1 | A bill to be entitled |
2 | An act relating to Medicaid postpartum benefits; amending |
3 | s. 409.903, F.S.; providing for continuation of Medicaid |
4 | coverage for women eligible for prenatal care benefits |
5 | under certain circumstances and for a specified period |
6 | postpartum; requiring the Agency for Health Care |
7 | Administration to electronically enroll eligible women; |
8 | authorizing the agency to seek waiver authority; providing |
9 | an effective date. |
10 |
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11 | Be It Enacted by the Legislature of the State of Florida: |
12 |
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13 | Section 1. Subsection (5) of section 409.903, Florida |
14 | Statutes, is amended to read: |
15 | 409.903 Mandatory payments for eligible persons.-The |
16 | agency shall make payments for medical assistance and related |
17 | services on behalf of the following persons who the department, |
18 | or the Social Security Administration by contract with the |
19 | Department of Children and Family Services, determines to be |
20 | eligible, subject to the income, assets, and categorical |
21 | eligibility tests set forth in federal and state law. Payment on |
22 | behalf of these Medicaid eligible persons is subject to the |
23 | availability of moneys and any limitations established by the |
24 | General Appropriations Act or chapter 216. |
25 | (5)(a) A pregnant woman for the duration of her pregnancy |
26 | and for the postpartum period as defined in federal law and |
27 | rule, or a child under age 1, if either is living in a family |
28 | that has an income which is at or below 150 percent of the most |
29 | current federal poverty level, or, effective January 1, 1992, |
30 | that has an income which is at or below 185 percent of the most |
31 | current federal poverty level. Such a person is not subject to |
32 | an assets test. Further, a pregnant woman who applies for |
33 | eligibility for the Medicaid program through a qualified |
34 | Medicaid provider must be offered the opportunity, subject to |
35 | federal rules, to be made presumptively eligible for the |
36 | Medicaid program. |
37 | (b) Effective January 1, 2011, a woman who was eligible |
38 | for Medicaid prenatal care benefits during pregnancy and who |
39 | delivered a low birth weight or premature baby or who |
40 | experienced a fetal death in the course of her most recent |
41 | pregnancy. Such a woman is eligible for full Medicaid benefits |
42 | for 2 years postpartum, including primary health care and family |
43 | planning services. The agency shall electronically enroll a |
44 | woman eligible under this paragraph for full Medicaid benefits |
45 | on the date of the delivery of the low birth weight or premature |
46 | baby or on the date of the fetal death. The agency may seek a |
47 | Medicaid state plan amendment or federal waiver approval to |
48 | implement this paragraph. |
49 | Section 2. This act shall take effect January 1, 2011. |