,i #aae? ,,congress #a/ ,session ,h4 ,r4 #hbi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #b1 #bjag,mr4 ,upton introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d title ,,xix ( ! ,social ,security ,act to cl>ify ! treatm5t ( lott]y w9n+s & o!r lump sum income = purposes ( income eligibility "u ! ,m$icaid program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prioritiz+ ! ,mo/ ,vuln]able ,ov] ,lott]y ,w9n]s ,act ( #bjag4 #b4 ,treatm5t ( lott]y w9n+s & o!r lump-sum income = purposes ( income eligibility "u ,m$icaid 7a7 ,9 g5]al ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a77#ag71 by /rik+ 7e77#ad71 7e77#ad7 & ins]t+ 7e77#ad71 7e77#ae72 & 7#b7 9 subsection 7e7-- 7,a7 9 p>agraph 7#ad7 7relat+ to modifi$ adju/$ gross income71 by add+ at ! end ! foll[+ new subp>agraph3 7,j7 ,treatm5t ( c]ta9 lott]y w9n+s & income receiv$ z a lump sum 7i7 ,9 g5]al ,9 ! case ( an individual :o is ! recipi5t ( qualifi$ lott]y w9n+s 7pursuant to lott]ies occurr+ on or aft] ,janu>y #a1 #bjah7 or qualifi$ lump sum income 7receiv$ on or aft] su* date7 & ^: eligibility = m$ical assi/ance is det]m9$ bas$ on ! application ( modifi$ adju/$ gross income "u subp>agraph 7,a71 a ,/ate %all1 9 det]m9+ su* eligibility1 include su* w9n+s or income 7z applicable7 z income receiv$-- 7,i7 9 ! mon? 9 :i* su* w9n+s or income 7z applicable7 is receiv$ if ! am\nt ( su* w9n+s or income is less ?an #hj1jjj2 7,,ii7 ov] a p]iod ( #b mon?s if ! am\nt ( su* w9n+s or income 7z applicable7 is great] ?an or equal to #hj1jjj b less ?an #ij1jjj2 7,,iii7 ov] a p]iod ( #c mon?s if ! am\nt ( su* w9n+s or income 7z applicable7 is great] ?an or equal to #ij1jjj b less ?an #ajj1jjj2 & 7,,iv7 ov] a p]iod ( #c mon?s plus #a additional mon? = ea* increm5t ( #aj1jjj ( su* w9n+s or income 7z applicable7 receiv$1 n to exce$ a p]iod ( #abj mon?s 7= w9n+s or income ( #a1bfj1jjj or m71 if ! am\nt ( su* w9n+s or income is great] ?an or equal to #ajj1jjj4 7ii7 ,c\nt+ 9 equal in/allm5ts ,= purposes ( subclauses 7,,ii71 7,,iii71 & 7,,iv7 ( clause 7i71 w9n+s or income to :i* su* subclause applies %all be c\nt$ 9 equal mon?ly in/allm5ts ov] ! p]iod ( mon?s specifi$ "u su* subclause4 7iii7 ,h>d%ip exemption ,an individual ^: income1 by application ( clause 7i71 exce$s ! applicable eligibility ?re%old e/abli%$ by ! ,/ate1 %all cont9ue to be eligible = m$ical assi/ance to ! ext5t t ! ,/ate det]m9es1 "u proc$ures e/abli%$ by ! ,/ate 79 accordance ) /&>ds specifi$ by ! ,secret>y71 t ! d5ial ( eligibility ( ! individual w\ld cause an undue m$ical or f9ancial h>d%ip z det]m9$ on ! basis ( crit]ia e/abli%$ by ! ,secret>y4 7iv7 ,notifications & assi/ance requir$ 9 case ( loss ( eligibility ,a ,/ate %all1 ) respect to an individual :o loses eligibility = m$ical assi/ance "u ! ,/ate plan 7or a waiv] ( su* plan7 by reason ( clause 7i7-- 7,i7 