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Senate approves bill to expand outreach and eligibility for uninsured children, including noncitizens

Utah State Senate · February 26, 2021
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Summary

Senate Bill 158 passed the Senate 20–5 to fund outreach and remove a 12-month eligibility barrier in Medicaid/CHIP enrollment so more low-income and some noncitizen children can access coverage. Sponsor said it targets about 86,000 uninsured children statewide.

Sen. Escamilla presented Senate Bill 158, which the sponsor described as a three-part package to enroll more uninsured children in Medicaid and CHIP programs, expand outreach to families under 200% of the federal poverty level and remove a 12-month eligibility requirement that creates gaps in coverage.

Sen. Escamilla said the bill focuses on children who are excluded from coverage because of immigration status and those who are not currently enrolled despite eligibility. She framed the proposal as a humane, evidence-based response to pandemic-era disparities that disproportionately affected working-poor families. In questions, senators asked whether existing Medicaid and CHIP programs cover the children targeted by the bill; the sponsor answered that some children cannot access current coverage because they are not U.S. citizens and that the bill therefore fills that gap for qualifying families.

Sen. Escamilla acknowledged a significant fiscal note and said she is working to secure funding. After debate and a roll-call vote, the Senate approved SB158 by 20 yea votes, 5 nays, and 4 absent; the bill will be transmitted to the House for further consideration.

Sponsors said outreach is central to the bill: it creates a comprehensive outreach effort and eliminates some administrative barriers to continuous coverage.