Bill Text: TX HB513 | 2021-2022 | 87th Legislature | Introduced
Bill Title: Relating to the expansion of eligibility for Medicaid in certain counties.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2021-03-01 - Referred to Human Services [HB513 Detail]
Download: Texas-2021-HB513-Introduced.html
| By: Beckley | H.B. No. 513 | |
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| relating to the expansion of eligibility for Medicaid in certain | ||
| counties. | ||
| 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. 540.001. 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. 540.002. FEDERAL AUTHORIZATION FOR MEDICAID EXPANSION | ||
| IN CERTAIN COUNTIES. (a) On the request of the commissioners court | ||
| 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 to the maximum extent permitted by | ||
| federal law 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 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 540.002, 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. | ||
