,,ii  #aae? ,,congress  #a/ ,session    
,s4 #agjg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #b1 #bjag ,mrs4 
,gillibr& introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,agriculture1 ,nutrition1 & ,=e/ry  ,a  
,,bill  ,to am5d ! ,food & ,nutrition   
,act ( #bjjh to provide = a /&>d m$ical 
exp5se d$uction "u ! supplem5tal        
nutrition assi/ance program1 & = o!r    
purposes4  #a4 ,%ort title  ,?is ,act   
may be cit$ z ! ,,snap ,/&>d ,m$ical    
,exp5se ,d$uction ,act ( #bjag4  #b4    
,/&>d m$ical exp5se d$uction ,section   
#e7;e77#e7 ( ! ,food & ,nutrition ,act (
 #bjjh 7#g ,u4,s4,c4 #bjad7;e77#e77 is  
am5d$-- 7#a7 9 ! p>agraph head+1 by     
/rik+ ,excess m$ical & ins]t+ ,m$ical2  
7#b7 by /rik+ subp>agraph 7,a7 & ins]t+ 
! foll[+3  7,a7 ,/&>d m$ical d$uction   
7i7 ,9 g5]al ,subject to clause 7ii71 a 
h\sehold conta9+ an eld]ly or disabl$   
memb] %all be entitl$1 ) respect to     
exp5ses o!r ?an exp5ses paid on behalf (
 ! h\sehold by a ?ird p>ty--  7,i7 if ! 

am\nt ( actual co/s ( all[able m$ical   
exp5ses incurr$ by ! eld]ly or disabl$  
memb] = a mon?1 exclusive ( special     
diets1 is equal to or great] ?an #ce1 to
 a /&>d m$ical d$uction = ea* mon? ( an 
am\nt equal to--  7aa7 = fiscal ye>     
#bjah1 #adj2 &  7bb7 = fiscal ye> #bjai 
& ea* subsequ5t fiscal ye>1 ! applicable
 am\nt dur+ ! prec$+ fiscal ye>1 z      
adju/$ to reflect *anges = ! #ab-mon?   
p]iod end+ ! prec$+ ,june #cj 9 !       
,consum] ,price ,index = ,all ,urban    
,consum]s3 ,m$ical ,c>e publi%$ by !    
,bureau ( ,labor ,/ati/ics ( ! ,dep>tm5t
 ( ,labor2 or  7,,ii7 if ! am\nt (      
actual co/s ( all[able m$ical exp5ses   
incurr$ by ! eld]ly or disabl$ memb] = a
 mon?1 exclusive ( special diets1 is    
great] ?an ! sum ( ! am\nt ( t /&>d     
m$ical d$uction & #ce1 to a d$uction    
equal to ! am\nt ( ^? actual co/s4  7ii7
 ,effect on ,/ate au?ority to adju/ /&>d
 m$ical d$uction ,no?+ 9 ?is subp>agraph
 precludes-- 7,i7 a ,/ate t has an      
approv$ /&>d m$ical d$uction z ( ! date 

( enactm5t ( ! ,,snap ,/&>d ,m$ical     
,exp5se ,d$uction ,act ( #bjag 9 an     
am\nt t is great] ?an ! am\nt ( ! /&>d  
m$ical d$uction describ$ 9 item 7aa7 or 
7bb7 ( clause 7i77,i71 z applicable1 f  
cont9u+ 9 effect t /&>d m$ical d$uction2
 or  7,,ii7 ! ,secret>y f approv+ a /&>d
 m$ical d$uction 9 an am\nt t is great] 
?an ! am\nt ( ! /&>d m$ical d$uction    
describ$ 9 item 7aa7 or 7bb7 ( clause   
7i77,i71 z applicable4  2 &  7#c7 9     
subp>agraph 7,b7-- 7,a7 9 ! subp>agraph 
head+1 by ins]t+ actual co/s be=e       
d$uction2 &  7,b7 9 clause 7i71 by /rik+
 excess m$ical exp5se d$uction & ins]t+ 
actual co/s d$uction describ$ 9 clause  
7i77,,ii7 ( t subp>agraph4  #c4 ,reports
 & /udies  7a7 ,/ate p]=mance on enroll+
 eligible s5iors & individuals )        
disabilities 9 l[-,income heal? &       
nutrition b5efits ,section #ag ( ! ,food
 & ,nutrition ,act ( #bjjh 7#g ,u4,s4,c4
 #bjbf7 is am5d$ by add+ at ! end !     
foll[+3  7m7 ,/ate p]=mance on enroll+  
eligible s5iors & individuals )         

