Florida Senate - 2014 COMMITTEE AMENDMENT
Bill No. SB 1086
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LEGISLATIVE ACTION
Senate . House
Comm: RCS .
03/25/2014 .
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following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Section 409.903, Florida Statutes, is amended to
6 read:
7 409.903 Mandatory payments for eligible persons.—Subject to
8 the availability of moneys and any limitations established by
9 the General Appropriations Act or chapter 216, the agency shall
10 make payments for medical assistance and related services on
11 behalf of the following Medicaid eligible persons who the
12 department, or the Social Security Administration by contract
13 with the Department of Children and Families Family Services,
14 determines to be eligible, subject to the income, assets, and
15 categorical eligibility tests set forth in federal and state
16 law:. Payment on behalf of these Medicaid eligible persons is
17 subject to the availability of moneys and any limitations
18 established by the General Appropriations Act or chapter 216.
19 (1) Low-income families with children are eligible for
20 Medicaid provided they meet the following requirements:
21 (a) The family includes a dependent child who is living
22 with a caretaker relative.
23 (b) The family’s income does not exceed the gross income
24 test limit.
25 (c) The family’s countable income and resources do not
26 exceed the applicable Aid to Families with Dependent Children
27 (AFDC) income and resource standards under the AFDC state plan
28 in effect in July 1996, except as amended in the Medicaid state
29 plan to conform as closely as possible to the requirements of
30 the welfare transition program, to the extent permitted by
31 federal law.
32 (2) A person who receives payments from, who is determined
33 eligible for, or who was eligible for but lost cash benefits
34 from the federal program known as the Supplemental Security
35 Income program (SSI). This category includes a low-income person
36 age 65 or over and a low-income person under age 65 considered
37 to be permanently and totally disabled.
38 (3) A child under age 21 living in a low-income, two-parent
39 family, and a child under age 7 living with a nonrelative, if
40 the income and assets of the family or child, as applicable, do
41 not exceed the resource limits under the Temporary Cash
42 Assistance Program.
43 (4) A child who is eligible under Title IV-E of the Social
44 Security Act for subsidized board payments, foster care, or
45 adoption subsidies, and a child for whom the state has assumed
46 temporary or permanent responsibility and who does not qualify
47 for Title IV-E assistance but is in foster care, shelter or
48 emergency shelter care, or subsidized adoption. This category
49 includes a young adult who is eligible to receive services under
50 s. 409.1451, until the young adult reaches 21 years of age,
51 without regard to any income, resource, or categorical
52 eligibility test that is otherwise required. This category also
53 includes a person who as a child was eligible under Title IV-E
54 of the Social Security Act for foster care or the state-provided
55 foster care and who is a participant in the Road-to-Independence
56 Program.
57 (5) A pregnant woman for the duration of her pregnancy and
58 for the postpartum period as defined in federal law and rule, or
59 a child under age 1, if either is living in a family that has an
60 income which is at or below 150 percent of the most current
61 federal poverty level, or, effective January 1, 1992, that has
62 an income which is at or below 200 185 percent of the most
63 current federal poverty level. Such a person is not subject to
64 an assets test. Further, a pregnant woman who applies for
65 eligibility for the Medicaid program through a qualified
66 Medicaid provider must be offered the opportunity, subject to
67 federal rules, to be made presumptively eligible for the
68 Medicaid program.
69 (6) A child born after September 30, 1983, living in a
70 family that has an income which is at or below 100 percent of
71 the current federal poverty level, who has attained the age of
72 6, but has not attained the age of 19. In determining the
73 eligibility of such a child, an assets test is not required. A
74 child who is eligible for Medicaid under this subsection must be
75 offered the opportunity, subject to federal rules, to be made
76 presumptively eligible. A child who has been deemed
77 presumptively eligible for Medicaid shall not be enrolled in a
78 managed care plan until the child’s full eligibility
79 determination for Medicaid has been completed.
80 (7) A child living in a family that has an income which is
81 at or below 133 percent of the current federal poverty level,
82 who has attained the age of 1, but has not attained the age of
83 6. In determining the eligibility of such a child, an assets
84 test is not required. A child who is eligible for Medicaid under
85 this subsection must be offered the opportunity, subject to
86 federal rules, to be made presumptively eligible. A child who
87 has been deemed presumptively eligible for Medicaid shall not be
88 enrolled in a managed care plan until the child’s full
89 eligibility determination for Medicaid has been completed.
90 (8) A person who is age 65 or over or is determined by the
91 agency to be disabled, whose income is at or below 100 percent
92 of the most current federal poverty level and whose assets do
93 not exceed limitations established by the agency. However, the
94 agency may only pay for premiums, coinsurance, and deductibles,
95 as required by federal law, unless additional coverage is
96 provided for any or all members of this group by s. 409.904(1).
97 Section 2. This act shall take effect July 1, 2014.
98
99 ================= T I T L E A M E N D M E N T ================
100 And the title is amended as follows:
101 Delete everything before the enacting clause
102 and insert:
103 A bill to be entitled
104 An act relating to mandatory medical payments for
105 pregnancy; amending s. 409.903, F.S.; revising
106 eligibility criteria for a pregnant woman or a child
107 under 1 year of age to qualify for medical assistance
108 and related services payments; providing an effective
109 date.