) of this subsection.

          (b)  As used in this subsection, "school" means any one (1) of the following:

              (i)  A school as defined in Section 37-13-91(2);

              (ii)  A vocational, technical and adult education program; or

              (iii)  A course of study meeting the standards established by the State Department of Education for the granting of a declaration of equivalency of high school graduation.

          (c)  If any compulsory-school-age child, as defined in Section 37-13-91(2), to which TANF eligibility requirements apply is not in compliance with the compulsory school attendance requirements of Section 37-13-91(6), the superintendent of schools of the school district in which the child is enrolled or eligible to attend shall notify the county department of human services of the child's noncompliance.  The Department of Human Services shall review school attendance information as provided under this paragraph at all initial eligibility determinations and upon subsequent report of unsatisfactory attendance.

          (d)  The signature of a person on an application for TANF benefits constitutes permission for the release of school attendance records for that person or for any child residing with that person.  The department shall request information from the child's school district about the child's attendance in the school district's most recently completed semester of attendance.  If information about the child's previous school attendance is not available or cannot be verified, the department shall require the child to meet the monthly attendance requirement for one (1) semester or until the information is obtained.  The department shall use the attendance information provided by a school district to verify attendance for a child.  The department shall review with the parent or caretaker relative a child's claim that he or she has a good cause for not attending school.

     A school district shall provide information to the department about the attendance of a child who is enrolled in a public school in the district within five (5) working days of the receipt of a written request for that information from the department.  The school district shall define how many hours of attendance count as a full day and shall provide that information, upon request, to the department.  In reporting attendance, the school district may add partial days' absence together to constitute a full day's absence.

     If a school district fails to provide to the department the information about the school attendance of any child within fifteen (15) working days after a written request, the department shall notify the Department of Audit within three (3) working days of the school district's failure to comply with that requirement.  The Department of Audit shall begin audit proceedings within five (5) working days of notification by the Department of Human Services to determine the school district's compliance with the requirements of this subsection (4).  If the Department of Audit finds that the school district is not in compliance with the requirements of this subsection, the school district shall be penalized as follows:  The Department of Audit shall notify the State Department of Education of the school district's noncompliance, and the Department of Education shall reduce the calculation of the school district's average daily attendance (ADA) that is used to determine the allocation of Mississippi Adequate Education Program funds by the number of children for which the district has failed to provide to the Department of Human Services the required information about the school attendance of those children.  The reduction in the calculation of the school district's ADA under this paragraph shall be effective for a period of one (1) year.

          (e)  A child who is required to attend school to meet the requirements under this subsection shall comply except when there is good cause, which shall be demonstrated by any of the following circumstances:

              (i)  The minor parent is the caretaker of a child less than twelve (12) weeks old; or

              (ii)  The department determines that child care services are necessary for the minor parent to attend school and there is no child care available; or

              (iii)  The child is prohibited by the school district from attending school and an expulsion is pending.  This exemption no longer applies once the teenager has been expelled; however, a teenager who has been expelled and is making satisfactory progress towards obtaining a High School Equivalency Diploma equivalent shall be eligible for TANF benefits; or

              (iv)  The child failed to attend school for one or more of the following reasons:

                   1.  Illness, injury or incapacity of the child or the minor parent's child;

                   2.  Court-required appearances or temporary incarceration;

                   3.  Medical or dental appointments for the child or minor parent's child;

                   4.  Death of a close relative;

                   5.  Observance of a religious holiday;

                   6.  Family emergency;

                   7.  Breakdown in transportation;

                   8.  Suspension; or

                   9.  Any other circumstance beyond the control of the child, as defined in regulations of the department.

          (f)  Upon determination that a child has failed without good cause to attend school as required, the department shall provide written notice to the parent or caretaker relative (whoever is the primary recipient of the TANF benefits) that specifies:

              (i)  That the family will be sanctioned in the next possible payment month because the child who is required to attend school has failed to meet the attendance requirement of this subsection;

              (ii)  The beginning date of the sanction, and the child to whom the sanction applies;

              (iii)  The right of the child's parents or caretaker relative (whoever is the primary recipient of the TANF benefits) to request a fair hearing under this subsection.

