77R9185 KLA-D
By Coleman H.B. No. 1087
Substitute the following for H.B. No. 1087:
By Capelo C.S.H.B. No. 1087
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to a demonstration project to establish a medical
1-3 assistance buy-in program for certain persons with disabilities.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is
1-6 amended by adding Section 32.053 to read as follows:
1-7 Sec. 32.053. DEMONSTRATION PROJECT FOR MEDICAL ASSISTANCE
1-8 BUY-IN PROGRAM FOR CERTAIN RECIPIENTS WITH DISABILITIES. (a) The
1-9 department shall establish a demonstration project to implement in
1-10 three sites a medical assistance buy-in program in accordance with
1-11 the Ticket to Work and Work Incentives Improvement Act of 1999
1-12 (Pub. L. No. 106-170), as amended, to provide medical assistance
1-13 to:
1-14 (1) a person who:
1-15 (A) is at least 16 years of age, but is not more
1-16 than 64 years of age; and
1-17 (B) has earned income that exceeds the limit
1-18 established by federal law for eligibility for Supplemental
1-19 Security Income (SSI) (42 U.S.C. Section 1381 et seq.), as amended,
1-20 but is otherwise eligible for those benefits; and
1-21 (2) an employed individual with a medically improved
1-22 disability, as defined by 42 U.S.C. Section 1396d(v)(1), as
1-23 amended.
1-24 (b) In establishing the demonstration project, the
2-1 department may:
2-2 (1) establish income, assets, and resource limitations
2-3 for eligibility for participation in the demonstration project; and
2-4 (2) require a participant in the demonstration project
2-5 to pay premiums and other cost-sharing charges in accordance with
2-6 42 U.S.C. Section 1396o(g)(1), as amended.
2-7 (c) The department shall require a participant in the
2-8 project to pay premiums to the extent required by 42 U.S.C. Section
2-9 1396o(g)(2), as amended.
2-10 (d) Not later than December 1, 2002, the department shall
2-11 evaluate the effectiveness of the demonstration project in
2-12 providing health care services to employed persons with
2-13 disabilities. If the results of the evaluation indicate that the
2-14 project is effective, the department shall incorporate a request
2-15 for funding for the continuation or expansion of the program in the
2-16 department's budget request for the next state fiscal biennium.
2-17 (e) This section expires September 1, 2003.
2-18 SECTION 2. (a) The Health and Human Services Commission
2-19 shall request and actively pursue the award of a federal grant
2-20 authorized by the Ticket to Work and Work Incentives Improvement
2-21 Act of 1999 (Pub. L. No. 106-170), as amended, to support the
2-22 design, establishment, and operation of infrastructures in this
2-23 state that provide support services for employed persons with
2-24 disabilities.
2-25 (b) The commission shall comply with any prerequisite
2-26 imposed under the federal law to receiving the grant.
2-27 SECTION 3. The state agency responsible for implementing the
3-1 demonstration project required by Section 32.053, Human Resources
3-2 Code, as added by this Act, shall request and actively pursue any
3-3 necessary waivers or authorizations from the Health Care Financing
3-4 Administration or other appropriate entities to enable the agency
3-5 to implement the demonstration project not later than September 1,
3-6 2002. The agency may delay implementing the demonstration project
3-7 until the necessary waivers or authorizations are granted.
3-8 SECTION 4. This Act takes effect September 1, 2001.