79S31843 JTS-D

By:  Hinojosa                                                     S.B. No. 44 


A BILL TO BE ENTITLED
AN ACT
relating to temporary eligibility requirements for and administration of the child health plan program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. CHILD HEALTH PLAN PROGRAM INCOME ELIGIBILITY. (a) In this section, "net family income" means the amount of income established for a family after reduction for offsets for expenses such as child care and work-related expenses, in accordance with standards applicable under the Medicaid program. (b) Notwithstanding Sections 62.101(a)(4) and (b), Health and Safety Code, the Health and Human Services Commission shall establish income eligibility levels for the child health plan program consistent with Title XXI, Social Security Act (42 U.S.C. Section 1397aa et seq.), as amended, and any other applicable law or regulations, and subject to the availability of appropriated money, so that a child who is younger than 19 years of age and whose net family income is at or below 200 percent of the federal poverty level is eligible for health benefits coverage under the program. The commission may not use eligibility standards regarding the amount or types of allowable assets for a family. SECTION 2. COMMUNITY OUTREACH CAMPAIGN; TOLL-FREE HOTLINE. (a) The Health and Human Services Commission shall conduct a community outreach and education campaign to provide information relating to the availability of health benefits for children under the child health plan program. The commission shall conduct the campaign in a manner that promotes enrollment in, and minimizes duplication of effort among, all state-administered child health programs. (b) The community outreach campaign must include: (1) outreach efforts that involve school-based health clinics; and (2) a toll-free telephone number through which families may obtain information about health benefits coverage for children. (c) The Health and Human Services Commission shall contract with community-based organizations or coalitions of community-based organizations to implement the community outreach campaign and shall also promote and encourage voluntary efforts to implement the community outreach campaign. The commission shall procure the contracts through a process designed by the commission to encourage broad participation of organizations, including organizations that target population groups with high levels of uninsured children. (d) The Health and Human Services Commission may direct that the Department of State Health Services perform all or part of the community outreach campaign. SECTION 3. CONTINUOUS COVERAGE. Notwithstanding Section 62.102, Health and Safety Code, an individual who is determined to be eligible for coverage under the child health plan program remains eligible for those benefits until the earlier of: (1) the end of a period, not to exceed 12 months, following the date of the eligibility determination; or (2) the individual's 19th birthday. SECTION 4. WAITING PERIOD. Notwithstanding Section 62.154(d), Health and Safety Code, the waiting period required by Section 62.154, Health and Safety Code, must: (1) extend for a period of 90 days after the last date on which the applicant was covered under a health benefits plan; and (2) apply to a child who was covered by a health benefits plan at any time during the 90 days before the date of application for coverage under the child health plan. SECTION 5. EFFECTIVE DATE. 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 on the 91st day after the last day of the legislative session. SECTION 6. EXPIRATION. This Act expires August 31, 2009.