,,ib  ,union ,cal5d> ,no4 #egb  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #aibe
  ,report ,no4 #aae-gch  ,,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    
,june #ab1 #bjah;,additional sponsor3   
,mr4 ,wald5  ,june #ab1 #bjah ,report$ )
 an am5dm5t1 committ$ to ! ,committee ( 
! ,:ole ,h\se on ! ,/ate ( ! ,union1 &  
ord]$ to be pr9t$ ,/rike out all aft] ! 
enact+ clause & ins]t ! "p pr9t$ 9      
italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,april #e1   
#bjag  ,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$icaid 
,protection ,act ( #bjah4  #b4 ,at-risk 
y\? ,m$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$ical assi/ance  
"u ! ,/ate plan = an individual :o is an
 eligible juv5ile 7z def9$ 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 9 ! case ( an individual 
:o is an eligible juv5ile describ$ 9    
p>agraph 7#b77;,a7 ( subsection 7nn71 ! 
,/ate %all1 prior to ! individual's     
release f su* a public in/itution1      
conduct a r$et]m9ation ( eligibility =  
su* individual ) respect to su* m$ical  
assi/ance 7)\t requir+ a new application
 f ! individual7 &1 if ! ,/ate det]m9es 
pursuant to su* r$et]m9ation t !        
individual cont9ues to meet !           
eligibility requirem5ts = su* m$ical    

assi/ance1 ! ,/ate %all re/ore cov]age =
 su* m$ical assi/ance to su* an         
individual ^u ! individual's release f  
su* public in/itution2 &  7,c7 9 ! case 
( an individual :o is an eligible       
juv5ile describ$ 9 p>agraph 7#b77;,b7 ( 
subsection 7nn71 ! ,/ate %all process   
any application = m$ical assi/ance      
submitt$ by1 or on behalf (1 su*        
individual su* t ! ,/ate makes a        
det]m9ation ( eligibility = su*         
individual ) respect to su* m$ical      
assi/ance ^u release ( su* individual f 
su* public in/itution4  2 &  7#b7 by    
add+ at ! end ! foll[+ new subsection3  
7nn7 ,juv5ile2 eligible juv5ile2 public 
in/itution ,= purposes ( subsection     
7a77#hd7 & ?is subsection3  7#a7        
,juv5ile ,! t]m juv5ile means an        
individual :o is-- 7,a7 "u #ba ye>s (   
age2 or  7,b7 describ$ 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 & :o--  7,a7 0 det]m9$       

eligible = m$ical assi/ance "u ! ,/ate  
plan imm$iately be=e becom+ an inmate ( 
su* a public in/itution2 or  7,b7 is    
det]m9$ 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  ,june #ab1 #bjah ,report$ 
) an am5dm5t1 committ$ to ! ,committee (
 ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & 
ord]$ to be pr9t$