,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #aibe  ,,in ,,the ,,house ,,of  
,,representatives  ,april #e1 #bjag,mr4 
,crdenas 7for himself and ,mr4          
,griffith7 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 protect       
at-risk youth against termination of    
,medicaid eligibility while an inmate of
 a public institution4  #a4 ,short title
 ,this ,act may be cited as the         
,at-,risk ,youth ,medicaid ,protection  
,act of #bjag4  #b4 ,at-risk youth      
,medicaid protection  7a7 ,in general   
,section #aijb of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;a7 is         
amended--  7#a7 in subsection 7a7-- 7,a7
 by striking and at the end of paragraph
 7#hb72  7,b7 by striking the period at 
the end of paragraph 7#hc7 and inserting
 2 and2 and  7,c7 by inserting after    
paragraph 7#hc7 the following new       
paragraph3  7#hd7 provide that-- 7,a7   

the ,state shall not terminate          
eligibility for medical assistance under
 a ,state plan for an individual who is 
an eligible juvenile 7as defined in     
subsection 7nn77#b77 because the        
juvenile is an inmate of a public       
institution 7as defined in subsection   
7nn77#c771 but may suspend coverage     
during the period the juvenile is such  
an inmate2  7,b7 the ,state shall       
restore coverage for such medical       
assistance to such an individual upon   
the individual's release from any such  
public institution1 without requiring a 
new application from the individual1    
unless 7and until such date as7 there is
 a determination that the individual no 
longer meets the eligibility            
requirements for such medical           
assistance2 and  7,c7 the ,state shall  
process any application for medical     
assistance submitted by1 or on behalf   
of1 a juvenile who is an inmate of a    
public institution notwithstanding that 
the juvenile is such an inmate4  2 and  

7#b7 by adding at the end the following 
new subsection3  7nn7 ,juvenile2        
eligible juvenile2 public institution   
,for purposes of subsection 7a77#hd7 and
 this subsection3  7#a7 ,juvenile ,the  
term juvenile means an individual who   
is-- 7,a7 under #ba years of age2 or    
7,b7 is described in subsection         
7a77#aj77;,a77i77,,ix74  7#b7 ,eligible 
juvenile ,the term eligible juvenile    
means a juvenile who is an inmate of a  
public institution and was eligible for 
medical assistance under the ,state plan
 immediately before becoming an inmate  
of such a public institution or who     
becomes eligible for such medical       
assistance while an inmate of a public  
institution4  7#c7 ,inmate of a public  
institution ,the term inmate of a public
 institution has the meaning given such 
term for purposes of applying the       
subdivision 7,a7 following paragraph    
7#bi7 of section #aije7;a71 taking into 
account the exception in such           
subdivision for a patient of a medical  

institution4  4  7b7 ,no change in      
exclusion from medical assistance for   
inmates of public institutions ,nothing 
in this section shall be construed as   
changing the exclusion from medical     
assistance under the subdivision 7,a7   
following paragraph 7#bi7 of section    
#aije7;a7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acif;d7a771 including   
any applicable restrictions on a ,state 
submitting claims for ,federal financial
 participation under title ,,xix of such
 ,act for such assistance4  7c7 ,no     
change in continuity of eligibility     
before adjudication or sentencing       
,nothing in this section shall be       
construed to mandate1 encourage1 or     
suggest that a ,state suspend or        
terminate coverage for individuals      
before they have been adjudicated or    
sentenced4  7d7 ,effective date  7#a7   
,in general ,except as provided in      
paragraph 7#b71 the amendments made by  
subsection 7a7 shall apply to           
eligibility of juveniles who become     

inmates of public institutions on or    
after the date that is #a year after the
 date of the enactment of this ,act4    
7#b7 ,rule for changes requiring state  
legislation ,in the case of a ,state    
plan for medical assistance under title 
,,xix of the ,social ,security ,act     
which the ,secretary of ,health and     
,human ,services determines requires    
,state legislation 7other than          
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirements imposed by the  
amendments made by subsection 7a71 the  
,state plan shall not be regarded as    
failing to comply with the requirements 
of such title solely on the basis of its
 failure to meet these additional       
requirements before the first day of the
 first calendar quarter beginning after 
the close of the first regular session  
of the ,state legislature that begins   
after the date of the enactment of this 
,act4 ,for purposes of the previous     
sentence1 in the case of a ,state that  

has a #b-year legislative session1 each 
year of such session shall be deemed to 
be a separate regular session of the    
,state legislature4