,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #fhb  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #bd1 #bjag,mr4
 ,mull9 7= himself1 ,mr4 ,russell1 &    
,mr4 ,gro?man7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d titles   
,,xix & ,,xxi ( ! ,social ,security ,act
 to elim9ate ! ,,*ip ma9t5ance ( ef=t   
requirem5t & to elim9ate ,,d% cuts =    
,/ates n implem5t+ ! ,,aca ,m$icaid     
expansion4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,pres]v+ ,access to     
,m$icaid = ,am]icans ,act ( #bjag4  #b4 
,elim9ation ( ,,moe requirem5t = ,,*ip  
eligibility ,section #baje7;d77#c7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acig;ee7d77#c77 is am5d$ by /rik+      
,septemb] #cj1 #bjai & ins]t+ ! date ( !
 enactm5t ( ! ,pres]v+ ,access to       
,m$icaid = ,am]icans ,act ( #bjag4  #c4 
,elim9ation ( ,,d% cuts = ,/ates n      
implem5t+ ,,aca expansion  7a7 ,9 g5]al 
,section #aibc7;f77#g7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           

#acifr-#d7;f77#g77 is am5d$-- 7#a7 9    
subp>agraph 7,a7--  7,a7 9 clause 7i7-- 
7i7 9 ! matt] prec$+ subclause 7,i71 by 
/rik+ ea* ( fiscal ye>s #bjah ?r\gh     
#bjbe & ins]t+ ea* ( fiscal ye>s #bjai  
?r\gh #bjbh2 &  7ii7 9 subclause 7,i7-- 
7,i7 by /rik+ ! am\nt specifi$ "u ! ,,d%
 heal? re=m me?odology "u subp>agraph   
7,b7 & ins]t+ ! am\nt ( ! aggregate     
r$uction t>get2 &  7,,ii7 by /rik+ ,,d% 
allotm5ts to ,/ates & ins]t+ ! ,,d%     
allotm5t to ea* expansion ,/ate ea*     
place x appe>s2  7,b7 9 clause 7ii7--   
7i7 9 ! matt] prec$+ subclause 7,i71 by 
/rik+ ,! aggregate r$uctions & ins]t+ ,9
 apply+ subp>agraph 7,b71 ! aggregate   
r$uction t>gets2  7ii7 by /rik+         
subclause 7,i72  7iii7 by r$esignat+    
subclauses 7,,ii7 ?r\gh 7,,viii7 z      
subclauses 7,i7 ?r\gh 7,,vii71          
respectively2  7iv7 9 subclause 7,,vi7  
7z s r$esignat$71 by /rik+ & at ! end2  
7v7 9 subclause 7,,vii7 7z s            
r$esignat$71 by /rik+ ! p]iod at ! end &
 ins]t+ 2 &2 &  7vi7 by add+ at ! end ! 

foll[+ new subclause3  7,,viii7         
#h1jjj1jjj1jjj = fiscal ye>s #bjbg &    
#bjbh4  2  7,c7 by am5d+ clause 7iv7 to 
read z foll[s3  7iv7 ,def9itions ,=     
purposes ( ?is p>agraph3 7,i7 ,! t]m    
expansion ,/ate means1 = a fiscal ye>1 a
 ,/ate t1 z ( ! date t is #ahj days be=e
 ! />t ( su* fiscal ye>1 provides =     
eligibility "u clause 7i77,,viii7 or    
7ii77,,xx7 ( section #aijb7;a77#aj77;,a7
 = m$ical assi/ance "u ?is title 7or a  
waiv] ( ! ,/ate plan approv$ "u section 
#aaae74  7,,ii7 ,! t]m non-expansion    
,/ate means1 = a fiscal ye>1 a ,/ate t  
is n an expansion ,/ate = su* fiscal    
ye>4  7,,iii7 ,! t]m ,/ate means ! #ej  
,/ates & ! ,di/rict ( ,columbia4  2 &   
7,d7 9 clause 7v71 by /rik+ ,di/ribution
 ( aggregate r$uctions4--,! ,secret>y   
%all di/ribute ! aggregate r$uctions "u 
clause 7ii7 among ,/ates & ins]t+       
,di/ribution ( aggregate r$uction       
t>gets4--,! ,secret>y %all di/ribute !  
aggregate r$uction t>gets "u clause 7ii7
 among all ! ,/ates 7includ+            

non-expansion ,/ates72 &  7#b7 9        
subp>agraph 7,b71 by add+ at ! end !    
foll[+ new clause3  7iv7 ,! me?odology  
imposes r$uction t>gets z if ! r$uctions
 "u subp>agraph 7,a7 7 appli$ to all    
,/ates1 includ+ non-expansion ,/ates4  4
  7b7 ,con=m+ am5dm5t ,section          
#aibc7;f77#h7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifr-#d7;f77#h77 is   
am5d$ by /rik+ fiscal ye> #bjbe & ins]t+
 fiscal ye> #bjbh4