(a) If the commission determines that it is cost-effective and feasible, the commission shall develop and implement a Medicaid health savings account pilot program that is consistent with federal law to:
(1) encourage health care cost awareness and sensitivity by adult recipients; and
(2) promote appropriate utilization of Medicaid services by adult recipients.
(b) If the commission implements the pilot program, the commission may only include adult recipients as participants in the program.
(c) If the commission implements the pilot program, the commission shall ensure that:
(1) participation in the pilot program is voluntary; and
(2) a recipient who participates in the pilot program may, at the recipient’s option and subject to Subsection (d), discontinue participation in the program and resume receiving benefits and services under the traditional Medicaid delivery model.
(d) A recipient who chooses to discontinue participation in the pilot program and resume receiving benefits and services under the traditional Medicaid delivery model before completion of the health savings account enrollment period forfeits any funds remaining in the recipient’s health savings account.

Text of section effective until April 01, 2025