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