HBA-MPM C.S.H.B. 2420 77(R) BILL ANALYSIS Office of House Bill AnalysisC.S.H.B. 2420 By: Coleman Public Health 4/17/2001 Committee Report (Substituted) BACKGROUND AND PURPOSE Currently, parents of children receiving Medicaid are only eligible for Medicaid if they have net incomes below 17 percent of the federal poverty level after such deductions as work expenses and child care. This criteria is also applicable to individuals receiving Temporary Assistance for Needy Families (TANF) cash assistance. The federal Social Security Act allows states to expand Medicaid coverage to parents with higher incomes by increasing the amounts that are deducted from their gross incomes so that the amount of their net income remains below 17 percent of the federal poverty level. Texas does not take advantage of this federal provision. C.S.H.B. 2420 requires the Health and Human Services Commission to conduct a pilot program to provide Medicaid coverage for parents of children enrolled in Medicaid. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that rulemaking authority is expressly delegated to the Health and Human Services Commission in SECTION 1 of this bill. ANALYSIS C.S.H.B. 2420 requires the Health and Human Services Commission (HHSC) by rule to develop and implement a pilot program in accordance with federal law to provide Medicaid coverage under the state Medicaid program to a low-income individual who is the parent of a child receiving Medicaid and who is otherwise not eligible for Medicaid. HHSC is required to implement the pilot program in two counties, one with a population of 29,000 or less and one with a population of 37,000 or less. The bill requires HHSC to submit a report to the legislature regarding the effectiveness, including the cost-effectiveness, of the pilot program no later than December 1, 2002. The report must include the effect of the pilot program on the enrollment of children in the state Medicaid program and recommendations regarding elimination, continuation, or expansion of the pilot program. The pilot program expires September 1, 2003. EFFECTIVE DATE September 1, 2001. COMPARISON OF ORIGINAL TO SUBSTITUTE C.S.H.B. 2420 differs from the original by requiring the Health and Human Services Commission (HHSC) to implement the pilot program in two counties, one with a population of 29,000 or less and one with a population of 37,000 or less. The original bill required HHSC to determine the pilot program sites. The substitute provides that the report submitted by HHSC to the legislature regarding the pilot program must include the effect of the program on the enrollment of children in the state Medicaid program.