,i  #aadth ,,congress  #ast ,session    
,h4 ,r4 #bcci  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ad1 #bjae ,mr4 
,pitts 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 clarify the treatment 
of lottery winnings and other lump sum  
income for purposes of income           
eligibility under the ,medicaid program1
 and for other purposes4  #a4 ,treatment
 of lottery winnings and other lump sum 
income for purposes of income           
eligibility under ,medicaid  7a7 ,in    
general ,paragraph 7#ad7 7relating to   
modified adjusted gross income7 of      
section #aijb7;e7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acif;a7e77 is amended by adding at the 
end the following new subparagraph3     
7,j7 ,treatment of certain lottery      
winnings and income received as a lump  
sum  7i7 ,in the case of an individual  
who is the recipient of qualified       

lottery winnings or qualified lump sum  
income1 and whose eligibility for       
medical assistance is determined based  
on the application of modified adjusted 
gross income under subparagraph 7,a71 a 
,state may1 in determining such         
eligibility1 consider such winnings or  
income 7as applicable7 as income        
received on a monthly basis--  7,i7 if  
such winnings or income 7as applicable7 
is received in an amount that is less   
than #ej1jjj1 over a period of #ab      
months2 and  7,,ii7 if such winnings or 
income 7as applicable7 is received in an
 amount that is greater than or equal to
 #ej1jjj1 over a period specified by the
 ,state not to exceed #bdj months1 in   
proportion to the amount of the winnings
 or income 7as applicable74  7ii7       
,definitions ,in this subparagraph3 7,i7
 ,the term qualified lottery winnings   
means winnings from a sweepstakes1      
lottery1 or pool described in paragraph 
7#c7 of section #ddjb of the ,internal  
,revenue ,code of #aihf or a lottery    

operated by a multi-state or            
multi-jurisdictional lottery association
 in an amount that is not less than     
#bj1jjj1 including amounts awarded as a 
lump sum payment4  7,,ii7 ,the term     
qualified lump sum income means income  
that is received as a lump sum in an    
amount that is not less than #bj1jjj1   
including income received from the      
transfer or sale of real or personal    
property from the estate 7as defined in 
section #aiag7;b77#d77 of a deceased    
individual4  4  7b7 ,rule of            
construction ,nothing in this ,act shall
 be construed as preventing a ,state    
from intercepting the ,state lottery    
winnings awarded to an individual in the
 ,state to recover amounts paid by the  
,state under the ,state ,medicaid plan  
under title ,,xix of the ,social        
,security ,act for medical assistance   
furnished to the individual4  7c7       
,effective date ,the amendment made by  
subsection 7a7 shall apply with respect 
to income received as a lump sum1 or    

winnings received pursuant to lotteries 
occurring1 after a date specified by the
 ,state1 but not earlier than the date  
that is #bd months before such date of  
enactment4