     The child's parent or caretaker relative (whoever is the primary recipient of the TANF benefits) may request a fair hearing on the department's determination that the child has not been attending school.  If the child's parents or caretaker relative does not request a fair hearing under this subsection, or if, after a fair hearing has been held, the hearing officer finds that the child without good cause has failed to meet the monthly attendance requirement, the department shall discontinue or deny TANF benefits to the child thirteen (13) years old, or older, in the next possible payment month.  The department shall discontinue or deny twenty-five percent (25%) of the family grant when a child six (6) through twelve (12) years of age without good cause has failed to meet the monthly attendance requirement.  Both the child and family sanction may apply when children in both age groups fail to meet the attendance requirement without good cause.  A sanction applied under this subsection shall be effective for one (1) month for each month that the child failed to meet the monthly attendance requirement.  In the case of a dropout, the sanction shall remain in force until the parent or caretaker relative provides written proof from the school district that the child has reenrolled and met the monthly attendance requirement for one (1) calendar month.  Any month in which school is in session for at least ten (10) days during the month may be used to meet the attendance requirement under this subsection.  This includes attendance at summer school.  The sanction shall be removed the next possible payment month.

     (5)  All parents or caretaker relatives shall have their dependent children receive vaccinations and booster vaccinations against those diseases specified by the State Health Officer under Section 41-23-37 in accordance with the vaccination and booster vaccination schedule prescribed by the State Health Officer for children of that age, in order for the parents or caretaker relatives to be eligible or remain eligible to receive TANF benefits.  Proof of having received such vaccinations and booster vaccinations shall be given by presenting the certificates of vaccination issued by any health care provider licensed to administer vaccinations, and submitted on forms specified by the State Board of Health.  If the parents without good cause do not have their dependent children receive the vaccinations and booster vaccinations as required by this subsection and they fail to comply after thirty (30) days' notice, the department shall sanction the family's TANF benefits by twenty-five percent (25%) for the next payment month and each subsequent payment month until the requirements of this subsection are met.

     (6)  (a)  If the parent or caretaker relative applying for TANF assistance is work eligible, as determined by the Department of Human Services, the person shall be required to engage in an allowable work activity once the department determines the parent or caretaker relative is determined work eligible, or once the parent or caretaker relative has received TANF assistance under the program for twenty-four (24) months, whether or not consecutive, whichever is earlier.  No TANF benefits shall be given to any person to whom this section applies who fails without good cause to comply with the Employability Development Plan prepared by the department for the person, or who has refused to accept a referral or offer of employment, training or education in which he or she is able to engage, subject to the penalties prescribed in paragraph (e) of this subsection.  A person shall be deemed to have refused to accept a referral or offer of employment, training or education if he or she:

              (i)  Willfully fails to report for an interview with respect to employment when requested to do so by the department; or

              (ii)  Willfully fails to report to the department the result of a referral to employment; or

              (iii)  Willfully fails to report for allowable work activities as prescribed in paragraphs (c) and (d) of this subsection.

          (b)  The Department of Human Services shall operate a statewide work program for TANF recipients to provide work activities and supportive services to enable families to become self-sufficient and improve their competitive position in the workforce in accordance with the requirements of the federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193), as amended, and the regulations promulgated thereunder, and the Deficit Reduction Act of 2005 (Public Law 109-171), as amended.  Within sixty (60) days after the initial application for TANF benefits, the TANF recipient must participate in a job search skills training workshop or a job readiness program, which shall include resume writing, job search skills, employability skills and, if available at no charge, the General Aptitude Test Battery or its equivalent.  All adults who are not specifically exempt shall be referred by the department for allowable work activities.  An adult may be exempt from the mandatory work activity requirement for the following reasons:

              (i)  Incapacity;

              (ii)  Temporary illness or injury, verified by physician's certificate;

              (iii)  Is in the third trimester of pregnancy, and there are complications verified by the certificate of a physician, nurse practitioner, physician assistant, or any other licensed health care professional practicing under a protocol with a licensed physician;

              (iv)  Caretaker of a child under twelve (12) months, for not more than twelve (12) months of the sixty-month maximum benefit period;

              (v)  Caretaker of an ill or incapacitated person, as verified by physician's certificate;

              (vi)  Age, if over sixty (60) or under eighteen (18) years of age;

              (vii)  Receiving treatment for substance abuse, if the person is in compliance with the substance abuse treatment plan;

