,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #abgg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #a1 #bjag,mrs4   
,blackburn introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to p]mit indef9ite
 ext5sions = c]ta9 previ\sly ext5d$     
,m$icaid manag$ c>e waiv]s4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,/ate   
,m$icaid ,waiv] ,flexibility ,act (     
#bjag4  #b4 ,gr&fa!r+ c]ta9 ,m$icaid    
manag$ c>e waiv]s  7a7 ,9 g5]al ,9 !    
case ( a ,/ate ) a gr&fa!r$ manag$ c>e  
waiv]1 ! ,/ate may cont9ue to implem5t !
 manag$ c>e deliv]y sy/em t is ! subject
 ( su* waiv] 9 p]petuity "u ! ,/ate plan
 "u title ,,xix ( ! ,social ,security   
,act 7or a waiv] ( su* plan7 )\t        
submitt+ an application to ! ,secret>y =
 a new waiv] to implem5t su* manag$ c>e 
deliv]y sy/em1 s long z ! t]ms &        
conditions ( ! waiv] involv$ are n      
modifi$4 ,if ! ,/ate seeks to modify !  
t]ms or conditions ( su* a waiv]1 !     
,/ate %all submit to ! ,secret>y an     

application = approval ( a new waiv] "u 
su* modifi$ t]ms & conditions4  7b7     
,/ate ) a gr&fa!r$ manag$ c>e waiv]     
def9$ ,9 ?is section1 ! t]m ,/ate ) a   
gr&fa!r$ manag$ c>e waiv] means a       
,/ate-- 7#a7 ) a waiv] approv$ by !     
,secret>y ( ,heal? & ,human ,s]vices "u 
section #aiae7;b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acifu-#b7;b77 )    
respect to ! au?ority ( ! ,/ate to      
implem5t a manag$ c>e deliv]y sy/em "u !
 ,/ate plan "u title ,,xix ( ! ,social  
,security ,act 7or "u a waiv] ( su* plan
 "u section #aaae ( su* ,act7 t is 9    
effect z ( ,janu>y #a1 #bjag2 &  7#b7 ! 
r5ewal ( su* waiv] 0 approv$ no less ?an
 two times4  7c7 ,rule ( con/ruction    
,no?+ 9 ?is section %all be con/ru$1 )  
respect to a waiv] approv$ by !         
,secret>y ( ,heal? & ,human ,s]vices "u 
section #aaae ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acae71 to all[ = !     
cont9u$ application 9 p]petuity ( su*   
waiv] ) respect to any aspect ( !       
implem5tation ( ! ,m$icaid program "u   

title ,,xix ( su* ,act 9 su* ,/ate o!r  
?an ! au?ority ( ! ,/ate to implem5t a  
manag$ c>e deliv]y sy/em 9 su* ,/ate4