2023 -- H 5995

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LC002182

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2023

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A N   A C T

RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE

     

     Introduced By: Representatives Felix, Morales, Bennett, and Cruz

     Date Introduced: March 01, 2023

     Referred To: House Finance

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 40-8 of the General Laws entitled "Medical Assistance" is hereby

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amended by adding thereto the following section:

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     40-8-33. Katie Beckett program special conditions.

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     (a)(1) Children under nineteen (19) years of age who are determined to be eligible for the

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Katie Beckett provision, pursuant to §1902(e) of the Social Security Act, 42 U.S.C. 1396a(e), as

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amended by §134 of the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), Pub. L. 97-

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248, and 210-RICR-50-10-03, shall be reassessed for clinical eligibility on an annual basis, unless

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a licensed physician has determined that the child’s clinical and/or functional limitations are

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unlikely to change. When such a determination has been made, the office of health and human

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services shall waive the annual clinical evaluation.

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     (2) Notwithstanding the provisions of subsection (a)(1) of this section, Katie Beckett

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participants shall be subject to all other eligibility requirements, pursuant to §1902(e) of the Social

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Security Act, 42 U.S.C. 1396a(e), as amended by §134 of the Tax Equity and Fiscal Responsibility

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Act of 1982 (TEFRA), Pub. L. 97-248, and 210-RICR-50-10-03.

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     (b) A Katie Beckett participant, or his or her guardian, may request additional service hours

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in any week, capped at an increase of ten percent (10%) in any week, as long as the cost of the total

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service hours, inclusive of the increase, does not exceed the estimated cost of care in an institution.

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     (c) For the purposes of this section, the office of health and human services is authorized

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to apply for and obtain any necessary waiver(s), waiver amendment(s), and/or state plan

 

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amendments from the Secretary of the United States Department of Health and Human Services,

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as appropriate.

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     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE

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     This act would establish the Katie Beckett program pursuant to federal guidelines. Katie

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Beckett is an eligibility category in Medicaid that allows children who have long-term disabilities

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or complex medical needs to become eligible for Medicaid coverage. Katie Beckett program

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eligibility enables children to be cared for at home instead of an institution.

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     This act would take effect upon passage.

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