S.F. 101 Section 1. Section 249A.3, subsection 1, Code 2013, is 1 amended by adding the following new paragraph: 2 NEW PARAGRAPH . v. Beginning July 1, 2013, is an individual 3 who was in foster care under the responsibility of the state 4 and meets all other requirements specified in sections 2004 and 5 10201 of the federal Patient Protection and Affordable Care 6 Act, Pub. L. No. 111-148. 7 Sec. 2. MEDICAID COVERAGE FOR FOSTER CHILDREN —— STATE 8 PLAN. The department of human services shall submit a medical 9 assistance state plan amendment to the centers for Medicare and 10 Medicaid services of the United States department of health and 11 human services to implement this Act effective July 1, 2013. 12 Sec. 3. EFFECTIVE UPON ENACTMENT. This Act, being deemed of 13 immediate importance, takes effect upon enactment. 14 EXPLANATION 15 This bill includes as a mandatory eligible group under 16 the Medicaid program, foster children who were under the 17 responsibility of the state, as required pursuant to the 18 federal Patient Protection and Affordable Care Act (ACA) of 19 2010. The ACA requires that foster children are eligible for 20 Medicaid coverage until they reach age 26 if they were in 21 foster care when they turned 18 or a higher age as provided for 22 coverage of foster care children under the Medicaid state plan 23 (up to 21 years of age in Iowa), and were enrolled in Medicaid 24 at that time. This provision mirrors another provision in 25 the ACA which provides the opportunity for health insurance 26 coverage for children up to age 26 under a parent’s insurance 27 policy. The requirements under the ACA are effective January 28 1, 2014. The bill provides for implementation July 1, 2013. 29 The bill also directs the department of human services to 30 submit a Medicaid state plan amendment to implement the bill 31 effective July 1, 2013. The bill takes effect upon enactment. 32 -1- LSB 1831XS (4) 85 pf/nh 1/ 1