HBA-MPM H.B. 1422 77(R) BILL ANALYSIS Office of House Bill AnalysisH.B. 1422 By: Oliveira Public Health 2/25/2001 Introduced BACKGROUND AND PURPOSE Prior to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, legal immigrants and United States citizens were required to meet the same eligibility requirements to receive Medicaid. The act set a five-year bar on Medicaid benefits for legal immigrants who entered the U.S. after August 22, 1996, during which time federal Medicaid funds are available only to pay for emergency care. After the five year bar, states are allowed to choose whether to extend Medicaid assistance to legal immigrants. House Bill 1422 extends Medicaid benefits, as well as maternity benefits, to qualified immigrants who entered the United States on or after August 22, 1996, and who have completed the federal five-year bar on Medicaid assistance. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that this bill does not expressly delegate any additional rulemaking authority to a state officer, department, agency, or institution. ANALYSIS House Bill 1422 amends the Human Resources Code to require the Health and Human Services Commission (HHSC) to provide Medicaid to a person who: _is a qualified alien, as defined by federal law, who meets all state eligibility requirements for Medicaid, but is ineligible for Medicaid solely because of federal citizenship requirements; _entered the United States on or after August 22, 1996; and _has resided in the United States for a period of five years after the date the person entered as a qualified alien. The bill requires HHSC, if authorized by federal law, to provide Medicaid in the form of prenatal care, child delivery care, and obstetrical care related to prenatal and child delivery care to a person who is pregnant and ineligible for Medicaid solely because of federal citizenship requirements. The bill requires HHSC to comply with any prerequisite imposed under federal law in providing these maternity benefits. EFFECTIVE DATE September 1, 2001.