,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bcdh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ae1 #bjae ,mr4  
,flores introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d titles    
,,xi & ,,xix ( ! ,social ,security ,act 
to promote program integrity ) respect  
to ! enrollm5t ( c]ta9 immigrants 9     
,/ate plans "u ,m$icaid1 & = o!r        
purposes4  #a4 ,promot+ program         
integrity 9 enroll+ c]ta9 immigrants "u 
,m$icaid  7a7 ,9 g5]al ,section         
#aacg7;f7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acbj;b-#g7;f77 is       
am5d$-- 7#a7 by /rik+ ,subsections      
7a77#a7 & 7d7 & ins]t+ 7#a7 ,subsections
 7a77#a7 & 7d72 &  7#b7 by add+ at ! end
 ! foll[+ new p>agraph3  7#b7           
,subp>agraphs 7,a7 & 7,b77ii7 (         
subsection 7d77#d7 %all n apply 9 ! case
 ( an initial det]m9ation made on or    
aft] ! date t is #f mon?s aft] ! date ( 
! enactm5t ( ?is p>agraph ) respect to !
 eligibility ( an individual decl>+ to  

be a citiz5 or national ( ! ,unit$      
,/ates ) respect to :om a ,/ate         
requires1 pursuant to #aijb7;ee7 !      
submission ( a social security numb] or 
pursuant to #aijc7x7 ! pres5tation (    
satisfactory docum5t>y evid5ce (        
citiz5%ip or nationality1 "u section    
#aijb7;a77#df77;,b7 = b5efits "u !      
program li/$ 9 subsection 7b77#b74  4   
7b7 ,no paym5ts = m$ical assi/ance      
provid$ be=e pres5tation ( evid5ce      
,section #aijc7;i77#bb7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;b7i77#bb77 is am5d$-- 7#a7 by     
/rik+ ) respect to am\nts exp5d$ &      
ins]t+ 7,a7 ) respect to am\nts exp5d$2 
7#b7 by ins]t+ & at ! end2 &  7#c7 by   
add+ at ! end ! foll[+ new subp>agraph3 
7,b7 9 ! case ( a ,/ate t elects to     
provide a reasonable p]iod to pres5t    
satisfactory docum5t>y evid5ce ( su*    
citiz5%ip or nationality pursuant to    
p>agraph 7#b77;,c7 ( section #aijb7;ee7 
or p>agraph 7#d7 ( subsection 7x7 ( ?is 
section1 = am\nts exp5d$ = m$ical       

assi/ance = su* an individual 7o!r ?an  
an individual describ$ 9 p>agraph 7#b7 (
 su* subsection 7x77 dur+ su* p]iod2  4 
7c7 ,con=m+ am5dm5ts ,section           
#aacg7;d77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;b-#g7;d77#d77 is  
am5d$-- 7#a7 9 subp>agraph 7,a71 9 !    
matt] prec$+ clause 7i71 by ins]t+      
subject to subsection 7f77#b7 be=e !    
,/ate2 &  7#b7 9 subp>agraph 7,b77ii71  
by ins]t+ subject to subsection 7f77#b7 
be=e p5d+ su* v]ification4