,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #dfg  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #d1 #bjac    
,mr4 ,connolly introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d title    
,,xix ( ! ,social ,security ,act to     
r$i/ribute ,f$]al funds t w\ld o!rwise  
be made available to ,/ates t d n       
provide = ! ,m$icaid expansion 9        
accordance ) ! ,af=dable ,c>e ,act to ^?
 ,/ates elect+ to provide ^? ,m$icaid   
b5efits4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,m$icaid ,expansion         
,inc5tive ,act ( #bjac4  #b4            
,r$i/ribution ( ,f$]al ,m$icaid funds to
 ,/ates elect+ to meet ,,aca ,m$icaid   
expansion requirem5ts f ,/ates n s      
elect+  7a7 ,9 g5]al ,section #aijc ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7aa7 ,bonus =   
,/ates elect+ ,to meet ,,aca ,m$icaid   
expansion requirem5ts f funds made      
available by o!r ,/ates n elect+ ,to    

meet ^? requirem5ts  7#a7 ,9 g5]al ,9 ! 
case ( a p>ticipat+ ,/ate = a fiscal ye>
 z det]m9$ "u p>agraph 7#b71 9          
accordance ) regulations ( ! ,secret>y1 
! ,/ate %all be entitl$ to an increase 9
 paym5ts "u its ,/ate plan "u ?is title 
9 an am\nt det]m9$ "u p>agraph 7#c7 ( ! 
,secret>y's e/imate ( ! net r$uction 9  
,f$]al exp5ditures = nonp>ticipat+      
,/ates 7includ+ ! am\nt ( ! additional  
,f$]al f9ancial p>ticipation "u ?is     
title t o!rwise w\ld h be5 paid to su*  
,/ates if !y 7 p>ticipat+ ,/ates7 dur+ !
 fiscal ye> z a result ( su* ,/ates n   
apply+ ! ,,aca ,m$icaid expansion       
requirem5ts4  7#b7 ,notice reg>d+       
p>ticipation  7,a7 ,9 g5]al ,be=e !     
beg9n+ ( ea* fiscal ye> 7beg9n+ ) fiscal
 ye> #bjad7 ea* ( ! #ej ,/ates & !      
,di/rict ( ,columbia is reque/$ to in=m 
! ,secret>y1 9 a =m & mann] specifi$ by 
! ,secret>y & accompani$ by su*         
assurances reg>d+ ,/ate plan am5dm5ts z 
! ,secret>y may specify1 if ! ,/ate w be
 apply+ its ,/ate plan "u ?is title =   

su* fiscal ye> 9 accordance ) !         
requirem5ts specifi$ 9 ! am5dm5ts made  
by p>agraphs 7#a7 & 7#b7 ( section      
#bjja7;a7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 79 ?is subsection   
ref]r$ to z ! ,,aca ,m$icaid expansion  
requirem5ts71 :i* include requirem5ts   
describ$ 9--  7i7 section               
#aijb7;a77#aj77;,a77,i77,,viii72 &  7ii7
 section #aijb7k74  ,! ,secret>y %all n 
accept in=mation submitt$ "u ?is        
subp>agraph = a fiscal ye> aft] ! beg9n+
 ( ! fiscal ye> involv$4  7,b7          
,det]m9ation ( p>ticipat+ &             
nonp>ticipat+ ,/ates ,tak+ into acc\nt !
 in=mation submitt$ "u subp>agraph 7,a7 
= a fiscal ye>1 ! ,secret>y %all det]m9e
 = ! fiscal ye> :i* ( ! #ej ,/ates & !  
,di/rict ( ,columbia w be apply+ ! ,,aca
 ,m$icaid expansion requirem5ts = !     
fiscal ye> & :i* w n4 ,= purposes ( ?is 
subsection--  7i7 ea* ,/ate or ,di/rict 
det]m9$ to be apply+ su* requirem5ts = a
 fiscal ye> is ref]r$ to z a p>ticipat+ 
,/ate = su* fiscal ye>2 &  7ii7 ea*     

,/ate or ,di/rict det]m9$ n to be apply+
 su* requirem5ts = a fiscal ye> is      
ref]r$ to z a nonp>ticipat+ ,/ate = su* 
fiscal ye>4  7#c7 ,am\nt ( increase ,!  
,secret>y %all compute ! increase 9     
paym5ts "u ?is subsection = a p>ticipat+
 ,/ate = a fiscal ye>1 to ! ext5t (     
available funds1 9 accordance ) a =mula 
specifi$ by ! ,secret>y4 ,)9 ! am\nt (  
available funds1 su* =mula may take into
 acc\nt elem5ts su* z--  7,a7 increas+  
to #ajj p]c5t ! ,,fmap = newly eligible 
m&atory individuals2  7,b7 increas+ !   
mat*+ p]c5tage = adm9i/rative co/s      
attributable to application ( ,,aca     
,m$icaid expansion requirem5ts2 &  7,c7 
an increase 9 ,,d% allotm5ts4  7#d7     
,publication ( in=mation on e/imat$     
impact ( nonp>ticipation ,! ,secret>y   
%all publi% = ea* nonp>ticipat+ ,/ate = 
ea* fiscal ye>--  7,a7 ! am\nt ( !      
additional ,f$]al funds "u ?is title = !
 fiscal ye> t ! ,secret>y e/imates !    
,/ate has =gone z a result ( its n be+ a
 p>ticipat+ ,/ate = su* fiscal ye>2 &   

7,b7 ! numb] ( additional b5efici>ies t 
w\ld h be5 cov]$ "u ! ,/ate plan "u ?is 
title 9 ! fiscal ye> if ! ,/ate _h be5 a
 p>ticipat+ ,/ate = ! fiscal ye>4  4