1     
MEDICAID WAIVER FOR MENTAL HEALTH PATIENTS

2     
2018 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Edward H. Redd

5     
Senate Sponsor: ____________

6     

7     LONG TITLE
8     General Description:
9          This bill requires the Division of Health Care Financing to apply for a Medicaid waiver
10     or a state plan amendment to expand Medicaid coverage to certain individuals.
11     Highlighted Provisions:
12          This bill:
13          ▸     requires the Division of Health Care Financing to apply for a Medicaid waiver or a
14     state plan amendment to provide Medicaid coverage to certain mental health
15     patients; and
16          ▸     if the waiver described in this bill is approved, to provide Medicaid coverage to
17     certain mental health patients.
18     Money Appropriated in this Bill:
19          None
20     Other Special Clauses:
21          None
22     Utah Code Sections Affected:
23     ENACTS:
24          26-18-415, Utah Code Annotated 1953
25     

26     Be it enacted by the Legislature of the state of Utah:
27          Section 1. Section 26-18-415 is enacted to read:

28          26-18-415. Mental health patient Medicaid waiver.
29          (1) Before July 1, 2018, the division shall apply for a Medicaid waiver or a state plan
30     amendment with the Centers for Medicare and Medicaid Services within the United States
31     Department of Health and Human Services to provide Medicaid coverage for an individual
32     described in Subsection (2).
33          (2) An individual may receive Medicaid coverage under this section if the individual:
34          (a) is under commitment to the custody of a local mental health authority, as defined in
35     Section 62A-15-602;
36          (b) has an income that is below 95% of the federal poverty level established by the
37     secretary of the United States Department of Health and Human Services under 42 U.S.C. Sec.
38     9909(2); and
39          (c) does not qualify for:
40          (i) any other subsidized health care coverage; or
41          (ii) any health care coverage under a parent or employer.
42          (3) If the waiver described in Subsection (1) is approved, the department shall provide
43     Medicaid coverage under this section for an individual until the later of:
44          (a) six months; or
45          (b) the day on which the patient no longer meets the requirements in Subsection (2).






Legislative Review Note
Office of Legislative Research and General Counsel