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7 LONG TITLE
8 General Description:
9 This bill directs the Department of Health to expand eligibility for all Utah children
10 under Medicaid and CHIP.
11 Highlighted Provisions:
12 This bill:
13 ▸ directs the Department of Health to expand eligibility for the Medicaid and
14 Children's Health Insurance Program to include all Utah children, including those
15 who do not currently qualify.
16 Money Appropriated in this Bill:
17 None
18 Other Special Clauses:
19 None
20 Utah Code Sections Affected:
21 ENACTS:
22 26-18-29, Utah Code Annotated 1953
23 26-40-117, Utah Code Annotated 1953
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25 Be it enacted by the Legislature of the state of Utah:
26 Section 1. Section 26-18-29 is enacted to read:
27 26-18-29. Continuous eligibility for children -- Coverage to all Utah children.
28 (1) Notwithstanding any other provision of this title, the department shall permit an
29 enrollee who is 18 years old or younger to remain in the Medicaid program for a 12-month
30 certification period, as that certification period is defined by the department.
31 (2) The department shall, in accordance with this section, expand eligibility for the
32 Medicaid program to all children in the state who:
33 (a) are 18 years old or younger;
34 (b) are otherwise ineligible for federal financial participation; and
35 (c) meet the income requirement for coverage under the Medicaid program.
36 (3) The department shall expand eligibility for Medicaid under Subsection (2) on the
37 earlier of:
38 (a) when the department determines that systems have been programmed for
39 implementation of this section; and
40 (b) July 1, 2023.
41 (4) (a) An individual who is eligible for coverage under the Medicaid program under
42 Subsection (2) shall be eligible for the full scope of Medicaid benefits that the individual would
43 otherwise receive if the individual was otherwise eligible for federal financial participation.
44 (b) An individual who is eligible under Subsection (2) shall be required to enroll in a
45 Medicaid managed care delivery system, where implemented.
46 (c) The department shall:
47 (i) seek any necessary federal approvals to obtain federal financial participation in
48 implementing this section; and
49 (ii) maximize federal financial participation in implementing this section.
50 (5) Section 26-18-18 does not apply to a change in eligibility under this section.
51 Section 2. Section 26-40-117 is enacted to read:
52 26-40-117. CHIP eligibility -- Coverage to all Utah children.
53 (1) Notwithstanding Subsection 26-40-105(1), the department shall, in accordance with
54 this section, expand eligibility for the program to all children in the state who:
55 (a) are 18 years old or younger;
56 (b) are otherwise ineligible for federal financial participation; and
57 (c) meet the income requirement for coverage under the program.
58 (2) The department shall expand eligibility for the program under Subsection (1) on the
59 earlier of:
60 (a) when the department determines that systems have been programmed for
61 implementation of this section; and
62 (b) July 1, 2023.
63 (3) (a) An individual who is eligible for coverage under the program under Subsection
64 (1) shall be eligible for the full scope of benefits that the individual would otherwise receive if
65 the individual was otherwise eligible for federal financial participation.
66 (b) The department shall:
67 (i) seek any necessary federal approvals to obtain federal financial participation in
68 implementing this section; and
69 (ii) maximize federal financial participation in implementing this section.