,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #adjd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #be1 #bjac ,mr4  
,salmon 7= himself1 ,mr4 ,la,malfa1 ,mr4
 ,s*weik]t1 ,mr4 ,franks ( ,arizona1    
,mrs4 ,black1 & ,mr4 ,hunt]7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to elim9ate ! increas$  
,f$]al m$ical assi/ance p]c5tage "u !   
,/ate plan ) respect to newly eligible  
m&atory individuals "u ,m$icaid1 to     
provide ,/ates ) great] flexibility "u  
,m$icaid1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,m$icaid
 ,expansion ,repeal & ,/ate ,flexibility
 ,act4  #b4 ,elim9at+ increas$ ,,fmap "u
 ,/ate plan ) respect to newly eligible 
m&atory individuals & relat$ equitable  
support = c]ta9 ,/ates  7a7 ,9 g5]al    
,section #aije ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$ by
 /rik+ subsections 7y7 & 7z74  7b7      
,con=m+ am5dm5ts ,section #aije ( !     

,social ,security ,act 7#db ,u4,s4,c4   
#acif;d71 z am5d$ by subsection 7a71 is 
fur!r am5d$--  7#a7 9 subsection 7b71 by
 /rik+ subsections 7y71 7z71 & 7aa7 &   
ins]t+ subsection 7aa72  7#b7 9         
subsection 7aa71 by /rik+ 1 subsections 
7y7 & 7z71 ea* place x appe>s2 &  7#c7 9
 ! fir/ s5t5ce ( subsection 7cc7--  7,a7
 by /rik+ subsections 7y71 7z71 & 7aa7 &
 ins]t+ subsection 7aa72 &  7,b7 by     
/rik+ su* subsections & ins]t+ su*      
subsection4  7c7 ,effective date ,!     
am5dm5ts made by ?is section %all apply 
) respect to paym5ts to ,/ates = items &
 s]vices furni%$ on or aft] ! fir/ day (
 ! fir/ ,/ate fiscal ye> t beg9s aft] ! 
date ( ! enactm5t ( ?is ,act4  #c4      
,provid+ great] flexibility to ,/ates by
 elim9at+ c]ta9 requirem5ts impos$ by   
,pati5t ,protection & ,af=dable ,c>e    
,act  7a7 ,repeal ( ma9t5ance ( ef=t    
requirem5t ,section #aijb ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acif;a7  
is am5d$ by /rik+ subsection 7gg74  7b7 
,repeal ( m9imum ess5tial cov]age       

requirem5t = ,m$icaid b5*m>k b5efits    
,section #aicg7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acifu-#g7;b77 is  
am5d$ by /rik+ p>agraph 7#e74  7c7      
,con=m+ am5dm5ts  7#a7 ,/ate plan       
requirem5ts ,section #aijb7;a7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77 is am5d$ by /rik+ p>agraph  
7#gd74  7#b7 ,modifi$ adju/$ gross      
income ,p>agraph 7#ad77;,a7 7relat$ to  
modifi$ adju/$ gross income7 ( section  
#aijb7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;a7e771 z add$ by   
section #bjjb7;a7 ( ! ,pati5t           
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh71 is am5d$ by    
/rik+ ! ?ird s5t5ce4  7#c7 ,b5*m>k      
b5efit packages ,section #aicg7;b7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acifu-#g7;b77 is am5d$--  7,a7 9       
p>agraph 7#a71 9 ! matt] prec$+         
subp>agraph 7,a71 by /rik+ p>agraphs    
7#e7 & 7#f7 & ins]t+ p>agraph 7#f72 &   
7,b7 9 p>agraph 7#b71 9 ! matt] prec$+  
subp>agraph 7,a71 by /rik+ p>agraphs    

7#e7 & 7#f7 & ins]t+ p>agraph 7#f74