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• On November 30, 2005 Texas submitted its fourteenth amendment proposing to expand health care coverage to unborn children with family income at or below 200 percent of Federal poverty level (FPL). Benefits will include prenatal care and associated health care services.

• On December 30, 2005, the State submitted its fifteenth amendment which modifies the cost-sharing requirement for families with incomes above 150 through 200 percent of the FPL. The amendment replaces the monthly premiums with either a $35 or $50 enrollment fee (depending on family income) every 6 months upon initial enrollment and re-enrollment.

• On August 1, 2006, the State submitted its sixteenth amendment which modifies the date upon which enrollees renewing SCHIP coverage would have to pay the enrollment fee. Prior to this amendment, families who were renewing coverage had until the cut-off date of the last month of coverage in the current 6-month coverage period to pay an enrollment fee. Through this amendment, families renewing coverage have until the cut-off date of the first month of the new 6-month coverage period to pay the enrollment fee; essentially giving enrollees an additional month to pay the enrollment fee.

• On April 30, 2007, the State submitted its seventeenth amendment to transition the responsibility for processing State Children’s Health Insurance Program (SCHIP) requests for review from the administrative services contractor to Health and Human Services Commission (HHSC) staff.

• On June 7, 2007, the State submitted its eighteenth amendment to:

• change the income test from gross income to net income (gross income minus child care deductions), • increase the amount of resources a family can own, • increase the duration of eligibility from six to 12 months, • require those in families above 185 percent to verify income eligibility at six months, and • apply the waiting period to those only with other insurance in the past three months.

• On August 13, 2007, the State submitted its nineteenth amendment to amend the dollar amount of dental services enrollees are eligible to receive in a year in the State Children’s Health Insurance Program (SCHIP).

• On September 22, 2008, the State submitted its twentieth amendment to exempt

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