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            |  | A BILL TO BE ENTITLED | 
         
            |  | AN ACT | 
         
            |  | relating to a study on the coverage of certain infants under | 
         
            |  | Medicaid. | 
         
            |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
            |  | SECTION 1.  DEFINITION.  In this Act, "commission" means the | 
         
            |  | Health and Human Services Commission. | 
         
            |  | SECTION 2.  STUDY ON INFANTS ELIGIBLE FOR MEDICAID.  The | 
         
            |  | commission shall conduct a study to assess the commission's | 
         
            |  | compliance with federal guidelines and requirements on the required | 
         
            |  | coverage of certain infants under Medicaid.  In conducting the | 
         
            |  | study, the commission shall examine whether or the extent to which | 
         
            |  | the commission: | 
         
            |  | (1)  provides Medicaid coverage to infants born in this | 
         
            |  | state whose mother was a Medicaid recipient at the time of the | 
         
            |  | birth; | 
         
            |  | (2)  requires the submission of a separate application | 
         
            |  | or eligibility determination for infants born in this state whose | 
         
            |  | mother was a Medicaid recipient at the time of the birth; | 
         
            |  | (3)  requires by rule or otherwise that an infant born | 
         
            |  | in this state whose mother was a Medicaid recipient at the time of | 
         
            |  | the birth reside with the infant's mother to remain eligible for | 
         
            |  | Medicaid; | 
         
            |  | (4)  allows an infant to receive Medicaid coverage by | 
         
            |  | using the Medicaid identification number of the infant's mother | 
         
            |  | from the period between the infant's birth until the infant reaches | 
         
            |  | one year of age or, if the mother does not have a Medicaid | 
         
            |  | identification number, provides a separate Medicaid identification | 
         
            |  | number to an infant; | 
         
            |  | (5)  requires proof of citizenship for an infant to | 
         
            |  | receive Medicaid coverage before the infant reaches one year of | 
         
            |  | age; | 
         
            |  | (6)  ensures that an infant remains eligible from the | 
         
            |  | period between the infant's birth until the infant reaches at least | 
         
            |  | one year of age, unless the infant dies, is moved outside this | 
         
            |  | state, or is voluntarily disenrolled from Medicaid; and | 
         
            |  | (7)  conducts a redetermination of eligibility for | 
         
            |  | infants before they reach one year of age. | 
         
            |  | SECTION 3.  REPORT.  Not later than September 1, 2024, the | 
         
            |  | commission shall prepare and submit to the governor, the lieutenant | 
         
            |  | governor, the speaker of the house of representatives, and the | 
         
            |  | legislature a written report that: | 
         
            |  | (1)  summarizes the results of the study conducted | 
         
            |  | under Section 2 of this Act; and | 
         
            |  | (2)  includes any legislative recommendations based on | 
         
            |  | the results of the study on how to improve coverage rates and | 
         
            |  | related requirements for infants eligible for Medicaid. | 
         
            |  | SECTION 4.  EXPIRATION.  This Act expires September 1, 2025. | 
         
            |  | SECTION 5.  EFFECTIVE DATE.  This Act takes effect September | 
         
            |  | 1, 2023. |