Start Healthy Act of 2013

To amend title XIX of the Social Security Act to provide medical assistance to uninsured newborns under the Medicaid program, and for other purposes. 1. Short title This Act may be cited as the Start Healthy Act of 2013 2. Medicaid assistance for uninsured newborns (a) Mandatory coverage of certain newborns Section 1902(a)(10)(A)(i) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i) (1) by striking or (2) by adding or (3) by adding at the end the following: (X) who are qualified newborns (as defined in subsection (e)(16)(A)); . (b) Deemed eligibility for newborns Section 1902(e) of the Social Security Act ( 42 U.S.C. 1396a(e) (16) Deemed eligibility for qualified newborns (A) Qualified newborn defined For purposes of this section, the term qualified newborn (i) is born in the United States on or after the date that is 6 months after the date of the enactment of this paragraph; (ii) is under 1 year of age; (iii) is not a child who is deemed eligible under paragraph (4); and (iv) is not eligible for minimum essential coverage, as defined in section 5000A(f)(1) (B) Deemed eligibility Subject to subparagraph (C), a child that a State reasonably believes is a qualified newborn (and thus eligible for medical assistance under subsection (a)(10)(A)(i)(X)) on the date of such child’s birth shall be deemed to have applied for medical assistance and to have been found eligible for such assistance under such plan on the date of such birth and to remain eligible for such assistance until such child is one year of age, unless a State determines that a child is not eligible for such medical assistance through a redetermination under subparagraph (D) (C) Exception for other coverage (i) In general If, during the period of eligibility under subparagraph (A), the State determines that the child is enrolled in a type of coverage described in subparagraph (A)(iv), the State may terminate medical assistance for such child under subsection (a)(10)(A)(i)(X). (ii) Limitation A State that determines that a child is eligible for such coverage, but not enrolled in such coverage, may not terminate such medical assistance for such child until such child is enrolled in such coverage. (D) Redeterminations of eligibility (i) In general Subject to clause (ii) and subparagraph (C)(ii) (ii) Limitation If an application is required for a redetermination under clause (i), and such application is not received by the State, and the State reasonably believes that the child for which such application was required continues to be a qualified newborn, the State may not discontinue such child’s eligibility for medical assistance under subsection (a)(10)(A)(i)(X) on the basis of such missing application. (iii) Reduced FMAP for failure to do timely determination The increased Federal medical assistance percentage provided under the third sentence of section 1905(b) with respect to individuals eligible for medical assistance under section 1902(a)(10)(A)(i)(X) shall not apply with respect to a child, beginning 180 days after the date of the child’s birth, for whom a determination is not made on a timely basis under clause (i), unless the limitation under clause (ii) applies to such child. . (c) 100 percent matching rate for temporary coverage of certain newborns (1) In general The third sentence of section 1905(b) of the Social Security Act ( 42 U.S.C. 1396d(b) and, subject to section 1902(e)(16)(D)(iii), for medical assistance for individuals in one of the 50 States or the District of Columbia eligible for such assistance under section 1902(a)(10)(A)(i)(X) (2) Application to territories Section 1108(g)(4) of the Social Security Act ( 42 U.S.C. 1308(g)(4) (A) by striking and (4) and (5) (B) by adding at the end the following: Payment for medical assistance for an individual eligible for assistance under section 1902(a)(10)(A)(i)(X) shall not be taken into account in applying subsection (f) (as increased in accordance with paragraphs (1), (2), (3), and (5) of this subsection). (d) Conforming amendment Section 1903(f)(4) of the Social Security Act ( 42 U.S.C. 1396b(f)(4) 1902(a)(10)(A)(i)(X), 1902(a)(10)(A)(i)(VIII), (e) Technical amendments Section 1902(e) of the Social Security Act ( 42 U.S.C. 1396a(e) Public Law 111–255 (f) Delay in implementation permitted for State plan amendment In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.

Summary: Start Healthy Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to provide: (1) mandatory coverage of qualified (uninsured) newborns, and (2) 100% federal medical assistance percentage (FMAP) for temporary coverage of such newborns.