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H.B. 326 Enrolled






Chief Sponsor: Greg J. Curtis

Senate Sponsor: John L. Valentine

             8      LONG TITLE
             9      General Description:
             10          This bill amends the Utah Children's Health Insurance Act.
             11      Highlighted Provisions:
             12          This bill:
             13          .    makes technical drafting amendments;
             14          .    requires the Department of Health to keep enrollment in the Children's Health
             15      Insurance Program open so that an eligible child who applies for coverage under the
             16      Children's Health Insurance Program can enroll in the program; and
             17          .    designates the appropriations to the Utah Children's Health Insurance Program as
             18      non-lapsing appropriations.
             19      Monies Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25          26-40-105, as enacted by Laws of Utah 1998, Chapter 360
             26          26-40-108, as enacted by Laws of Utah 1998, Chapter 360
             27      Uncodified Material Affected:

             30      Be it enacted by the Legislature of the state of Utah:
             31          Section 1. Section 26-40-105 is amended to read:
             32           26-40-105. Eligibility.
             33          (1) [To be eligible to enroll in the program, a child must] A child is eligible to enroll in
             34      the program if the child:
             35          (a) [be] is a bona fide Utah resident;
             36          (b) [be] is a citizen or legal resident of the United States;
             37          (c) [be] is under 19 years of age;
             38          (d) [not have] does not have access to or coverage under other health insurance,
             39      including any coverage available through a parent or legal guardian's employer;
             40          (e) [be] is ineligible for Medicaid benefits;
             41          (f) [reside] resides in a household whose gross family income, as defined by rule, is at or
             42      below 200% of the federal poverty level; and
             43          (g) [not be] is not an inmate of a public institution or a patient in an institution for
             44      mental diseases.
             45          (2) A child [may not be determined to be ineligible to enroll in the program based on]
             46      who qualifies for enrollment in the program under Subsection (1) may not be denied enrollment
             47      due to a diagnosis or pre-existing condition.
             48          (3) (a) The department shall determine eligibility and send notification of the eligibility
             49      decision within 30 days after receiving the application for coverage.
             50          (b) If the department cannot reach a decision because the applicant fails to take a
             51      required action, or because there is an administrative or other emergency beyond the
             52      department's control, the department shall:
             53          [(a)] (i) document the reason for the delay in the applicant's case record; and
             54          [(b)] (ii) inform the applicant of the status of the application and time frame for
             55      completion.
             56          (4) The department may not close enrollment in the program for a child who is eligible
             57      to enroll in the program under the provisions of Subsection (1).

             58          Section 2. Section 26-40-108 is amended to read:
             59           26-40-108. Funding.
             60          (1) The program shall be funded by federal matching funds received under, together
             61      with state matching funds required by, 42 U.S.C. Sec. 1397ee.
             62          (2) Program expenditures in the following categories may not exceed 10% in the
             63      aggregate of all federal payments pursuant to 42 U.S.C. Sec. 1397ee:
             64          (a) other forms of child health assistance for children with gross family incomes below
             65      200% of the federal poverty level;
             66          (b) other health services initiatives to improve low-income children's health;
             67          (c) outreach program expenditures; and
             68          (d) administrative costs.
             69          (3) Appropriations to the program are non-lapsing.
             70          Section 3. Legislative intent.
             71          Under Section 63-38-8.1 of the Utah Code, the Legislature intends that the
             72      appropriation to the Children's Health Insurance Program provided by Item 101, Chapter 1,
             73      Laws of Utah 2007, and Item 90, Chapter 371, Laws of Utah 2007 not lapse at the close of
             74      fiscal year 2008.

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