,,ii  #aacth ,,congress  #b;d ,session  
,s4 #bbaa  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #c1     
#bjad ,mr4 ,murphy 7for himself and ,mr4
 ,booker7 introduced the following bill2
 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 program1 
and for other purposes4  #a4  ,short    
title  ,this ,act may be cited as the   
,at-,risk ,youth ,medicaid ,protection  
,act of #bjad4  #b4  ,at-risk youth     
,medicaid protection  7a7  ,in general  
,section #aijb of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;a7 is         
amended--  7#a7 in subsection 7a7--     
7,a7 by striking and at the end of      
paragraph 7#hj72  7,b7 by striking the  
period at the end of paragraph 7#ha7 and
 inserting 2 and2 and  7,c7 by inserting
 after paragraph 7#ha7 the following new
 paragraph3  7#hb7 provide that--  7,a7 

the ,state shall not terminate 7but may 
suspend7 enrollment under a ,state plan 
for medical assistance for an individual
 who is an eligible juvenile 7as defined
 in subsection 7ll77#b77 because the    
juvenile is an inmate of a public       
institution 7as defined in subsection   
7ll77#c772  7,b7 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 institution1    
unless 7and until such date as7 there is
 a determination that the individual no 
longer meets the eligibility            
requirements for such medical           
assistance2 and  7,c7 the ,state shall  
process any application for medical     
assistance submitted by1 or on behalf   
of1 a juvenile who is an inmate of a    
public institution notwithstanding that 
the juvenile is such an inmate4  2 and  

7#b7 by adding at the end the following 
new subsection3  7ll7  ,juvenile2       
eligible juvenile2 public institution   
,for purposes of subsection 7a77#hb7 and
 this subsection3  7#a7  ,juvenile  ,the
 term juvenile means an individual who  
is--  7,a7 under #ai years of age 7or   
such higher age as the ,state has       
elected under section                   
#dge7h77;,b77iii772 or  7,b7 is         
described in subsection                 
7a77#aj77;,a77i77,,ix74  7#b7  ,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 institution4  7#c7  ,inmate of a 
public institution  ,the term inmate of 
a public institution has the meaning    
given such term for purposes of applying
 the subdivision 7,a7 following         

paragraph 7#bi7 of section #aije7;a71   
taking into account the exception in    
such subdivision for a patient of a     
medical institution4  4  7b7  ,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 7,a7 following paragraph    
7#bi7 of section #aije7;a7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a771 including any applicable   
restrictions on a ,state submitting     
claims for ,federal financial           
participation under title ,,xix of such 
,act for such assistance4  7c7          
,effective date  7#a7  ,in general      
,except as provided in paragraph 7#b71  
the amendments made by subsection 7a7   
shall apply to eligibility and          
enrollment of juveniles who become      
inmates of public institutions on or    
after the date that is #a year after the
 date of the enactment of this ,act4    

7#b7  ,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 7other than          
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirements imposed by the  
amendments made by subsection 7a71 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 
,act4 ,for purposes of the previous     
sentence1 in the case of a ,state that  
has a #b-year legislative session1 each 
year of such session shall be deemed to 
be a separate regular session of the    

,state legislature4