2021 Special Session I

Budget Amendments - SB1100 (Committee Approved)

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Extend FAMIS MOMS Prenatal Care to Eligible Undocumented Women

Item 312 #1s

Item 312 #1s

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 $0 FY2022 $11,136,631 GF
FY2021 $0 FY2022 $20,682,315 NGF

Page 344, line 38, strike "$250,286,516" and insert "$282,105,462".

Page 345, after line 37, insert:

"H. The Department of Medical Assistance Services shall amend the Title XXI Children's Health Insurance Program (CHIP) State Plan for the Family Access to Medical Insurance Security (FAMIS) program to elect the “unborn child option” for purposes of prenatal coverage under the CHIP program, without regard to the pregnant woman's immigration or citizenship status if other applicable state eligibility requirements are met. The department shall have the authority to implement this change effective July 1, 2021, or consistent with the effective date in the State Plan Amendment approved by the Centers for Medicare and Medicaid Services (CMS), and prior to completion of any regulatory process necessary to implement this change."


(This amendment provides $11.1 million from the general fund and $20.7 million from federal funds to amend the Virginia Family Access to Medical Insurance Security (FAMIS) State Plan to allow the payment for prenatal care for all children regardless of the expectant mother's immigration status pursuant to provisions in Title XXI of the federal 2009 CHIP Reauthorization Act that includes care of all children who upon birth will be U.S. citizens, U.S. nationals, or qualified aliens. A companion amendment in the Medicaid program (Item 313) reduces expenditures by $13.4 million general fund and $13.4 million in matching federal Medicaid funds based on the adoption of this change. Consequently, the provision of these services results in a savings of $2,292,083 to the general fund and the receipt of $7,253,601 more from matching federal funds for the CHIP program, which has a higher federal match rate than the Medicaid program.)