              (viii)  In a two-parent family, the caretaker of a severely disabled child, as verified by a physician's certificate; or

              (ix)  History of having been a victim of domestic violence, which has been reported as required by state law and is substantiated by police reports or court records, and being at risk of further domestic violence, shall be exempt for a period as deemed necessary by the department but not to exceed a total of twelve (12) months, which need not be consecutive, in the sixty-month maximum benefit period.  For the purposes of this subparagraph (ix), "domestic violence" means that an individual has been subjected to:

                   1.  Physical acts that resulted in, or threatened to result in, physical injury to the individual;

                   2.  Sexual abuse;

                   3.  Sexual activity involving a dependent child;

                   4.  Being forced as the caretaker relative of a dependent child to engage in nonconsensual sexual acts or activities;

                   5.  Threats of, or attempts at, physical or sexual abuse;

                   6.  Mental abuse; or

                   7.  Neglect or deprivation of medical care.

          (c)  For all families, all adults who are not specifically exempt shall be required to participate in work activities for at least the minimum average number of hours per week specified by federal law or regulation, not fewer than twenty (20) hours per week (thirty-five (35) hours per week for two-parent families) of which are attributable to the following allowable work activities:

              (i)  Unsubsidized employment;

              (ii)  Subsidized private employment;

              (iii)  Subsidized public employment;

              (iv)  Work experience (including work associated with the refurbishing of publicly assisted housing), if sufficient private employment is not available;

              (v)  On-the-job training;

              (vi)  Job search and job readiness assistance consistent with federal TANF regulations;

              (vii)  Community service programs;

              (viii)  Vocational educational training (not to exceed twelve (12) months with respect to any individual);

              (ix)  The provision of child care services to an individual who is participating in a community service program;

              (x)  Satisfactory attendance at high school or in a course of study leading to a high school equivalency certificate, for heads of household under age twenty (20) who have not completed high school or received such certificate;

              (xi)  Education directly related to employment, for heads of household under age twenty (20) who have not completed high school or received such equivalency certificate.

          (d)  The following are allowable work activities which may be attributable to hours in excess of the minimum specified in * * * subsection (6)(c) paragraph (c) of this subsection:

              (i)  Job skills training directly related to employment;

              (ii)  Education directly related to employment for individuals who have not completed high school or received a high school equivalency certificate;

              (iii)  Satisfactory attendance at high school or in a course of study leading to a high school equivalency, for individuals who have not completed high school or received such equivalency certificate;

              (iv)  Job search and job readiness assistance consistent with federal TANF regulations.

          (e)  If any adult or caretaker relative refuses to participate in allowable work activity as required under this subsection (6), the following full family TANF benefit penalty will apply, subject to due process to include notification, conciliation and a hearing if requested by the recipient:

              (i)  For the first violation, the department shall terminate the TANF assistance otherwise payable to the family for a two-month period or until the person has complied with the required work activity, whichever is longer;

              (ii)  For the second violation, the department shall terminate the TANF assistance otherwise payable to the family for a six-month period or until the person has complied with the required work activity, whichever is longer;

              (iii)  For the third violation, the department shall terminate the TANF assistance otherwise payable to the family for a twelve-month period or until the person has complied with the required work activity, whichever is longer;

              (iv)  For the fourth violation, the person shall be permanently disqualified.

     For a two-parent family, unless prohibited by state or federal law, Medicaid assistance shall be terminated only for the person whose failure to participate in allowable work activity caused the family's TANF assistance to be sanctioned under this * * *subsection (6) paragraph (e), unless an individual is pregnant, but shall not be terminated for any other person in the family who is meeting that person's applicable work requirement or who is not required to work.  Minor children shall continue to be eligible for Medicaid benefits regardless of the disqualification of their parent or caretaker relative for TANF assistance under this subsection (6), unless prohibited by state or federal law.

          (f)  Any person enrolled in a two-year or four-year college program who meets the eligibility requirements to receive TANF benefits, and who is meeting the applicable work requirements and all other applicable requirements of the TANF program, shall continue to be eligible for TANF benefits while enrolled in the college program for as long as the person meets the requirements of the TANF program, unless prohibited by federal law.

