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7 LONG TITLE
8 General Description:
9 This bill enacts provisions relating to the Medicaid program and the Utah Children's
10 Health Insurance Program.
11 Highlighted Provisions:
12 This bill:
13 ▸ requires the Medicaid program and the Utah Children's Health Insurance Program
14 to:
15 • allow automatic payments for premiums;
16 • share information about Medicaid or Utah Children's Health Insurance Program
17 enrollee renewal dates with accountable care organizations under certain
18 circumstances; and
19 • study ways to improve notification and renewal processes for families with
20 children;
21 ▸ creates a reporting requirement; and
22 ▸ requires the Department of Health to seek a federal waiver to provide continuous
23 eligibility for children in the Medicaid program under certain circumstances.
24 Money Appropriated in this Bill:
25 None
26 Other Special Clauses:
27 None
28 Utah Code Sections Affected:
29 AMENDS:
30 63I-2-226, as last amended by Laws of Utah 2019, Chapters 262, 393, 405 and last
31 amended by Coordination Clause, Laws of Utah 2019, Chapter 246
32 ENACTS:
33 26-18-27, Utah Code Annotated 1953
34 26-18-420, Utah Code Annotated 1953
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36 Be it enacted by the Legislature of the state of Utah:
37 Section 1. Section 26-18-27 is enacted to read:
38 26-18-27. Medical assistance coverage for children -- Automatic payment of
39 premiums -- Study.
40 (1) As used in this section:
41 (a) "Accountable care organization" means the same as that term is defined in Section
42 26-18-408.
43 (b) "Member" means the same as that term is defined in Section 26-40-102.
44 (c) "Utah Children's Health Insurance Program" means the same as that term is defined
45 in Section 26-40-102.
46 (2) The division shall permit an enrollee or a member to pay recurring premiums by
47 means of automatic payment from individuals.
48 (3) (a) The division, in collaboration with the Department of Workforce Services and
49 interested stakeholders, shall study ways to improve notification and renewal process for
50 families with a child who qualifies for coverage under the Medicaid program or the Utah
51 Children's Health Insurance Program.
52 (b) The study described in Subsection (3)(a) shall include at least the following
53 information:
54 (i) a comparison of the effectiveness of paper and electronic renewal notices;
55 (ii) a survey of enrollees regarding reasons given for children being disenrolled from
56 Medicaid; and
57 (iii) consideration of ways to decrease the use of facsimile machines and increase
58 reminders sent by text message.
59 (c) On or before November 30, 2020, the division shall report to the Health and Human
60 Services Interim Committee the division's findings under this Subsection (3).
61 Section 2. Section 26-18-420 is enacted to read:
62 26-18-420. Continuous eligibility for children.
63 (1) As used in this section, "federal poverty level" means the same as that term is
64 defined in Section 26-18-411.
65 (2) Before July 1, 2020, the division shall apply to CMS for approval of a waiver or
66 state plan amendment to implement the coverage described in Subsection (3).
67 (3) If the waiver described in Subsection (2) is approved, the division shall provide an
68 enrollee who is younger than 19 years old continuous eligibility that ends on the earlier of:
69 (a) 12 months after the day on which the enrollee qualifies for Medicaid coverage;
70 (b) the day on which the enrollee turns 19 years old; or
71 (c) the day on which the division terminates the enrollee's coverage under Subsection
72 (4)(b).
73 (4) (a) The division may require an enrollee who receives continuous eligibility under
74 Subsection (3) to resubmit information regarding the eligibility of the enrollee or the enrollee's
75 parents only if:
76 (i) the enrollee has a reasonable expectation that the enrollee's income level used to
77 determine eligibility for Medicaid coverage will exceed 300% of the federal poverty level; or
78 (ii) the division has substantial evidence that the continuous eligibility was obtained or
79 is being continued based on the enrollee intentionally misrepresenting the enrollee's income.
80 (b) The division may terminate an enrollee's Medicaid coverage under this Subsection
81 (4) if the division finds that:
82 (i) the enrollee's income level is expected to exceed 300% of the federal poverty level;
83 or
84 (ii) the continuous eligibility was obtained or is being continued based on the enrollee
85 intentionally misrepresenting the enrollee's income.
86 Section 3. Section 63I-2-226 is amended to read:
87 63I-2-226. Repeal dates -- Title 26.
88 (1) Subsection 26-7-8(3) is repealed January 1, 2027.
89 (2) Section 26-8a-107 is repealed July 1, 2024.
90 (3) Subsection 26-8a-203(3)(a)(i) is repealed January 1, 2023.
91 (4) Subsection 26-18-2.3(5) is repealed January 1, 2020.
92 (5) Subsection 26-18-2.4(3)(e) is repealed January 1, 2023.
93 (6) Subsection 26-18-27(4), related to studying and reporting on notification and
94 renewal processes, is repealed January 1, 2021.
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96 improvement program, is repealed January 1, 2023.
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102 Program, is repealed July 1, 2027.
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