Bill
Pregnancy Medicaid Coverage Amendments
- Number
- H.B. 85 First Substitute (2023GS)
- Sponsor
- Rep. Lesser, R.
- Final action
- House/ filed 3/3/2023
- Outcome
- Failed / filed without passage
Summary
This bill expands eligibility for Medicaid coverage for certain pregnant women.
What it does
- This bill:
- requires the Division of Medicaid and Health Financing to request a Medicaid state plan amendment from Centers for Medicare and Medicaid Services to extend Medicaid coverage to pregnant women with a household income less than or equal to 200% of the federal poverty level.
Every vote on this bill
2/23/2023House Comm - Substitute Recommendation from # 0 to # 1
House Business and Labor Committee
11 0 4ABSENT2/23/2023House Comm - Motion to Recommend Failed
House Business and Labor Committee
2 9 4ABSENTBill text
introduced version · official source
PREGNANCY MEDICAID COVERAGE AMENDMENTS GENERAL SESSION STATE OF UTAH Chief Sponsor: Rosemary T. Lesser Senate Sponsor: ____________ LONG TITLE General Description: This bill expands eligibility for Medicaid coverage for certain pregnant women. Highlighted Provisions: This bill: ▸ requires the Division of Medicaid and Health Financing to request a Medicaid state plan amendment from Centers for Medicare and Medicaid Services to extend Medicaid coverage to pregnant women with a household income less than or equal to 200% of the federal poverty level. Money Appropriated in this Bill: None Other Special Clauses: None Utah Code Sections Affected: AMENDS: 26-36b-208 , last amended by Laws of Utah 2021, Chapter 367 ENACTS: 26-18-430 , Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah: Section 1. Section 26-18-430 is enacted to read: 26-18-430 . Medicaid waiver for certain postpartum women. (1) Before July 1, 2023, the division shall request a Medicaid state plan amendment from Centers for Medicare and Medicaid Services to provide Medicaid coverage to pregnant women with a household income less than or equal to 200% of the federal poverty level. (2) If the coverage described in Subsection (1) is implemented, the department may only pay the state portion of costs for the coverage under this section with appropriations from the Medicaid Expansion Fund, created in Section 26-36b-208 . Section 2. Section 26-36b-208 is amended to read: 26-36b-208. Medicaid Expansion Fund. (1) There is created an expendable special revenue fund known as the Medicaid Expansion Fund. (2) The fund consists of: (a) assessments collected under this chapter; (b) intergovernmental transfers under Section 26-36b-206 ; (c) savings attributable to the health coverage improvement program as determined by the department; (d) savings attributable to the enhancement waiver program as determined by the department; (e) savings attributable to the Medicaid waiver expansion as determined by the department; (f) savings attributable to the inclusion of psychotropic drugs on the preferred drug list under Subsection 26-18-2.4 (3) as determined by the department; (g) revenues collected from the sales tax described in Subsection 59-12-103 (12); (h) gifts, grants, donations, or any other conveyance of money that may be made to the fund from private sources; (i) interest earned on money in the fund; and (j) additional amounts as appropriated by the Legislature. (3) (a) The fund shall earn interest. (b) All interest earned on fund money shall be deposited into the fund. (4) (a) A state agency administering the provisions of this chapter may use money from the fund to pay the costs, not otherwise paid for with federal funds or other revenue sources, of: (i) the health coverage improvement program; (ii) the enhancement waiver program; (iii) a Medicaid waiver expansion; [ and ] (iv) the outpatient upper payment limit supplemental payments under Section 26-36b-210 [ . ] ; and (v) the Medicaid waiver for pregnant women described in Section 26-18-430 . (b) A state agency administering the provisions of this chapter may not use: (i) funds described in Subsection (2)(b) to pay the cost of private outpatient upper payment limit supplemental payments; or (ii) money in the fund for any purpose not described in Subsection (4)(a).