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.