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II
113th CONGRESS
2d Session
S. 2211
IN THE SENATE OF THE UNITED STATES
April 3, 2014
Mr. Murphy (for himself and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XIX of the Social Security Act to protect the enrollment of incarcerated youth for
medical assistance under the Medicaid program, and for other purposes.
1.
Short title
This Act may be cited as the At-Risk Youth Medicaid Protection Act of 2014.
2.
At-risk youth Medicaid protection
(a)
In general
Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended—
(1)
in subsection (a)—
(A)
by striking and at the end of paragraph (80);
(B)
by striking the period at the end of paragraph (81) and inserting ; and; and
(C)
by inserting after paragraph (81) the following new paragraph:
(82)
provide that—
(A)
the State shall not terminate (but may suspend) enrollment under a State plan for medical
assistance for an individual who is an eligible juvenile (as defined in
subsection (ll)(2)) because the juvenile is an inmate of a public institution (as defined in subsection (ll)(3));
(B)
the State shall automatically restore enrollment for such medical assistance to such an individual
upon the individual’s release from any such public institution and shall
take all necessary steps to ensure the enrollment is effective immediately
upon release from such institution, unless (and until such date as) there
is a determination that the individual no longer meets the eligibility
requirements for such medical assistance; and
(C)
the State shall process any application for medical assistance submitted by, or on behalf of, a
juvenile who is an inmate of a public institution notwithstanding that the
juvenile is such an inmate.
; and
(2)
by adding at the end the following new subsection:
(ll)
Juvenile; eligible juvenile; public institution
For purposes of subsection (a)(82) and this subsection:
(1)
Juvenile
The term juvenile means an individual who is—
(A)
under 19 years of age (or such higher age as the State has elected under section 475(8)(B)(iii));
or
(B)
is described in subsection (a)(10)(A)(i)(IX).
(2)
Eligible juvenile
The term eligible juvenile means a juvenile who is an inmate of a public institution and was enrolled for medical assistance
under the State plan immediately before becoming an inmate of such a
public institution or who becomes eligible to enroll for such medical
assistance while an inmate of a public institution.
(3)
Inmate of a public institution
The term inmate of a public institution has the meaning given such term for purposes of applying the subdivision (A) following paragraph
(29) of section 1905(a), taking into account the exception in such
subdivision for a patient of a medical institution.
.
(b)
No change in exclusion from medical assistance for inmates of public institutions
Nothing in this section shall be construed as changing the exclusion from medical assistance under
the subdivision (A) following paragraph (29) of section 1905(a) of the
Social Security Act (42 U.S.C. 1396d(a)), including any applicable
restrictions on a State submitting claims for Federal financial
participation under title XIX of such Act for such assistance.
(c)
Effective date
(1)
In general
Except as provided in paragraph (2), the amendments made by subsection (a) shall apply to
eligibility and enrollment of juveniles who become inmates of public
institutions on or after the date that is 1 year after the date of the
enactment of this Act.
(2)
Rule for changes requiring state legislation
In the case of a State plan for medical assistance under title XIX of the Social Security Act which
the Secretary of Health and Human Services determines requires State
legislation (other than legislation appropriating funds) in order for the
plan to meet the additional requirements imposed by the amendments made by
subsection (a), the State plan shall not be regarded as failing to comply
with the requirements of such title solely on the basis of its failure to
meet these additional requirements before the first day of the first
calendar quarter beginning after the close of the first regular session of
the State legislature that begins after the date of the enactment of this
Act. For purposes of the previous sentence, in the case of a State that
has a 2-year legislative session, each year of such session shall be
deemed to be a separate regular session of the State legislature.