Analysis

Synopsis:

 Related to health. Enacts a new section of the Public Assistance Act to clarify eligibility for and coverage of certain services provided to non-citizens

Analysis:

 HB 13 adds a new section of the Public Assistance Act to include eligibility for non-citizens by Medicaid. 

In accordance with federal law, the Secretary is to promulgate rules that would allow for coverage of non-citizens for emergency services who may not qualify for Medicaid due to their citizenship status. 
Emergency condition is defined as experiencing severe pain such that without emergency treatment the person may experience: (1) the patient's death;(2) placing the patient's health in serious jeopardy;(3) serious impairment to bodily functions; or (4) serious dysfunction of any bodily organ or part.

This would include (1) labor and delivery, including inductions and cesarean sections; or (2) a disease or potential exposure to a disease that has caused the declaration of a public health emergency pursuant to the federal Public Health Service Act or a state public health emergency pursuant to the Public Health Emergency Response Act.

Those conditions mentioned above shall be covered for the duration of the federal or state public health emergency. Services shall include:(1) those necessary to immunize against, evaluate or treat an emergency medical condition, including diagnostic testing, testing-related services, medications, treatment for the emergency medical condition, and labor and delivery services provided by an out-of-state border hospital or emergency transfers from an in-state acute care hospital to a border acute care hospital. Any complications or co-infections, medical supplies, precautionary treatment following services, and vaccinations. (2) labor and delivery services provided by an out-of-state border hospital or emergency transfers from an in-state acute care hospital to a border acute care hospital.

Also, a child of a covered emergency medical condition for labor and delivery by a non-citizen is to be covered, as well by Medicaid from the birth date of the child.

Standard Medicaid procedures are to be applied to those covered as a non-citizen for a twelve-month period and including ninety days before such approval is made, and providers are to be notified of approval or denial of emergency services through its online portal. 

A card indicating coverage is to be provided to the non-citizen covered by Medicaid. Claims will be paid as fee for service Medicaid.


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