HB 153 - ALIENS AND ASSISTANCE PROGRAMS Number 0071 CHAIRMAN BUNDE announced the next item on the agenda was HB 153, "An Act relating to the eligibility of aliens for state public assistance and medical assistance programs affected by federal welfare reform legislation; and providing for an effective date." Number 0113 JAY LIVEY, Deputy Commissioner, Office of the Commissioner, Department of Health and Social Services, said this bill grandfathers in all of those legal aliens, who were in the country as of August 22, 1996, into the Medicaid program, Adult Public Assistance and Alaska Temporary Assistance Program (ATAP). This is the date when the federal welfare reform passed. Congress put restrictions on the programs for which legal aliens would be eligible. This reform says that for food stamps and Supplemental Security Income, which are federally funded programs, legal aliens would no longer be eligible no matter when they entered the country. Congress also said, for those programs which are half state funded and half federal funded, that states have a choice. A state can choose to grandfather in all of those aliens who are covered as of August 22, 1996, and then choose to exclude aliens who come in after August 22, 1996. MR. LIVEY explained that the proposed legislation grandfathers in those legal aliens, who arrived into the country before August 22, 1996, into those type of programs; Medicaid and ATAP. He said the other program grandfathered in is Adult Public Assistance (APA) which is a general fund program. Legal aliens arriving after August 22, 1996, would not be eligible for these programs for five years. Number 0315 MR. LIVEY stated that there is a fiscal note for each program. For APA and ATAP, some people are currently eligible because they are in the program and arrived in the country before August 22, 1996. The DHSS has provided negative fiscal notes for those programs because, over time, that pool of people will slowly become smaller as people leave the programs due to the general attrition of the programs. Those two programs have a negative fiscal note. There is a zero fiscal note for the Medicaid program because the state has to affirmatively choose, through the Governor's legislation, to continue the provision of eligibility. If the Governor's bill doesn't pass, then people are not eligible for Medicaid. Technically however, the Medicaid provision is not based on the Governor's bill passing. The fiscal note talks about a slight savings if this bill doesn't pass. If the bill passes, the savings that accrue are not due to the bill passing and so the fiscal note is zero. The savings which accrue is a DHSS budget item. Number 0485 REPRESENTATIVE BRICE made a motion to move HB 153 with individual recommendations and accompanying fiscal notes. Hearing no objection, HB 153 was moved from the House Health, Education and Social Services Standing Committee.