,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #dgbe  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #aj1 #bjaf ,mr4  
,pitts introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to r$uce ! ,f$]al 
deficit ?r\gh re=ms 9 sp5d+ "u ,m$icaid1
 ,,*ip1 & ! ,prev5tion & ,public ,heal? 
,fund4  #a4 ,%ort title2 table ( cont5ts
  7a7 ,%ort title ,?is ,act may be cit$ 
z ! ,common ,s5se ,sav+s ,act ( #bjaf4  
7b7 ,table ( cont5ts ,! table ( cont5ts 
( ?is ,act is z foll[s3  ,sec4 #a4 ,%ort
 title2 table ( cont5ts4 ,sec4 #b4      
,treatm5t ( lott]y w9n+s & o!r lump-sum 
income = purposes ( income eligibility  
"u ,m$icaid4 ,sec4 #c4 ,elim9at+ ,,ppaca
 enhanc$ ,m$icaid ,,fmap = prison]s4    
,sec4 #d4 ,ext5d+ previ\s ,m$icaid      
?re%old appli$ = det]m9+ acceptable     
provid] taxes4 ,sec4 #e4 ,sunsett+      
,,ppaca increase 9 enhanc$ ,,fmap "u    
,,*ip4 ,sec4 #f4 ,repeal ( ! ,prev5tion 
& ,public ,heal? ,fund4  #b4 ,treatm5t (
 lott]y w9n+s & o!r lump-sum income =   

purposes ( income eligibility "u        
,m$icaid  7a7 ,9 g5]al ,section #aijb ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;a7 is am5d$-- 7#a7 9 subsection   
7a77#ag71 by /rik+ 7e77#ad71 7e77#ad7 & 
ins]t+ 7e77#ad71 7e77#ae72 &  7#b7 9    
subsection 7e7-- 7,a7 9 p>agraph 7#ad7  
7relat+ to modifi$ adju/$ gross income71
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,j7 ,treatm5t ( c]ta9    
lott]y w9n+s & income receiv$ z a lump  
sum  7i7 ,9 g5]al ,9 ! case ( an        
individual :o is ! recipi5t ( qualifi$  
lott]y w9n+s 7pursuant to lott]ies      
occurr+ on or aft] ,janu>y #a1 #bjah7 or
 qualifi$ lump sum income 7receiv$ on or
 aft] su* date7 & ^: eligibility =      
m$ical assi/ance is det]m9$ bas$ on !   
application ( modifi$ adju/$ gross      
income "u subp>agraph 7,a71 a ,/ate     
%all1 9 det]m9+ su* eligibility1 include
 su* w9n+s or income 7z applicable7 z   
income receiv$--  7,i7 9 ! mon? 9 :i*   
su* w9n+s or income 7z applicable7 is   
receiv$ if ! am\nt ( su* w9n+s or income

 is less ?an #fj1jjj2  7,,ii7 ov] a     
p]iod ( #b mon?s if ! am\nt ( su* w9n+s 
or income 7z applicable7 is great] ?an  
or equal to #fj1jjj b less ?an #gj1jjj2 
7,,iii7 ov] a p]iod ( #c mon?s if !     
am\nt ( su* w9n+s or income 7z          
applicable7 is great] ?an or equal to   
#gj1jjj b less ?an #hj1jjj2 &  7,,iv7   
ov] a p]iod ( #c mon?s plus #a          
additional mon? = ea* increm5t ( #aj1jjj
 ( su* w9n+s or income 7z applicable7   
receiv$1 n to exce$ a p]iod ( #abj mon?s
 7= w9n+s or income ( #a1bdj1jjj or m71 
if ! am\nt ( su* w9n+s or income is     
great] ?an or equal to #hj1jjj4  7ii7   
,c\nt+ 9 equal in/allm5ts ,= purposes ( 
subclauses 7,,ii71 7,,iii71 & 7,,iv7 (  
clause 7i71 w9n+s or income to :i* su*  
subclause applies %all be c\nt$ 9 equal 
mon?ly in/allm5ts ov] ! p]iod ( mon?s   
specifi$ "u su* subclause4  7iii7       
,qualifi$ lott]y w9n+s def9$ ,9 ?is     
subp>agraph1 ! t]m qualifi$ lott]y w9n+s
 means w9n+s f a sweep/akes1 lott]y1 or 
pool describ$ 9 p>agraph 7#c7 ( section 

