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Amend CSHB 2962 as follows:
(1) On page 6, strike lines 2 through 7 and substitute the following:
(3) ensure that required premiums and costs for the
coverage for a child under this subchapter:
(A) are at least equal to the cost to the
commission of otherwise providing child health plan coverage,
including dental benefits, to another child who is the same age, and
who resides in the same state service delivery area, as the child
receiving coverage under this subchapter; and
(B) include:
(i) a fee in an amount determined by the
commission to offset all or part of the cost of prescription drugs
provided to enrollees under this subchapter;
(ii) fees to offset administrative costs
incurred under this subchapter; and
(iii) additional deductibles, coinsurance,
or other cost-sharing payments as determined by the executive
commissioner; and
(2) On page 6, line 8, strike "(5)" and substitute "(4)".
(3) On page 6, strike lines 12 through 13 and substitute the
following:
this subchapter only if the child was eligible for the medical
assistance program under Chapter 32, Human Resources Code, or the
child health plan program under Section 62.101 and was enrolled in
the applicable program, but the
(4) Add the following appropriately numbered SECTION to the
bill and renumber subsequent SECTIONS of the bill accordingly:
SECTION ____. Subchapter D, Chapter 62, Health and Safety
Code, is amended by adding Section 62.1551 to read as follows:
Sec. 62.1551. TERMINATION OF COVERAGE FOR NONPAYMENT OF
PREMIUMS. The executive commissioner by rule shall establish a
process that allows for the termination of coverage under the child
health plan of an enrollee whose net family income is greater than
200 percent but not greater than 300 percent of the federal poverty
level if the enrollee does not pay the premiums required under
Section 62.153(a-1).