HB 1125

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
11	Be It Enacted by the Legislature of the State of Florida:
12
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.

CODING: Words stricken are deletions; words underlined are additions.