HB5007 Summary

• Extends the moratorium on medical assistance eligibility expansions from 2 years to 4 years, running through January 25, 2015, with exceptions for federal mandates and locally-financed expansions.

• Allows expansions approved by the federal government that are financed entirely by local government units and federal matching funds, with requirement that local units reimburse the State for any State costs and return federal funds to the local entity.

• Prohibits the State from submitting waiver requests to expand medical assistance eligibility classes to the federal government during the moratorium period.

• Modifies presumptive eligibility rules to allow exceptions for pregnant women and persons enrolled through locally-financed federal expansions.

• Adds eligibility category 17 for persons eligible under federal waivers with departmental authority to limit geographic areas, scope of services, and provider choice, consistent with approved waiver terms.