,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #eda  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ac1 #bjag,mr4
 ,coll9s ( ,new ,york 7= himself1 ,mr4  
,mull91 ,mr4 ,gu?rie1 ,mr4 ,buc%on1 &   
,mr4 ,flores7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d title    
,,xix ( ! ,social ,security ,act to     
improve ! calculation1 ov]sight1 &      
acc\ntability ( non-,,d% supplem5tal    
paym5ts "u ! ,m$icaid program1 & = o!r  
purposes4  #a4 ,%ort title2 table (     
cont5ts ,?is ,act may be cit$ z !       
,improv+ ,ov]sight & ,acc\ntability 9   
,m$icaid ,non-,,d% ,supplem5tal ,paym5ts
 ,act4  #b4 ,improv+ calculation1       
ov]sight1 & acc\ntability ( non-,,d%    
supplem5tal paym5ts "u ! m$icaid program
  7a7 ,guidance = /ates on non-,,d%     
supplem5tal paym5ts2 /ate report+ &     
audit+ requirem5ts ,section #aijc ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7aa7  7#a7 ,n   

lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is subsection1 ! ,secret>y  
%all-- 7,a7 issue guidance to ,/ates t  
id5tifies p]missible me?ods =           
calculation ( non-,,d% supplem5tal      
paym5ts to provid]s to ensure su*       
paym5ts are consi/5t ) section          
#aijb7;a77#cj77;,a7 7includ+ any        
regulations issu$ "u su* section su* z !
 regulations specify+ upp] paym5t limits
 "u ! ,/ate plan 9 "p #ddg ( title #db1 
,code ( ,f$]al ,regulations 7or any     
successor regulations772  7,b7 e/abli%  
annual report+ requirem5ts = ,/ates mak+
 non-,,d% supplem5tal paym5ts t         
include--  7i7 ) respect to a provid] t 
is a hospital1 nurs+ facility1          
int]m$iate c>e facility = ! m5tally     
ret>d$1 or an in/itution = m5tal        
diseases1 or any o!r in/itution1 an     
id5tification ( ea* provid] t receiv$ a 
non-,,d% supplem5tal paym5t = ! prec$+  
fiscal ye>1 ! type ( own]%ip or op]at+  
au?ority ( ea* su* provid]1 & !         
aggregate am\nt ( su* paym5ts receiv$ by

 ea* provid] = ! prec$+ fiscal ye> brok5
 out by category ( s]vice2  7ii7 )      
respect a provid] t is n describ$ 9     
clause 7i71 any in=mation specifi$ 9 !  
prec$+ p>agraph1 z det]m9$ appropriate  
by ! ,secret>y2 &  7iii7 su* o!r        
in=mation z ! ,secret>y det]m9es to be  
necess>y to ensure t non-,,d%           
supplem5tal paym5ts made to provid]s "u 
?is section are consi/5t ) section      
#aijb7;a77#cj77;,a72 &  7,c7 e/abli%    
requirem5ts = ,/ates mak+ non-,,d%      
supplem5tal paym5ts to conduct & submit 
to ! ,secret>y an annual indep5d5t      
c]tifi$ audit t v]ifies--  7i7 ! ext5t  
to :i* non-,,d% supplem5tal paym5ts made
 9 ! prec$+ fiscal ye> are consi/5t ) ! 
guidance issu$ "u subp>agraph 7,a72     
7ii7 t paym5ts made "u ! ,/ate plan 7or 
"u a waiv] ( ! plan7 are only = !       
provision ( cov]$ s]vices to eligible   
individuals "u ! ,/ate plan 7or "u a    
waiv] ( ! plan72 &  7iii7 any o!r       
in=mation ! ,secret>y det]m9es is       
necess>y to ensure non-,,d% supplem5tal 

paym5ts are consi/5t ) applicable ,f$]al
 laws & regulations4  7#b7 ,= purposes (
 ?is subsection1 ! t]m non-,,d%         
supplem5tal paym5t means a paym5t1 o!r  
?an a paym5t "u section #aibc1 t-- 7,a7 
is id5tifi$ by ! ,secret>y ?r\gh        
guidance describ$ 9 p>agraph 7#a77;,a72 
7,b7 is made by a ,/ate to a provid] "u 
! ,/ate plan 7or "u a waiv] ( ! plan7 = 
an item or s]vice furni%$ to an         
individual eligible = m$ical assi/ance  
"u ! ,/ate plan 7or "u a waiv] ( !      
plan72 &  7,c7 is 9 addition to any base
 or /&>d paym5ts made to a provid] "u ! 
,/ate plan 7or "u a waiv] ( ! plan7 =   
su* an item or s]vice1 includ+ any      
additional paym5ts made to su* provid] t
 are n m ?an any limits impos$ pursuant 
to section #aijb7;a77#cj77;,a7 7includ+ 
! regulations specify+ upp] paym5t      
limits "u ! ,/ate plan 9 "p #ddg ( title
 #db1 ,code ( ,f$]al ,regulations 7or   
any successor regulations774  4  7b7    
,/ate report+ & audit+ ( non-,,d%       
supplem5tal paym5ts ,section #aijc7;i7 (

 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;b7i77 is am5d$-- 7#a7 9 p>agraph 
7#bf71 by /rik+ or at ! end2  7#b7 by   
r$esignat+ p>agraph 7#bg7 z p>agraph    
7#bh72 &  7#c7 by ins]t+ aft] p>agraph  
7#bf7 ! foll[+ new p>agraph3  7#bg7 )   
respect to am\nts exp5d$ to make any    
non-,,d% supplem5tal paym5t 7z def9$ 9  
subsection 7aa77#b771 unless ! ,/ate    
complies ) ! report+ & audit+           
requirem5ts "u subp>agraphs 7,b7 & 7,c7 
( subsection 7aa77#a72 or  4