,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #agjc  ,,in ,,the ,,house ,,of  
,,representatives  ,april #bd1 #bjac    
,mr4 ,boustany 7for himself1 ,mrs4      
,blackburn1 ,mr4 ,gingrey of ,georgia1  
and ,mr4 ,tiberi7 introduced the        
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to permit ,states
 to reduce the amount of home equity    
that is exempted for purposes of        
determining eligibility for long-term   
care assistance under ,medicaid and to  
eliminate the ,state ,medicaid          
maintenance of effort requirement       
established under ,public ,law #aaa-adh 
with respect to eligibility standards to
 obtain ,medicaid assistance for        
long-term care services4  #a4 ,short    
title ,this ,act may be cited as the    
,medicaid ,program ,integrity ,act of   
#bjac 4  #b4 ,state option to reduce    
,medicaid home equity exemption amount  
7a7 ,in general ,section #aiag7;f77#a7  

of the ,social ,security ,act 7#db      
,u4,s4,c4 #acifp7f77#a77 is amended--   
7#a7 in subparagraph 7,b71 by striking  
#ejj1jjj1 an amount that exceeds such   
amount1 but does not exceed #gej1jjj and
 by inserting the following3  #ejj1jjj--
 7i7 an amount that exceeds such amount1
 but does not exceed #gej1jjj2 or  7ii7 
an amount that is less than such amount1
 but is not less than #ej1jjj4  2 and   
7#b7 in subparagraph 7,c7--  7,a7 by    
inserting 7or beginning in #bjad in the 
case of subparagraph 7,b77ii77 after    
beginning with #bjaa2 and  7,b7 by      
inserting 7or nearest #ajj in the case  
of subparagraph 7,b77ii77 after nearest 
#a1jjj4  7b7 ,effective date ,the       
amendment made by subsection 7a7 shall  
apply to individuals who are determined 
eligible for medical assistance with    
respect to nursing facility services or 
other long-term care services based on  
an application filed on or after the    
date of the enactment of this ,act4  #c4
 ,elimination of ,,aca maintenance of   

effort requirements with respect to     
,medicaid eligibility for long-term care
 services  7a7 ,in general ,section     
#aijb7;gg7 of the ,social ,security ,act
 7#db ,u4,s4,c4 #acif;a7gg77 is amended 
by adding at the end the following new  
paragraph3  7#e7 ,nonapplication in case
 of eligibility for medical assistance  
for long-term care services ,the        
requirement under paragraph 7#a7 shall  
not apply to changes in standards 7such 
as counting the value of life estates as
 a resource1 counting the value of      
savings bonds in the year of their      
purchase1 and not excluding the unpaid  
balance of an annuity as a resource7    
established for eligibility for medical 
assistance for long-term care services  
described in section #aiag7;c77#a77;,c7 
so long as such changes would have been 
permitted under the law as in effect    
before the date of the enactment of     
,public ,law #aaa-adh4  4  7b7          
,effective date ,the amendment made by  
subsection 7a7 shall apply to standards 

for eligibility determinations made on  
or after the date of the enactment of   
this ,act4