be=e ! date on :i* ! individual loses su* eligibility1 in=m ! individual-- 7aa7 ( ! individual's opportunity to enroll 9 a qualifi$ heal? plan (f]$ ?r\gh an ,ex*ange e/abli%$ "u title ,i ( ! ,pati5t ,protection & ,af=dable ,c>e ,act dur+ ! special enrollm5t p]iod specifi$ 9 section #ihja7;f77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7relat+ to loss ( ,m$icaid or ,,*ip cov]age72 & 7bb7 ( ! date on :i* ! individual w\ld no long] be consid]$ ineligible by reason ( clause 7i7 to receive m$ical assi/ance "u ! ,/ate plan or "u any waiv] ( su* plan & be eligible to reapply to receive su* m$ical assi/ance2 & 7,,ii7 provide te*nical assi/ance to ! individual seek+ to enroll 9 su* a qualifi$ heal? plan4 7v7 ,qualifi$ lott]y w9n+s def9$ ,9 ?is subp>agraph1 ! t]m qualifi$ lott]y w9n+s means w9n+s f a sweep/akes1 lott]y1 or pool describ$ 9 p>agraph 7#c7 ( section #ddjb ( ! ,int]nal ,rev5ue ,code ( #aihf or a lott]y op]at$ by a multi/ate or multijurisdictional lott]y association1 includ+ am\nts aw>d$ z a lump sum paym5t4 7vi7 ,qualifi$ lump sum income def9$ ,9 ?is subp>agraph1 ! t]m qualifi$ lump sum income means income t is receiv$ z a lump sum f "o ( ! foll[+ s\rces3 7,i7 ,monet>y w9n+s f gambl+ 7z def9$ by ! ,secret>y & includ+ gambl+ activities describ$ 9 section #aiee7;b77#d7 ( title #ah1 ,unit$ ,/ates ,code74 7,,ii7 ,damages receiv$1 :e!r by suit or agreem5t & :e!r z lump sums or z p]iodic paym5ts 7o!r ?an mon?ly paym5ts71 on acc\nt ( causes ( action o!r ?an causes ( action aris+ f p]sonal physical injuries or physical sickness4 7,,iii7 ,income receiv$ z liquid assets f ! e/ate 7z def9$ 9 section #aiag7;b77#d77 ( a deceas$ individual4 2 & 7,b7 by /rik+ 7#ad7 ,exclusion & ins]t+ 7#ae7 ,exclusion4 7b7 ,rules ( con/ruction 7#a7 ,int]ception ( lott]y w9n+s all[$ ,no?+ 9 ! am5dm5t made by subsection 7a77#b77;,a7 %all be con/ru$ z prev5t+ a ,/ate f int]cept+ ! ,/ate lott]y w9n+s aw>d$ to an individual 9 ! ,/ate to recov] am\nts paid by ! ,/ate "u ! ,/ate ,m$icaid plan "u title ,,xix ( ! ,social ,security ,act = m$ical assi/ance furni%$ to ! individual4 7#b7 ,applicability limit$ to eligibility ( recipi5t ( lott]y w9n+s or lump sum income ,no?+ 9 ! am5dm5t made by subsection 7a77#b77;,a7 %all be con/ru$1 ) respect to a det]m9ation ( h\sehold income = purposes ( a det]m9ation ( eligibility = m$ical assi/ance "u ! ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or a waiv] ( su* plan7 made by apply+ modifi$ adju/$ gross income "u subp>agraph 7,a7 ( section #aijb7;e77#ad7 ( su* ,act 7#db ,u4,s4,c4 #acif;a7e77#ad771 z limit+ ! eligibility = su* m$ical assi/ance ( any individual t is a memb] ( ! h\sehold o!r ?an ! individual :o receiv$ qualifi$ lott]y w9n+s or qualifi$ lump-sum income 7z def9$ 9 subp>agraph 7,j7 ( su* section #aijb7;e77#ad71 z add$ by subsection 7a77#b77;,a7 ( ?is section74