disabilities 9 l[-,income heal? &       
nutrition b5efits  7#a7 ,def9itions ,9  
?is subsection3 7,a7 ,cov]$ program ,!  
t]m cov]$ program means--  7i7 !        
supplem5tal nutrition assi/ance program2
  7ii7 ! ,m$ic>e "p ,d l[-income subsidy
 "u section #ahfj;,d-#ad ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciew-#aad72 &  7iii7 ! ,m$ic>e ,sav+s 
,program1 z def9$ 9 section             
#aadd7;c77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;b-#ad7;c77#g774   
7,b7 ,disabl$ individual ,! t]m disabl$ 
individual means a memb] ( a h\sehold   
describ$ 9 any ( p>agraphs 7#b7 ?r\gh   
7#g7 ( section #c7;j74  7,c7 ,eld]ly    
individual ,! t]m eld]ly individual     
means a memb] ( a h\sehold :o is n less 
?an #fj ye>s old4  7#b7 ,reports  7,a7  
,9 g5]al ,n lat] ?an ,june #cj1 #bjah1 &
 ,june #cj ( ea* ye> !reaft]1 !         
,secret>y1 9 collaboration ) ! ,secret>y
 ( ,heal? & ,human ,s]vices & !         
,commission] ( ,social ,security1 %all  
submit to ! committees describ$ 9       

subp>agraph 7,b7 a report t assesses !  
effectiv5ess ( ea* ,/ate 9 enroll+      
eligible eld]ly individuals & disabl$   
individuals 9 ea* cov]$ program4  7,b7  
,committees describ$ ,! committees      
ref]r$ to 9 subp>agraph 7,a7 are-- 7i7 (
 ! ,h\se ( ,repres5tatives--  7,i7 !    
,committee on ,agriculture2  7,,ii7 !   
,committee on ,ways & ,means2 &  7,,iii7
 ! ,committee on ,en]gy & ,comm]ce2 &   
7ii7 ( ! ,s5ate--  7,i7 ! ,committee on 
,agriculture1 ,nutrition1 & ,=e/ry2 &   
7,,ii7 ! ,committee on ,f9ance4  7#c7   
,specific measures ,! report submitt$ "u
 p>agraph 7#b77;,a7 %all include1 )     
respect to ! previ\s fiscal ye>--  7,a7 
an e/imate ( ! numb] ( eld]ly           
individuals & ! numb] ( disabl$         
individuals1 by ,/ate1 :o 7 eligible =  
ea* cov]$ program2  7,b7 an e/imate ( ! 
numb] ( eld]ly individuals & ! numb] (  
disabl$ individuals1 by ,/ate1 :o       
p>ticipat$ 9 ea* cov]$ program2  7,c7 an
 e/imate ( ! numb] ( eld]ly individuals 
& ! numb] ( disabl$ individuals :o 7    

eligible = all #c cov]$ programs2  7,d7 
an e/imate ( ! numb] ( eld]ly           
individuals & ! numb] ( disabl$         
individuals :o p>ticipat$ 9 all #c ( !  
cov]$ programs2 &  7,e7 an e/imate (--  
7i7 ! numb] ( individuals ^: eligibility
 = ea* cov]$ program 0 initiat$ ?r\gh an
 application ) ! ,social ,security      
,adm9i/ration2  7ii7 ! numb] (          
individuals describ$ 9 clause 7i7 :o    
qualifi$ = ea* cov]$ program2 &  7iii7 !
 numb] ( individuals describ$ 9 clause  
7i7 :o p>ticipat$ 9 ea* cov]$ program4  
7#d7 ,p]=mance innovations ,! report    
submitt$ "u p>agraph 7#b77;,a7 %all     
include a description ( be/ practices ( 
"o or m ,/ates ) ! be/ p]=mances = t    
fiscal ye>1 or ! mo/ improv$ p]=mances f
 ! previ\s fiscal ye>1 "u ea* ( !       
measures describ$ 9 p>agraph 7#c74  4   
7b7 ,/udies on disability & food        
insecurity ,section #ag ( ! ,food &     
,nutrition ,act ( #bjjh 7#g ,u4,s4,c4   
#bjbf7 7z am5d$ by subsection 7a77 is   
am5d$ by add+ at ! end ! foll[+3  7n7   