          (g)  No adult in a work activity required under this subsection (6) shall be employed or assigned (i) when any other individual is on layoff from the same or any substantially equivalent job within six (6) months before the date of the TANF recipient's employment or assignment; or (ii) if the employer has terminated the employment of any regular employee or otherwise caused an involuntary reduction of its workforce in order to fill the vacancy so created with an adult receiving TANF assistance.  The Mississippi Department of Employment Security, established under Section 71-5-101, shall appoint one or more impartial hearing officers to hear and decide claims by employees of violations of this paragraph (g).  The hearing officer shall hear all the evidence with respect to any claim made hereunder and such additional evidence as he may require and shall make a determination and the reason therefor.  The claimant shall be promptly notified of the decision of the hearing officer and the reason therefor.  Within ten (10) days after the decision of the hearing officer has become final, any party aggrieved thereby may secure judicial review thereof by commencing an action, in the circuit court of the county in which the claimant resides, against the department for the review of such decision, in which action any other party to the proceeding before the hearing officer shall be made a defendant.  Any such appeal shall be on the record which shall be certified to the court by the department in the manner provided in Section 71-5-531, and the jurisdiction of the court shall be confined to questions of law which shall render its decision as provided in that section.

     (7)  The Department of Human Services may provide child care for eligible participants who require such care so that they may accept employment or remain employed.  The department may also provide child care for those participating in the TANF program when it is determined that they are satisfactorily involved in education, training or other allowable work activities.  The department may contract with Head Start agencies to provide child care services to TANF recipients.  The department may also arrange for child care by use of contract or vouchers, provide vouchers in advance to a caretaker relative, reimburse a child care provider, or use any other arrangement deemed appropriate by the department, and may establish different reimbursement rates for child care services depending on the category of the facility or home.  Any center-based or group home child care facility under this subsection shall be licensed by the State Department of Health pursuant to law.  When child care is being provided in the child's own home, in the home of a relative of the child, or in any other unlicensed setting, the provision of such child care may be monitored on a random basis by the Department of Human Services or the State Department of Health.  Transitional child care assistance may be continued if it is necessary for parents to maintain employment once support has ended, unless prohibited under state or federal law.  Transitional child care assistance may be provided for up to twenty-four (24) months after the last month during which the family was eligible for TANF assistance, if federal funds are available for such child care assistance.

     (8)  The Department of Human Services may provide transportation or provide reasonable reimbursement for transportation expenses that are necessary for individuals to be able to participate in allowable work activity under the TANF program.

     (9)  Medicaid assistance shall be provided to a family of TANF program participants for up to twenty-four (24) consecutive calendar months following the month in which the participating family would be ineligible for TANF benefits because of increased income, expiration of earned income disregards, or increased hours of employment of the caretaker relative; however, Medicaid assistance for more than twelve (12) months may be provided only if a federal waiver is obtained to provide such assistance for more than twelve (12) months and federal and state funds are available to provide such assistance.

     (10)  The department shall require applicants for and recipients of public assistance from the department to sign a personal responsibility contract that will require the applicant or recipient to acknowledge his or her responsibilities to the state.

     (11)  The department shall enter into an agreement with the State Personnel Board and other state agencies that will allow those TANF participants who qualify for vacant jobs within state agencies to be placed in state jobs.  State agencies participating in the TANF work program shall receive any and all benefits received by employers in the private sector for hiring TANF recipients.  This subsection (11) shall be effective only if the state obtains any necessary federal waiver or approval and if federal funds are available therefor.

     (12)  Any unspent TANF funds remaining from the prior fiscal year may be expended for any TANF allowable activities.

     (13)  The Mississippi Department of Human Services shall provide TANF applicants information and referral to programs that provide information about birth control, prenatal health care, abstinence education, marriage education, family preservation and fatherhood.

     (14)  No new TANF program requirement or restriction affecting a person's eligibility for TANF assistance, or allowable work activity, which is not mandated by federal law or regulation may be implemented by the Department of Human Services after July 1, 2004, unless such is specifically authorized by an amendment to this section by the Legislature.

     SECTION 4.  Section 43-17-6, Mississippi Code of 1972, which requires certain adult recipients of TANF benefits to take a drug test and participate in a substance abuse disorder treatment plan, is repealed.

     SECTION 5.  This act shall take effect and be in force from and after July 1, 2017.