[Effective until 6/30/2025. See T.C.A. 71-3-1113]

(a) The department shall adopt rules and regulations to establish eligibility criteria for the program, which shall limit eligibility to an individual who:

Terms Used In Tennessee Code 71-3-1106

  • Department: means the department of finance and administration. See Tennessee Code 71-3-1102
  • Program: means any program established to provide health coverage to children pursuant to this part. See Tennessee Code 71-3-1102
  • Tennessee medicaid program: means the federal- and state-financed, state-run program of medical assistance established pursuant to Title XIX (42 U. See Tennessee Code 71-3-1102
  • Title XXI: means Title XXI of the Social Security Act, Subchapter XXI, Chapter 7 of Title 42, United States Code (42 U. See Tennessee Code 71-3-1102
  • United States: includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
(1) Is eighteen (18) years of age or younger;
(2) Has a combined family income at a level to be determined by the department;
(3) Is not already covered by private insurance that offers creditable coverage, as defined in 42 U.S.C. § 300gg-3(c);
(4) Is not eligible for coverage under the Tennessee medicaid program;
(5) Is a United States citizen or qualified alien, as defined in 8 U.S.C. § 1641(b); and
(6) Is a Tennessee resident.
(b) The department may establish additional eligibility criteria as appropriate.
(c) The department may establish a cap on the number of individuals who may be enrolled in the program.
(d) The department may establish an option for individuals who do not meet eligibility criteria necessary to obtain Title XXI (42 U.S.C. § 1397aa et seq.), funding to purchase coverage through the program.
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