82S10404 EES-D
 
  By: Coleman H.B. No. 78
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a county HIV and AIDS services Medicaid waiver program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.09721 to read as follows:
         Sec. 531.09721.  COUNTY HIV AND AIDS SERVICES MEDICAID
  WAIVER PROGRAM. (a)  If feasible and cost-effective, the
  commission may apply for a waiver from the federal Centers for
  Medicare and Medicaid Services or another appropriate federal
  agency to more efficiently leverage the use of state and local funds
  in order to maximize the receipt of federal Medicaid matching funds
  by providing counties in the state with the flexibility to provide
  benefits under the Medicaid program to individuals who:
               (1)  have a net family income that is at or below 150
  percent of the federal poverty level; and
               (2)  are eligible to receive medical treatment for HIV
  or AIDS through the county.
         (b)  In establishing the waiver program required under this
  section, the commission shall:
               (1)  ensure that the state is a prudent purchaser of the
  health care services that are needed for the individuals described
  by Subsection (a);
               (2)  solicit broad-based input from interested
  persons;
               (3)  ensure that the benefits received by an individual
  through the county are not reduced once the individual is enrolled
  in the waiver program; and
               (4)  employ the use of intergovernmental transfers and
  other procedures to maximize the receipt of federal Medicaid
  matching funds.
         SECTION 2.  This Act takes effect on the 91st day after the
  last day of the legislative session.