(a) "Adult" means a person 19 years of age or older.
(b) "Child" means a person under 19 years of age.
(2) The Cover All People program is established to make affordable, accessible health care available to all residents in this state. The program provides medical assistance, funded in whole or in part by Title XIX of the Social Security Act, by the State Children’s Health Insurance Program under Title XXI of the Social Security Act or by moneys appropriated or allocated by the Legislative Assembly to supplement funds received under Title XIX or XXI of the Social Security Act.
(3) A child is eligible for medical assistance under subsection (2) of this section if the child resides in this state and the income of the child’s family is at or below 300 percent of the federal poverty guidelines.
(4) An adult is eligible for medical assistance under subsection (2) of this section if the adult resides in this state and would be eligible for medical assistance but for the adult’s immigration status.
(5) There is no asset limit to qualify for the program.
(6)(a) A child receiving medical assistance through the Cover All People program is continuously eligible for a minimum period of 12 months or until the child reaches 19 years of age, whichever comes first.
(b) The Department of Human Services or the Oregon Health Authority shall reenroll a child for successive 12-month periods of enrollment as long as the child is eligible for medical assistance on the date of reenrollment and the child has not yet reached 19 years of age.
(c) A child may not be required to submit a new application as a condition of reenrollment under paragraph (b) of this subsection.
(7) The department or the authority must determine eligibility for or reenrollment in medical assistance under this section using information and sources available to the department or the authority. If information and sources available to the department or the authority are not adequate to verify eligibility, the department or the authority may require the adult or a child’s caretaker to provide additional documentation in accordance with ORS 411.400 and 411.402. Information requested or obtained by the department or the authority under this subsection is subject to the requirements of ORS 410.150 and 413.175. [2009 c.867 §27; 2009 c.867 §28; 2011 c.9 §56; 2011 c.720 §135; 2013 c.365 §1; 2013 c.640 §§12,13; 2017 c.652 §2; 2021 c.554 §1]
Note: The amendments to 414.231 by section 1, chapter 554, Oregon Laws 2021, become operative July 1, 2022. See section 9, chapter 554, Oregon Laws 2021. The text that is operative until July 1, 2022, is set forth for the user’s convenience.
(1) As used in this section, "child" means a person under 19 years of age.
(2) The Health Care for All Oregon Children program is established to make affordable, accessible health care available to all of Oregon’s children. The program provides medical assistance to children, funded in whole or in part by Title XIX of the Social Security Act, by the State Children’s Health Insurance Program under Title XXI of the Social Security Act and by moneys appropriated or allocated for that purpose by the Legislative Assembly.
(3) A child is eligible for medical assistance under subsection (2) of this section if the child resides in this state and the income of the child’s family is at or below 300 percent of the federal poverty guidelines.
(4) There is no asset limit to qualify for the program.
(5)(a) A child receiving medical assistance through the Health Care for All Oregon Children program is continuously eligible for a minimum period of 12 months or until the child reaches 19 years of age, whichever comes first.
(b) The Department of Human Services or the Oregon Health Authority shall reenroll a child for successive 12-month periods of enrollment as long as the child is eligible for medical assistance on the date of reenrollment and the child has not yet reached 19 years of age.
(c) A child may not be required to submit a new application as a condition of reenrollment under paragraph (b) of this subsection.
(6) The department or the authority must determine the child’s eligibility for or reenrollment in medical assistance using information and sources available to the department or the authority. If information and sources available to the department or the authority are not adequate to verify the child’s eligibility, the department or the authority may require the child or the child’s caretaker to provide additional documentation in accordance with ORS 411.400 and 411.402. Information requested or obtained by the department or the authority under this subsection is subject to the requirements of ORS 410.150 and 413.175.
Note: Sections 6 to 8 and 10, chapter 554, Oregon Laws 2021, provide:
Sec. 6. (1) The Oregon Health Authority, in collaboration with the Department of Consumer and Business Services if necessary, shall seek any federal approval or waivers of federal requirements necessary to maximize federal financial participation in the costs of providing medical assistance to adults in the Cover All People program established in ORS 414.231.
(2) Implementation of the amendments to ORS 414.231 by section 1 of this 2021 Act is not contingent upon federal approval or waivers described in subsection (1) of this section. [2021 c.554 §6]
Sec. 7. If necessary to stay within the moneys appropriated to the Oregon Health Authority under section 11 of this 2021 Act, the authority may, based on recommendations of the work group described in ORS 413.201 (3), restrict eligibility under ORS 414.231 (4) to specific categories or groups of individuals based on criteria adopted by the authority by rule. [2021 c.554 §7]
Sec. 8. The Oregon Health Authority shall report to the 2023 regular session of the Legislative Assembly, in the manner described in ORS 192.245, on the implementation of the amendments to ORS 413.201 and 414.231 by sections 1 and 2 of this 2021 Act. [2021 c.554 §8]
Sec. 10. Section 7 of this 2021 Act is repealed on June 30, 2023.
[2021 c.554 §10]