,/udies on disability & food insecurity 
7#a7 ,def9ition ( disabl$ individual    
7,a7 ,9 g5]al ,9 ?is subsection1 ! t]m  
disabl$ individual means a memb] ( a    
h\sehold describ$ 9 any ( p>agraphs 7#b7
 ?r\gh 7#g7 ( section #c7;j74  7,b7     
,inclusions ,9 ?is subsection1 ! t]m    
disabl$ individual includes a memb] ( a 
h\sehold :o1 z det]m9$ by ! ,secret>y-- 
7i7 is n consid]$ disabl$ "u subp>agraph
 7,a72 b  7ii7 has a physical1 m5tal1 or
 s5sory condition t limits ! daily      
activities ( ! individual4  7#b7 ,/udies
 ,! ,secret>y-- 7,a7 %all c>ry out a    
/udy--  7i7 on ! relation%ip betwe5     
disability & food insecurity = disabl$  
individuals2  7ii7 on ! effectiv5ess (  
,f$]al food assi/ance programs 9        
respond+ to ! causes ( food insecurity 9
 h\seholds ) disabl$ individuals2 &     
7iii7 mak+ recomm5dations = h[ ,f$]al   
food assi/ance programs c\ld be improv$ 
to bett] meet ! ne$s ( h\seholds )      
disabl$ individuals2 &  7,b7 9          
collaboration ) ! ,civil ,rights        

,division ( ! ,dep>tm5t ( ,ju/ice1 %all 
c>ry out a /udy on ! be/ practices (    
,/ates 9 comply+ )--  7i7 section #ejd (
 ! ,rehabilitation ,act ( #aigc 7#bi    
,u4,s4,c4 #gid7 & ! ,am]icans )         
,disabilities ,act ( #aiij 7#db         
,u4,s4,c4 #abaja et seq47 reg>d+        
practices to avoid discrim9ation on !   
basis ( disability1 su* z ?r\gh         
provision ( reasonable accommodations1 9
 c>ry+ out ,f$]al food assi/ance        
programs2 &  7ii7 section #ejh ( !      
,rehabilitation ,act ( #aigc 7#bi       
,u4,s4,c4 #gid;d7 reg>d+ ! compreh5sive 
use ( adaptive te*nologies = disabl$    
individuals 9 access+ ,f$]al food       
assi/ance programs4  7#c7 ,report ,n    
lat] ?an #a ye> aft] ! date on :i* !    
/udies are complet$ "u p>agraph 7#b71 ! 
,secret>y %all submit to ! ,committee on
 ,agriculture ( ! ,h\se (               
,repres5tatives & ! ,committee on       
,agriculture1 ,nutrition1 & ,=e/ry ( !  
,s5ate a report describ+ ! results ( !  
/udies1 includ+ su* recomm5dations z !  

,secret>y consid]s appropriate4  4  7c7 
,report on /&>d m$ical d$uction ,section
 #ag ( ! ,food & ,nutrition ,act ( #bjjh
 7#g ,u4,s4,c4 #bjbf7 7z am5d$ by       
subsection 7b77 is am5d$ by add+ at !   
end ! foll[+3  7o7 ,report on /&>d      
m$ical d$uction ,n lat] ?an #b ye>s aft]
 ! date ( enactm5t ( ! ,,snap ,/&>d     
,m$ical ,exp5se ,d$uction ,act ( #bjag1 
! ,secret>y %all submit to ! ,committee 
on ,agriculture ( ! ,h\se (             
,repres5tatives & ! ,committee on       
,agriculture1 ,nutrition1 & ,=e/ry ( !  
,s5ate a report t--  7#a7 id5tifies :i* 
,/ates 7 mo/ effective at increas+ ! use
 by individuals 9 ! ,/ate ( ! /&>d      
m$ical d$uction au?oriz$ "u section     
#e7;e77#e77;,a7 dur+ ! p]iod cov]$ by ! 
report2 &  7#b7 provides an assessm5t ( 
:i* factors 7 important 9 increas+ ! use
 ( ! /&>d m$ical d$uction by individuals
 9 ! ,/ates id5tifi$ "u p>agraph 7#a74  
4