,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #ecge  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bg1 #bjaf ,mr4  
,mull9 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d titles    
,,xix & ,,xxi ( ! ,social ,security ,act
 to elim9ate ! ,,*ip ma9t5ance ( ef=t   
requirem5t & to elim9ate ,,d% cuts =    
,/ates n implem5t+ ! ,,aca ,m$icaid     
expansion4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,pres]v+ ,access to     
,m$icaid = ,am]icans ,act ( #bjaf4  #b4 
,elim9ation ( ,,moe requirem5t = ,,*ip  
eligibility ,section #baje7;d77#c7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acig;ee7d77#c77 is am5d$ by /rik+      
,septemb] #cj1 #bjai & ins]t+ ! date ( !
 enactm5t ( ! ,pres]v+ ,access to       
,m$icaid = ,am]icans ,act ( #bjaf4  #c4 
,elim9ation ( ,,d% cuts = ,/ates n      
implem5t+ ,,aca expansion  7a7 ,9 g5]al 
,section #aibc7;f77#g7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acifr-#d7;f77#g77 is am5d$-- 7#a7 9    

subp>agraph 7,a7--  7,a7 9 clause 7i7-- 
7i7 9 ! matt] prec$+ subclause 7,i71 by 
/rik+ ea* ( fiscal ye>s #bjah ?r\gh     
#bjbe & ins]t+ fiscal ye> #bjah & ea*   
subsequ5t fiscal ye>2 &  7ii7 9         
subclause 7,i7-- 7,i7 by /rik+ ! am\nt  
specifi$ "u ! ,,d% heal? re=m me?odology
 "u subp>agraph 7,b7 & ins]t+ ! am\nt ( 
! aggregate r$uction t>get2 &  7,,ii7 by
 /rik+ ,,d% allotm5ts to ,/ates & ins]t+
 ! ,,d% allotm5t to ea* expansion ,/ate 
ea* place x appe>s2  7,b7 9 clause      
7ii7--  7i7 9 ! matt] prec$+ subclause  
7,i71 by /rik+ ,! aggregate r$uctions & 
ins]t+ ,9 apply+ subp>agraph 7,b71 !    
aggregate r$uction t>gets2  7ii7 9      
subclause 7,,vii71 by /rik+ & at ! end2 
7iii7 9 subclause 7,,viii71 by /rik+ !  
p]iod at ! end & ins]t+ 2 &2 &  7iv7 by 
add+ at ! end ! foll[+ new subclause3   
7,,ix7 #h1jjj1jjj1jjj = fiscal ye> #bjbf
 &1 subject to subp>agraph 7,c71 ea*    
subsequ5t fiscal ye>4  2  7,c7 by am5d+ 
clause 7iv7 to read z foll[s3  7iv7     
,def9itions ,= purposes ( ?is p>agraph3 

7,i7 ,! t]m expansion ,/ate means1 = a  
fiscal ye>1 a ,/ate t1 z ( ! date t is  
#ahj days be=e ! />t ( su* fiscal ye>1  
provides = eligibility "u clause        
7i77,,viii7 or 7ii77,,xx7 ( section     
#aijb7;a77#aj77;,a7 = m$ical assi/ance  
"u ?is title 7or a waiv] ( ! ,/ate plan 
approv$ "u section #aaae74  7,,ii7 ,!   
t]m non-expansion ,/ate means1 = a      
fiscal ye>1 a ,/ate t is n an expansion 
,/ate = su* fiscal ye>4  2 &  7,d7 9    
clause 7v71 by /rik+ ,di/ribution (     
aggregate r$uctions4--,! ,secret>y %all 
di/ribute ! aggregate r$uctions & ins]t+
 ,di/ribution ( aggregate r$uction      
t>gets4--,! ,secret>y %all di/ribute !  
aggregate r$uction t>gets "u clause 7ii7
 among all ! ,/ates 7includ+            
non-expansion ,/ates72  7#b7 9          
subp>agraph 7,b71 by add+ at ! end !    
foll[+ new clause3  7iv7 ,! me?odology  
imposes r$uction t>gets z if ! r$uctions
 "u subp>agraph 7,a7 7 appli$ to all    
,/ates1 includ+ non-expansion ,/ates4  2
 &  7#c7 by add+ at ! end ! foll[+ new  

subp>agraph3  7,c7 ,ext5sion ( r$uction 
= expansion ,/ates to pay = elim9ation (
 r$uction = non-expansion ,/ates ,!     
aggregate am\nt ( r$uctions "u          
subp>agraph 7,a7 = fiscal ye>s aft]     
fiscal ye> #bjbe %all n exce$ ! sum ( ! 
aggregate r$uction t>gets di/ribut$ "u  
clause 7v7 to non-expansion ,/ates =    
fiscal ye>s #bjah ?r\gh #bjbe4  4  7b7  
,con=m+ am5dm5t ,section #aibc7;f77#h7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acifr-#d7;f77#h77 is am5d$ by /rik+   
fiscal ye> #bjbe & ins]t+ ! la/ fiscal  
ye> = :i* a r$uction is made "u p>agraph
 7#g77;,a74