,i  #aadth ,,congress  #b;d ,session    
,h4 ,r4 #dcfh  ,,in ,,the ,,house ,,of  
,,representatives  ,january #ab1 #bjaf  
,mr4 ,pitts 7for himself and ,mr4       
,guthrie7 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 ,section #aijb of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif;a7  
is amended-- 7#a7 in subsection         
7a77#ag71 by striking 7e77#ad71 7e77#ad7
 and inserting 7e77#ad71 7e77#ae72 and  
7#b7 in subsection 7e7-- 7,a7 in        
paragraph 7#ad7 7relating to modified   
adjusted gross income71 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 general ,in the case of an 
individual who is the recipient of      
qualified lottery winnings 7pursuant to 
lotteries occurring on or after ,january
 #a1 #bjah7 or qualified lump sum income
 7received on or after such date7 and   
whose eligibility for medical assistance
 is determined based on the application 
of modified adjusted gross income under 
subparagraph 7,a71 a ,state shall1 in   
determining such eligibility1 include   
such winnings or income 7as applicable7 
as income received--  7,i7 in the month 
in which such winnings or income 7as    
applicable7 is received if the amount of
 such winnings or income is less than   
#fj1jjj2  7,,ii7 over a period of two   
months if the amount of such winnings or
 income 7as applicable7 is greater than 
or equal to #fj1jjj but less than       
#gj1jjj2  7,,iii7 over a period of three
 months if the amount of such winnings  
or income 7as applicable7 is greater    

than or equal to #gj1jjj but less than  
#hj1jjj2 and  7,,iv7 over an additional 
one-month period for each increment of  
#aj1jjj of such winnings or income 7as  
applicable7 received1 not to exceed #abj
 months 7for winnings or income of      
#a1bdj1jjj or more71 if the amount of   
such winnings or income is greater than 
or equal to #hj1jjj4  7ii7 ,counting in 
equal installments ,for purposes of     
clause 7i71 winnings or income to which 
such clause applies shall be counted in 
equal monthly installments over the     
applicable period of months specified in
 such clause4  7iii7 ,qualified lottery 
winnings defined ,in this subparagraph1 
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 multistate or             
multijurisdictional lottery association1
 including amounts awarded as a lump sum
 payment4  7iv7 ,qualified lump sum     

income defined ,in this subparagraph1   
the term qualified lump sum income means
 income that is received as a lump sum  
from one of the following sources3 7,i7 
,monetary winnings from gambling 7as    
defined by the ,secretary and including 
gambling activities described in section
 #aiee7;b77#d7 of title #ah1 ,united    
,states ,code74  7,,ii7 ,damages        
received1 whether by suit or agreement  
and whether as lump sums or as periodic 
payments 7other than monthly payments71 
on account of causes of action other    
than causes of action arising from      
personal physical injuries or physical  
sickness4  7,,iii7 ,income received as  
liquid assets from the estate 7as       
defined in section #aiag7;b77#d77 of a  
deceased individual4  2 and  7,b7 by    
striking 7#ad7 ,exclusion and inserting 
7#ae7 ,exclusion4  7b7 ,rule of         
construction ,nothing in the amendment  
made by subsection 7a77#b77;,a7 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