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               A BILL TO BE ENTITLED
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               AN ACT
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            relating to the process for determining the Medicaid eligibility of  | 
         
         
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            certain former foster care youth. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  Sections 32.0247(e) and (f), Human Resources  | 
         
         
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            Code, are amended to read as follows: | 
         
         
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                   (e)  The Department of Family and Protective Services shall  | 
         
         
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            certify the income, assets, or resources of each individual on the  | 
         
         
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            date the individual exits substitute care.  An individual  | 
         
         
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            qualifying for medical assistance as established by this section  | 
         
         
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            shall remain eligible for the maximum period permitted under  | 
         
         
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            federal law before any [12 calendar months after certification and  | 
         
         
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            after each] recertification is required. | 
         
         
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                   (f)  If recertification is required, the [The]  | 
         
         
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            recertification process for individuals who are eligible for  | 
         
         
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            medical assistance under this section must: | 
         
         
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                         (1)  comply with Section 32.024715; and | 
         
         
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                         (2)  [shall] include the option of recertifying online  | 
         
         
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            or by mail or phone. | 
         
         
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                   SECTION 2.  Subchapter B, Chapter 32, Human Resources Code,  | 
         
         
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            is amended by adding Section 32.024715 to read as follows: | 
         
         
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                   Sec. 32.024715.  STREAMLINED ELIGIBILITY DETERMINATION  | 
         
         
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            PROCESS FOR CERTAIN FORMER FOSTER CARE YOUTH.  (a) This section  | 
         
         
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            applies to a former foster care youth who is eligible for Medicaid  | 
         
         
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            under Section 1902(a)(10)(A)(i)(IX), Social Security Act (42  | 
         
         
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            U.S.C. Section 1396a(a)(10)(A)(i)(IX)), or any other law. | 
         
         
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                   (b)  The commission, in consultation with the Department of  | 
         
         
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            Family and Protective Services, shall design and implement a  | 
         
         
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            streamlined process for determining a former foster care youth's  | 
         
         
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            eligibility for Medicaid.  The streamlined process must: | 
         
         
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                         (1)  provide for the automatic enrollment and  | 
         
         
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            recertification of a former foster care youth in the STAR Health  | 
         
         
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            program, the STAR Medicaid managed care program, or another  | 
         
         
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            Medicaid program, as appropriate; | 
         
         
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                         (2)  be designed to prevent any unnecessary  | 
         
         
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            interruption of the youth's Medicaid benefits, including any  | 
         
         
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            interruption related to having to recertify the youth for benefits;  | 
         
         
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            and | 
         
         
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                         (3)  if recertification is required under federal law,  | 
         
         
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            use a simple application and recertification process that: | 
         
         
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                               (A)  to the extent permitted by federal law, does  | 
         
         
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            not require that a youth verify that the youth is a resident of this  | 
         
         
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            state unless the commission determines that the youth is receiving  | 
         
         
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            Medicaid benefits outside of this state; or | 
         
         
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                               (B)  if federal law requires that a youth verify  | 
         
         
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            that the youth is a resident of this state, allows the youth to  | 
         
         
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            attest to that fact without providing additional documentation or  | 
         
         
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            evidence that proves the youth is a resident of this state. | 
         
         
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                   SECTION 3.  The changes in law made by this Act apply to an  | 
         
         
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            initial determination or recertification of eligibility of a person  | 
         
         
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            for medical assistance under Chapter 32, Human Resources Code, made  | 
         
         
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            on or after the effective date of this Act, regardless of the date  | 
         
         
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            the person applied for that assistance. | 
         
         
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                   SECTION 4.  If before implementing any provision of this Act  | 
         
         
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            a state agency determines that a waiver or authorization from a  | 
         
         
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            federal agency is necessary for implementation of that provision,  | 
         
         
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            the agency affected by the provision shall request the waiver or  | 
         
         
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            authorization and may delay implementing that provision until the  | 
         
         
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            waiver or authorization is granted. | 
         
         
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                   SECTION 5.  This Act takes effect September 1, 2021. |