SECTION 1 (TITLE):
This act shall be known as the Ensuring Access to Health Care Act.

SECTION 2 (PURPOSE):
This act expands the availability of Medicaid to all people in STATE with incomes less than or equal to 138% of the federal poverty guidelines.

SECTION 3 (PROVISIONS):

(a) Medicaid Expansion. As of the effective date, the DEPARTMENT, shall provide Medicaid coverage to all people under age 65 who have incomes equal to or less than one hundred thirty-eight percent (138%) of the federal poverty guidelines. The medical assistance provided to persons in this Affordable Care Act expansion group shall consist of the coverage described in 42 30 U.S.C. ยง 1396a(k)(1).

(b) Appropriation to Pay for Administrative Costs. โ€“ There is appropriated from the DEPARTMENT the RELEVANT AMOUNT in recurring funds for the UPCOMING fiscal year for administrative costs associated with the Medicaid expansion required by subsection (B) of this act. These funds shall provide a State match for an ESTIMATED FEDERAL FUNDING AMOUNT in federal funds for the UPCOMING fiscal year, and those federal funds are hereby appropriated to pay administrative costs associated with the Medicaid expansion required by Subsection (B) of this act. If the amount of federal funds available for this purpose exceeds the amounts set forth in this section, then the expenditure of State funds for this purpose shall be reduced by an amount equal to the amount of excess federal funds that are available.

(c) Appropriation to Pay for Medicaid Services Costs. โ€“ [The expansion of Medicaid services under this act will affect only half of the UPCOMING fiscal year.] There is appropriated from the General Fund to the STATE HEALTH DEPARTMENT, RELEVANT SUM in recurring funds for the UPCOMING fiscal year as part of the Medicaid rebase. These funds shall provide a State match for an estimated AMOUNT in federal funds in the UPCOMING fiscal year, and those federal funds are hereby appropriated to the RELEVANT DIVISION to pay for Medicaid services.

(d) Reductions to Reflect Savings in Other State Programs. โ€“ Because the Medicaid expansion required by this act will generate savings to other State programs that currently serve the population to be included in the Medicaid expansion, the following reductions are made [ ].


(e) This act becomes effective January 1, YEAR.