,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #aibe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #e1 #bjag,mr4  
,crd5as 7= himself & ,mr4 ,griffi?7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to protect at-risk y\?  
aga9/ t]m9ation ( ,m$icaid eligibility  
:ile an inmate ( a public in/itution4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,at-,risk ,y\? ,m$icaid ,protection   
,act ( #bjag4  #b4 ,at-risk y\? ,m$icaid
 protection  7a7 ,9 g5]al ,section #aijb
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;a7 is am5d$--  7#a7 9   
subsection 7a7-- 7,a7 by /rik+ & at !   
end ( p>agraph 7#hb72  7,b7 by /rik+ !  
p]iod at ! end ( p>agraph 7#hc7 & ins]t+
 2 &2 &  7,c7 by ins]t+ aft] p>agraph   
7#hc7 ! foll[+ new p>agraph3  7#hd7     
provide t-- 7,a7 ! ,/ate %all n t]m9ate 
eligibility = m$ical assi/ance "u a     
,/ate plan = an individual :o is an     
eligible juv5ile 7z def9$ 9 subsection  

7nn77#b77 because ! juv5ile is an inmate
 ( a public in/itution 7z def9$ 9       
subsection 7nn77#c771 b may susp5d      
cov]age dur+ ! p]iod ! juv5ile is su* an
 inmate2  7,b7 ! ,/ate %all re/ore      
cov]age = su* m$ical assi/ance to su* an
 individual ^u ! individual's release f 
any su* public in/itution1 )\t requir+ a
 new application f ! individual1 unless 
7& until su* date z7 !re is a           
det]m9ation t ! individual no long]     
meets ! eligibility requirem5ts = su*   
m$ical assi/ance2 &  7,c7 ! ,/ate %all  
process any application = m$ical        
assi/ance submitt$ by1 or on behalf (1 a
 juv5ile :o is an inmate ( a public     
in/itution not)/&+ t ! juv5ile is su* an
 inmate4  2 &  7#b7 by add+ at ! end !  
foll[+ new subsection3  7nn7 ,juv5ile2  
eligible juv5ile2 public in/itution ,=  
purposes ( subsection 7a77#hd7 & ?is    
subsection3  7#a7 ,juv5ile ,! t]m       
juv5ile means an individual :o is-- 7,a7
 "u #ba ye>s ( age2 or  7,b7 is describ$
 9 subsection 7a77#aj77;,a77i77,,ix74   

7#b7 ,eligible juv5ile ,! t]m eligible  
juv5ile means a juv5ile :o is an inmate 
( a public in/itution & 0 eligible =    
m$ical assi/ance "u ! ,/ate plan        
imm$iately be=e becom+ an inmate ( su* a
 public in/itution or :o becomes        
eligible = su* m$ical assi/ance :ile an 
inmate ( a public in/itution4  7#c7     
,inmate ( a public in/itution ,! t]m    
inmate ( a public in/itution has ! mean+
 giv5 su* t]m = purposes ( apply+ !     
subdivision 7,a7 foll[+ p>agraph 7#bi7 (
 section #aije7;a71 tak+ into acc\nt !  
exception 9 su* subdivision = a pati5t (
 a m$ical in/itution4  4  7b7 ,no *ange 
9 exclusion f m$ical assi/ance = inmates
 ( public in/itutions ,no?+ 9 ?is       
section %all be con/ru$ z *ang+ !       
exclusion f m$ical assi/ance "u !       
subdivision 7,a7 foll[+ p>agraph 7#bi7 (
 section #aije7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7a771       
includ+ any applicable re/rictions on a 
,/ate submitt+ claims = ,f$]al f9ancial 
p>ticipation "u title ,,xix ( su* ,act =

 su* assi/ance4  7c7 ,no *ange 9        
cont9uity ( eligibility be=e            
adjudication or s5t5c+ ,no?+ 9 ?is      
section %all be con/ru$ to m&ate1       
enc\rage1 or sugge/ t a ,/ate susp5d or 
t]m9ate cov]age = individuals be=e !y h 
be5 adjudicat$ or s5t5c$4  7d7          
,effective date  7#a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! am5dm5ts    
made by subsection 7a7 %all apply to    
eligibility ( juv5iles :o become inmates
 ( public in/itutions on or aft] ! date 
t is #a ye> aft] ! date ( ! enactm5t (  
?is ,act4  7#b7 ,rule = *anges requir+  
/ate legislation ,9 ! case ( a ,/ate    
plan = m$ical assi/ance "u title ,,xix (
 ! ,social ,security ,act :i* !         
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 subsection 7a71 ! ,/ate plan %all n be 
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    

failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4