HOUSE DOCKET, NO. 550        FILED ON: 1/13/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 607

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Danielle W. Gregoire

_________________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act ensuring continuous healthcare coverage for youth who have aged-out of the Department of Children and Families.

_______________

PETITION OF:

 

Name:

District/Address:

Danielle W. Gregoire

4th Middlesex

Denise Provost

27th Middlesex

David M. Rogers

24th Middlesex

Barbara A. L'Italien

Second Essex and Middlesex

José F. Tosado

9th Hampden

Steven Ultrino

33rd Middlesex

Frank A. Moran

17th Essex

Claire D. Cronin

11th Plymouth

Aaron Vega

5th Hampden

Marjorie C. Decker

25th Middlesex

John J. Lawn, Jr.

10th Middlesex

Jack Lewis

7th Middlesex

James M. Cantwell

4th Plymouth

Jay R. Kaufman

15th Middlesex

Mike Connolly

26th Middlesex

Elizabeth A. Malia

11th Suffolk

Dylan Fernandes

Barnstable, Dukes and Nantucket

Chris Walsh

6th Middlesex

Tricia Farley-Bouvier

3rd Berkshire

Kay Khan

11th Middlesex

Joan B.  Lovely

Second Essex

Carolyn C. Dykema

8th Middlesex

Sal N. DiDomenico

Middlesex and Suffolk

Michelle M. DuBois

10th Plymouth

Juana B. Matias

16th Essex

Daniel Cullinane

12th Suffolk

Jennifer E. Benson

37th Middlesex

Chynah Tyler

7th Suffolk

Kevin G. Honan

17th Suffolk

Kathleen O'Connor Ives

First Essex

James J. O'Day

14th Worcester

Natalie Higgins

4th Worcester

Peter V. Kocot

1st Hampshire


HOUSE DOCKET, NO. 550        FILED ON: 1/13/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 607

By Miss Gregoire of Marlborough, a petition (accompanied by bill, House, No. 607) of Danielle W. Gregoire and others relative to ensuring continuous healthcare coverage for youth who have aged-out of the Department of Children and Families.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninetieth General Court
(2017-2018)

_______________

 

An Act ensuring continuous healthcare coverage for youth who have aged-out of the Department of Children and Families.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1.  Section 9A of chapter 118E of the General Laws, as so appearing, shall be amended by inserting, in paragraph (2) at the end thereof, the following clause:-

(k) persons who meet the requirements of Section 1902(a)(10)(A)(i)(IX) of the federal Social Security Act (42 U.S.C. Sec. 1396a(a)(10)(A)(i)(IX)). In the administration of this subsection and in establishing the means to be used to provide access to health care to persons eligible under this clause, the division shall emphasize and take advantage of both the efficient organization and ready accessibility and availability of health care facilities and resources through enrollment in managed health care plans and new and innovative fee-for-service managed health care plan approaches to the delivery of health care services.

SECTION 2. Chapter 118E, as so appearing, shall be amended by inserting at the end thereof the following section:-

Pursuant to clause (k) of paragraph (2) of section 9A of chapter 118E, as so appearing, the division shall implement Section 1902(a)(10)(A)(i)(IX) of the federal Social Security Act (42 U.S.C. Sec. 1396a(a)(10)(A)(i)(IX)) to provide MassHealth benefits to an individual until his or her 26th birthday if he or she was in foster care on his or her 18th birthday, or such higher age the state has elected under Title IV-E of the federal Social Security Act (42 U.S.C. Sec. 670 et seq.). In addition, the division shall implement the federal option to provide MassHealth benefits to individuals who were in foster care and enrolled in Medicaid in any state.

(a) A foster care adolescent who was in foster care in the Commonwealth on his or her 18th birthday, or such higher age the state has elected under Title IV-E of the federal Social Security Act (42 U.S.C. Sec.670 et seq.), shall be enrolled to receive benefits under this section without any interruption in coverage and without requiring a new application.

(b) The division shall develop procedures to identify and enroll individuals who meet the criteria for MassHealth eligibility in this section, including, but not limited to, former foster care adolescents who were in foster care on their 18th birthday and who lost MassHealth coverage as a result of attaining 21 years of age. The division shall work with the Department of Children and Families to identify and conduct outreach to former foster care adolescents who lost MassHealth coverage during the 2013 calendar year as a result of attaining 21 years of age, to ensure they are aware of the ability to reenroll under the coverage provided pursuant to this section.

(c) The division shall develop and implement a simplified redetermination form for this program. A beneficiary qualifying for the benefits extended pursuant to this section shall fill out and

return this form only if information known to the division is no longer accurate or is materially incomplete.

(d) The division shall seek federal approval to institute a renewal process that allows a beneficiary receiving benefits under this section to remain on MassHealth after a redetermination form is returned as undeliverable and the division is otherwise unable to establish contact. If federal approval is granted, the recipient shall remain eligible for services under the MassHealth fee-for-service program until the time contact is reestablished or ineligibility is established, and to the extent federal financial participation is available.

(e) The division shall terminate eligibility only after it determines that the recipient is no longer eligible and all due process requirements are met in accordance with state and federal law.