1     
MEDICAID EXPANSION PROVISIONS

2     
2015 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Robert M. Spendlove

5     
Senate Sponsor: ____________

6     

7     LONG TITLE
8     General Description:
9          This bill amends the Medicaid program to permit an expansion of the Medicaid
10     program under certain conditions.
11     Highlighted Provisions:
12          This bill:
13          ▸     authorizes the Utah Department of Health and the governor to extend Medicaid
14     benefits:
15               •     to an individual who is below 100% of the federal poverty level;
16               •     if the Medicaid benefit package offered to the newly eligible is the current
17     Medicaid benefit package; and
18               •     if the department gets the maximum federal match rate for the Medicaid                
19     expansion.
20     Money Appropriated in this Bill:
21          None
22     Other Special Clauses:
23          None
24     Utah Code Sections Affected:
25     AMENDS:
26          26-18-18, as enacted by Laws of Utah 2013, Chapter 477
27     

28     Be it enacted by the Legislature of the state of Utah:
29          Section 1. Section 26-18-18 is amended to read:
30          26-18-18. Optional Medicaid expansion.
31          (1) For purposes of this section "PPACA" [is as] means the same as that term is
32     defined in Section 31A-1-301.
33          (2) The department and the governor shall not expand the state's Medicaid program to
34     the optional Medicaid expansion population under PPACA unless:
35          [(a) the Health Reform Task Force has completed a thorough analysis of a statewide
36     charity care system;]
37          [(b) the department and its contractors have:]
38          [(i) completed a thorough analysis of the impact to the state of expanding the state's
39     Medicaid program to optional populations under PPACA; and]
40          [(ii) made the analysis conducted under Subsection (2)(b)(i) available to the public;]
41          [(c) the governor or the governor's designee has reported the intention to expand the
42     state Medicaid program under PPACA to the Legislature in compliance with the legislative
43     review process in Sections 63M-1-2505.5 and 26-18-3; and]
44          (a) the expansion of the state Medicaid program is in accordance with Subsection (3);
45     or
46          [(d)] (b) if the expansion is not in accordance with Subsection (3), notwithstanding
47     Subsection 63J-5-103(2), the governor submits the request for expansion of the Medicaid
48     program for optional Medicaid expansion populations to the Legislature under the high impact
49     federal funds request process required by Section 63J-5-204, Legislative review and approval
50     of certain federal funds request.
51          (3) The department may expand the Medicaid program:
52          (a) to an individual who is below 100% of the federal poverty level;
53          (b) if the department offers the current Medicaid benefit structure to an individual
54     under Subsection (3)(a); and
55          (c) if the department obtains the maximum federal financial participation for the
56     expansion population as set forth in 42 U.S.C. Sec. 1396d(y).




Legislative Review Note
     as of 2-10-15 9:54 AM

Office of Legislative Research and General Counsel