,,ib  ,union ,cal5d> ,no4 #efh  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #djje
  ,report ,no4 #aae-gcc  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,octob] #aj1 #bjag
 ,mr4 ,tonko introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,june #ab1 #bjah;,additional 
sponsors3 ,mr4 ,turn]1 ,mr4 ,wald51 &   
,mr4 ,mit*ell  ,june #ab1 #bjah ,report$
 ) am5dm5ts1 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 ,octob] #aj1 
#bjag  ,a ,,bill  ,to am5d title ,,xix (
 ! ,social ,security ,act to all[ =     
m$ical assi/ance "u ,m$icaid = inmates  
dur+ ! #cj-;day p]iod prec$+ release f a
 public in/itution4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,m$icaid      
,re5try ,act4  #b4 ,promot+ ,/ate       
innovations to ease transitions         
integration to ! community = c]ta9      
individuals  7a7 ,/akehold] gr\p        

developm5t ( be/ practices2 ,m$icaid    
,innovation ,accel]ator ,program  7#a7  
,/akehold] gr\p be/ practices ,n lat]   
?an #f mon?s aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices %all conv5e a /akehold] gr\p ( 
repres5tatives ( manag$ c>e             
organizations1 ,m$icaid b5efici>ies1    
heal? c>e provid]s1 ! ,national         
,association ( ,m$icaid ,directors1 &   
o!r relevant repres5tatives f local1    
,/ate1 & ,f$]al jail & prison sy/ems to 
develop be/ practices 7& submit to !    
,secret>y & ,congress a report on su*   
be/ practices7 = ,/ates--  7,a7 to ease 
! heal? c>e-relat$ transition ( an      
individual :o is an inmate ( a public   
in/itution f ! public in/itution to !   
community1 includ+ be/ practices =      
ensur+ cont9uity ( heal? insurance      
cov]age or cov]age "u ! ,/ate ,m$icaid  
plan "u title ,,xix ( ! ,social         
,security ,act1 z applicable1 & relevant
 social s]vices2 &  7,b7 to c>ry out1 ) 
respect to su* an individual1 su* heal? 

c>e-relat$ transition n lat] ?an #cj    
days aft] su* individual is releas$ f ! 
public in/itution4  7#b7 ,/ate ,m$icaid 
program innovation ,! ,secret>y ( ,heal?
 & ,human ,s]vices %all "w ) ,/ates on  
innovative /rategies to help individuals
 :o are inmates ( public in/itutions &  
o!rwise eligible = m$ical assi/ance "u !
 ,m$icaid program "u title ,,xix ( !    
,social ,security ,act transition1 )    
respect to enrollm5t = m$ical assi/ance 
"u su* program1 seamlessly to !         
community4  7b7 ,guidance on innovative 
s]vice deliv]y sy/ems demon/ration      
project opportunities ,n lat] ?an "o ye>
 aft] ! date ( ! enactm5t ( ?is ,act1 ! 
,secret>y ( ,heal? & ,human ,s]vices1   
?r\gh ! ,adm9i/rator ( ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices1 %all issue a
 ,/ate ,m$icaid ,director lett]1 bas$ on
 be/ practices develop$ "u subsection   
7a77#a71 reg>d+ opportunities to design 
demon/ration projects "u section #aaae (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acae7 to improve c>e transitions =    

c]ta9 individuals :o are soon-to-be =m] 
inmates ( a public in/itution & :o are  
o!rwise eligible to receive m$ical      
assi/ance "u title ,,xix ( su* ,act1    
includ+ sy/ems =1 ) respect to a p]iod  
7n to exce$ #cj days7 imm$iately prior  
to ! day on :i* su* individuals are     
expect$ to be releas$ f su* in/itution--
  7#a7 provid+ assi/ance & education =  
enrollm5t "u a ,/ate plan "u ! ,m$icaid 
program "u title ,,xix ( su* ,act = su* 
individuals dur+ su* p]iod2 &  7#b7     
provid+ heal? c>e s]vices = su*         
individuals dur+ su* p]iod4  7c7 ,rule (
 con/ruction ,no?+ "u title ,,xix ( !   
,social ,security ,act or any o!r       
provision ( law precludes a ,/ate f     
reclassify+ or susp5d+ 7r ?an t]m9at+7  
eligibility ( an individual = m$ical    
assi/ance "u title ,,xix ( ! ,social    
,security ,act :ile su* individual is an
 inmate ( a public in/itution4  ,am5d ! 
title s z to read3 ,a bill to promote   
,/ate innovations to ease transitions to
 ! community = individuals :o are       

inmates ( a public in/itution & eligible
 = m$ical assi/ance "u ! ,m$icaid       
program44  ,june #ab1 #bjah ,report$ )  
am5dm5ts1 committ$ to ! ,committee ( !  
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$