,,ii  #aac? ,,congress  #a/ ,session    
,s4 #afee  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #f1 #bjac,mr4 
,boozman introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to require !       
,secret>y ( ,heal? & ,human ,s]vices to 
approve waiv]s "u ! ,m$icaid ,program "u
 title ,,xix ( ! ,social ,security ,act 
t are relat$ to ,/ate provid] taxes t   
exempt c]ta9 retirem5t communities4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,provid] ,tax ,adm9i/rative             
,simplification ,act ( #bjac4  #b4      
,provid] tax rule exemption = c]ta9     
cont9u+ c>e retirem5t communities ,9 !  
case ( a ,/ate t has a provid] tax t    
does n apply to cont9u+ c>e retirem5t   
communities or life c>e communities 7z  
su* t]ms are us$ = purposes ( section   
#aiag7;g7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acifp7g77 t h no b$s t  
are c]tifi$ to provide m$ical assi/ance 
7z su* t]m is def9$ "u section #aije7;a7
 ( su* ,act7 "u title ,,xix ( ! ,social 

,security ,act or t d n provide s]vices 
= :i* paym5t may be made "u title ,,xix 
( ! ,social ,security ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all approve 
a waiv] "u section #dcc4fh7;e77#b77;iii7
 ( title #db ( ! ,code ( ,f$]al         
,regulations reg>dless ( :e!r !         
,secret>y det]m9es t ! ,/ate satisfies !
 requirem5ts ( section                  
#dcc4fh7;e77#b77;iii77,b7 ( su* title4