#ddjb ( ! ,int]nal ,rev5ue ,code ( #aihf
 or a lott]y op]at$ by a multi/ate or   
multijurisdictional lott]y association1 
includ+ am\nts aw>d$ z a lump sum       
paym5t4  7iv7 ,qualifi$ lump sum income 
def9$ ,9 ?is subp>agraph1 ! t]m qualifi$
 lump sum income means income t is      
receiv$ z a lump sum f "o ( ! foll[+    
s\rces3 7,i7 ,monet>y w9n+s f gambl+ 7z 
def9$ by ! ,secret>y & includ+ gambl+   
activities describ$ 9 section           
#aiee7;b77#d7 ( title #ah1 ,unit$ ,/ates
 ,code74  7,,ii7 ,damages receiv$1 :e!r 
by suit or agreem5t & :e!r z lump sums  
or z p]iodic paym5ts 7o!r ?an mon?ly    
paym5ts71 on acc\nt ( causes ( action   
o!r ?an causes ( action aris+ f p]sonal 
physical injuries or physical sickness4 
7,,iii7 ,income receiv$ z liquid assets 
f ! e/ate 7z def9$ 9 section            
#aiag7;b77#d77 ( a deceas$ individual4  
2 &  7,b7 by /rik+ 7#ad7 ,exclusion &   
ins]t+ 7#ae7 ,exclusion4  7b7 ,rule (   
con/ruction ,no?+ 9 ! am5dm5t made by   
subsection 7a77#b77;,a7 %all be con/ru$ 

z prev5t+ a ,/ate f int]cept+ ! ,/ate   
lott]y w9n+s aw>d$ to an individual 9 ! 
,/ate to recov] am\nts paid by ! ,/ate  
"u ! ,/ate ,m$icaid plan "u title ,,xix 
( ! ,social ,security ,act = m$ical     
assi/ance furni%$ to ! individual4  #c4 
,elim9at+ ,,ppaca enhanc$ ,m$icaid      
,,fmap = prison]s ,section #aije ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7 is am5d$-- 7#a7 9 subsection   
7y77#b77;,a71 by add+ at ! end ! foll[+3
 ,= items & s]vices furni%$ on or aft]  
,janu>y #a1 #bjag1 su* t]m does n       
include an individual dur+ ! p]iod 9 :i*
 ! individual is an inmate 9 a public   
in/itution & is a pati5t 9 a m$ical     
in/itution42 &  7#b7 9 subsection       
7z77#b77;,a71 by add+ at ! end ! foll[+3
 ,= cal5d> qu>t]s beg9n+ on or aft]     
,janu>y #a1 #bjag1 ! prec$+ s5t5ce %all 
n apply ) respect to m$ical assi/ance = 
individuals :o are inmates 9 a public   
in/itution & pati5ts 9 a m$ical         
in/itution44  #d4 ,ext5d+ previ\s       
,m$icaid ?re%old appli$ = det]m9+       

acceptable provid] taxes ,section       
#aijc7w77#d77;,c77ii7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;b7w77#d77;,c77ii77 is am5d$ by    
ins]t+ aft] ,octob] #a1 #bjaa1 ! foll[+3
 & = portions ( fiscal ye>s occurr+ on  
or aft] ,janu>y #a1 #bjag4  #e4         
,sunsett+ ,,ppaca increase 9 enhanc$    
,,fmap "u ,,*ip  7a7 ,9 g5]al ,! second 
s5t5ce ( section #baje7;b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acig;ee7b77 is am5d$ by /rik+ ,septemb]
 #cj1 #bjai & ins]t+ ,m>* #ca1 #bjaf4   
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all apply ) respect to  
items & s]vices furni%$ aft] ,m>* #ca1  
#bjaf1 )\t reg>d to :e!r ?is ,act is    
enact$ aft] su* date4  #f4 ,repeal ( !  
,prev5tion & ,public ,heal? ,fund  7a7  
,9 g5]al ,section #djjb ( ! ,pati5t     
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #cjju-#aa7 is repeal$4  7b7   
,rescission ( unobligat$ funds ,( !     
funds made available by su* section     
#djjb1 ! unobligat$ balance is resc9d$4