,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #acha  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #g1 #bjag,mr4    
,griffi? introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
p]mit ,/ates to impose an individual    
responsibility requirem5t = nondisabl$1 
noneld]ly1 nonpregnant individuals made 
eligible = m$ical assi/ance4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,requir+
 ,individual ,responsibility 9 ,m$icaid 
,act ( #bjag4  #b4 ,p]mitt+ ,/ates to   
apply an individual responsibility      
requirem5t = nondisabl$1 noneld]ly1     
nonpregnant adults "u ,m$icaid4 ,section
 #aijb ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acif;a7 is am5d$ by add+ at !
 end ! foll[+ new subsection3  7nn7     
,individual responsibility requirem5t   
option = nondisabl$1 noneld]ly1         
nonpregnant adults  7#a7 ,9 g5]al       
,beg9n+ ,octob] #a1 #bjag1 subject to   
p>agraph 7#c71 a ,/ate may elect ?r\gh a

 ,/ate plan am5dm5t 7or waiv] ( su*     
plan7 to condition m$ical assi/ance to a
 nondisabl$1 noneld]ly1 nonpregnant     
individual "u ?is title ^u su* an       
individual's satisfaction ( an          
individual responsibility requirem5t 7z 
def9$ 9 p>agraph 7#b774  7#b7           
,individual responsibility requirem5t   
def9$ ,9 ?is section1 ! t]m individual  
responsibility requirem5t means1 )      
respect to an individual1 ! individual's
 p>ticipation 9 "w activities 7z def9$ 9
 section #djg7;d77 = su* p]iod ( "t z   
det]m9$ by ! ,/ate1 & z direct$ &       
adm9i/]$ by ! ,/ate4  7#c7 ,requir$     
exceptions ,/ates adm9i/]+ an individual
 responsibility requirem5t "u ?is       
subsection may n apply su* requirem5t   
to--  7,a7 a woman to :om subsection    
7e77#e7 applies 7relat+ to eligibility (
 pregnant wom5 ?r\gh ! end ( ! mon? 9   
:i* ! #fj-;day p]iod 7beg9n+ on ! la/   
day ( h] pregnancy7 ends72  7,b7 an     
individual :o is ! only p>5t or c>etak] 
relative 9 ! family ( a *ild :o has n   

atta9$ #f ye>s ( age or :o is ! only    
p>5t or c>etak] ( a *ild ) disabilities2
 or  7,c7 an individual :o is m>ri$ or a
 head ( h\sehold & has n atta9$ #bj ye>s
 ( age & :o-- 7i7 ma9ta9s satisfactory  
att5dance at second>y s*ool or !        
equival5t2 or  7ii7 p>ticipates 9       
education directly relat$ to employm5t4 
4