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Bill > SF339

IA SF339

IA SF339
A bill for an act relating to eligibility of pregnant women and infants for the Medicaid program.

summary

Introduced
02/18/2025
In Committee
02/18/2025
Crossed Over
Passed
Dead

Introduced Session

91st General Assembly

Bill Summary

This bill amends provisions relating to income eligibility levels for pregnant women and infants under the Medicaid program. Current law provides that an infant or a pregnant woman whose family income is not more than 215 percent of the federal poverty level, if the infant or woman is otherwise eligible, is eligible for Medicaid. The bill amends the income eligibility level to 375 percent. The bill requires the department of health and human services (HHS) to submit a Medicaid state plan amendment to the centers for Medicare and Medicaid services of the United States department of health and human services (CMS) for approval in accordance with the provisions in federal law to provide 12 months of continuous postpartum eligibility under the Medicaid program to a pregnant woman whose family income while pregnant is at or below 375 percent of the federal poverty level for the household size, beginning January 1, 2026. The bill also requires HHS to submit a children’s health insurance program state plan amendment to CMS to update infant eligibility consistent with the provisions of the bill, beginning January 1, 2026.

AI Summary

This bill increases the income eligibility threshold for Medicaid coverage for pregnant women and infants from 215% to 375% of the federal poverty level (FPL). Specifically, the legislation allows infants and pregnant women whose family income is at or below 375% of the FPL to be eligible for Medicaid, provided they meet other existing eligibility requirements. The bill also requires the Department of Health and Human Services (HHS) to submit two state plan amendments to the Centers for Medicare and Medicaid Services (CMS): first, a Medicaid amendment to provide 12 months of continuous postpartum coverage for pregnant women at or below 375% FPL, starting January 1, 2026; and second, a Children's Health Insurance Program (CHIP) amendment to update infant eligibility to align with the new income threshold, also beginning January 1, 2026. This change aims to expand healthcare access for low and moderate-income pregnant women and infants by increasing the income limit for Medicaid participation and ensuring more comprehensive postpartum coverage.

Committee Categories

Health and Social Services

Sponsors (11)

Last Action

Subcommittee: Klimesh, Costello, and Petersen. S.J. 327. (on 02/20/2025)

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