,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #acbc  ,,in ,,the ,,house ,,of  
,,representatives  ,march #b1 #bjag,mr4 
,collins of ,new ,york 7for himself and 
,mr4 ,flores7 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 reduce        
unnecessary emergency room visits under 
the ,medicaid program4  #a4 ,short title
 ,this ,act may be cited as the         
,reducing ,unnecessary ,emergency ,room 
,visits under ,medicaid ,act4  #b4      
,state option to impose higher cost     
sharing for nonemergency use of         
emergency room services  7a7 ,in general
 ,section #aiaf of the ,social ,security
 ,act 7#db ,u4,s4,c4 #acifo7 is         
amended--  7#a7 in subsection 7a77#c71  
by striking up to twice the nominal     
amount and inserting up to #be2 and     
7#b7 in subsection 7b77#c71 by striking 
up to twice the nominal amount and      
inserting up to #be4  7b7 ,state option 

for alternative premiums and cost       
sharing ,section #aiaf;,a7e77#b7 of the 
,social ,security ,act 7#db ,u4,s4,c4   
#acifo-#a7;e77#b77 is amended-- 7#a7 in 
subparagraph 7,a71 by striking twice the
 amount determined to be nominal under  
section #aiaf and inserting the amount  
specified in paragraph 7#c7 of          
subsection 7a7 or 7b7 7as applicable7 of
 section #aiaf with respect to          
non-emergency services2 and  7#b7 in    
subparagraph 7,b71 by striking a nominal
 amount 7as otherwise determined under  
section #aiaf7 and inserting the amount 
specified in paragraph 7#c7 of          
subsection 7a7 or 7b7 7as applicable7 of
 section #aiaf with respect to          
non-emergency services4  7c7 ,effective 
date ,the amendments made by this       
section shall apply with respect to     
items and services furnished on or after
 ,october #a1 #bjag4