Chief Patron: Tran
Comprehensive Children's Health Care Coverage Program
Item 289 #2h
Item 289 #2h | First Year - FY2025 | Second Year - FY2026 | |
Health and Human Resources |
Department of Medical Assistance Services | FY2025 $0 | FY2026 $7,324,020 | GF |
| FY2025 0.00 | FY2026 10.00 | FTE |
Language
Page 394, line 2, strike "$821,702" and insert "$8,145,722".
Page 394, after line 17, insert:
"C.1. The Department of Medical Assistance Services (DMAS) shall, notwithstanding the provisions of §§ 32.1-325.03 and 63.2-503.1, establish a program to provide state-funded comprehensive health care coverage for individuals in the Commonwealth who: (i) are under 19 years of age; (ii) are not covered under a group health plan or health insurance coverage; and (iii) but for their immigration status would be eligible for medical assistance services through the Commonwealth's program of medical assistance services established pursuant to Title XIX or XXI of the Social Security Act. Such program shall provide comprehensive health care coverage that is consistent with the coverage provided to children under the state plan for medical assistance services. Services provided through the program shall be provided in the same manner and with the same coverage and service limitations as such services are provided to children under the state plan for medical assistance services.
2. DMAS shall establish a centralized processing site for the administration of the program established pursuant to this section, which shall include distribution of program information, robust outreach and marketing activities, eligibility determinations, enrollment, and data collection, and may contract with third-party administrators to provide such services and any other administrative services. The program shall also provide for acceptance of applications by local social services agencies, providers, and other appropriate persons.
3. DMAS shall ensure that all program information is made available in a manner that is accessible to individuals with limited English proficiency and individuals with disabilities through the provision of language access services, including oral interpretation and written translations, free of charge.
4. DMAS shall ensure that information obtained by the program established by this section remains confidential and is not disclosed for any purpose not related to the administration of the program established pursuant to this section.
5. DMAS shall not disclose information obtained by the program established by this section to any federal, state, or local government entity, law-enforcement officer, or law-enforcement agency for any purpose related to civil immigration enforcement unless: (i) the subject of the information consents to such disclosure; or (ii) the requesting agency or officer presents a lawful judicial order, judicial subpoena, or judicial warrant. When responding to a lawful judicial order, judicial subpoena, or judicial warrant, the Department shall disclose only those records or that information specifically requested. Within three business days of receiving a request for information for the purpose of civil immigration enforcement, the Commissioner shall notify the subject of the information requested: (i) that such request was made; and (ii) of the identity of the requesting agency.
6. DMAS shall consult with individuals with direct and lived experience with the program eligibility criteria established pursuant to this act and individuals with experience conducting outreach to individuals who are eligible for the program established pursuant to this act to advise and assist DMAS in carrying out marketing and outreach activities required pursuant to this act.
7. DMAS shall seek all federal waivers and other approvals necessary to maximize federal financial participation in the cost of carrying out the program established pursuant to this act."
Explanation
(This amendment provides $7.3 million the first year from the general fund and 10 positions to fund a state-funded comprehensive health care coverage program for individuals in Virginia who are under 19 years of age, are not covered under a group health plan or health insurance coverage, and but for their immigration status would be eligible for Virginia's Medicaid or FAMIS program.)