,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #edc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ac1 #bjag,mr4
 ,coll9s ( ,new ,york 7= himself1 ,mr4  
,mull91 ,mr4 ,gu?rie1 ,mrs4 ,blackburn1 
,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 = purposes ( prioritiz+ 
! mo/ vuln]able ,m$icaid pati5ts4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,prioritiz+ ! ,mo/ ,vuln]able ,am]icans 
,act4  #b4 ,prioritiz+ ! mo/ vuln]able  
,m$icaid pati5ts  7a7 ,9 g5]al ,section 
#aaae ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acae7 is am5d$ by add+ at !  
end ! foll[+ new subsection3  7g7 ,9    
mak+ a det]m9ation us+ ! au?ority "u    
p>agraph 7#b77;,a7 ( subsection 7a7     
7relat+ to treat+ co/s t w\ld n o!rwise 
be includ$ z exp5ditures "u section     
#aijc & :i* are n includ$ z "p ( ! co/s 
( projects "u section #aaaj z           
exp5ditures "u ! ,/ate plan or plans    

approv$ "u title ,,xix7 to approve an   
application or r5ewal ( any exp]im5tal1 
pilot1 or demon/ration project und]tak5 
"u su* subsection to promote !          
objectives ( title ,,xix 7ref]r$ to 9   
?is subsection z a ,m$icaid demon/ration
 project71 ! ,secret>y %all--  7#a7 give
 priority to ,m$icaid demon/ration      
projects t h be5 prov5 to be effective 9
 improv+ ! m$ical c>e & heal? outcomes (
 individuals :o are un9sur$1 individuals
 eligible to receive m$ical assi/ance "u
 a ,/ate plan "u title ,,xix1 or        
individuals ^: h\sehold income does n   
exce$ #aej p]c5t ( ! pov]ty l9e 7z def9$
 9 section #baaj7;c77#e77 applicable to 
a family ( ! size involv$2  7#b7 require
 t ! ,/ate submitt+ su* application or  
r5ewal submit to ! ,secret>y1 & make    
publicly available1 any available data  
or metrics reg>d+ ! heal? outcomes = !  
individuals to be s]v$ by su* ,m$icaid  
demon/ration project2  7#c7 ensure t su*
 ,m$icaid demon/ration project is n     
duplicative ( any ,f$]al program or     

fund+ opportunity2 &  7#d7 require t !  
,/ate submitt+ su* application or r5ewal
 submit to ! ,secret>y1 & make publicly 
available1 an analysis ( ! degree to :i*
 su* ,m$icaid demon/ration project1 if  
at all1 precludes ef=ts und]tak5 by     
private sector & *>itable sector        
entities to improve m$ical c>e & heal?  
outcomes = ! individuals describ$ 9     
p>agraph 7#a74  4  7b7 ,effective date  
,! am5dm5t made by subsection 7a7 %all  
apply ) respect to applications or      
r5ewals submitt$ on or aft] ,janu>y #a1 
#bjah4