,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bhig  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1      
#bjah,ms4 ,murkowski 7for herself1 ,mr4 
,brown1 ,mrs4 ,feinstein1 ,mrs4 ,murray1
 ,mr4 ,sullivan1 ,ms4 ,klobuchar1 ,ms4  
,smith1 and ,mr4 ,portman7 introduced   
the following bill2 which was read twice
 and referred to the ,committee on      
,finance  ,a ,,bill  ,to amend title    
,,xix of the ,social ,security ,act to  
delay the reduction in ,federal medical 
assistance percentage for ,medicaid     
personal care services furnished without
 an electronic visit verification       
system4  #a4 ,delay in reduction of     
,,fmap for ,medicaid personal care      
services furnished without an electronic
 visit verification system  7a7 ,in     
general ,section #aijc7l7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;b7l77 is amended-- 7#a7 in        
paragraph 7#a7-- 7,a7 by striking       
,january #a1 #bjai and inserting        
,january #a1 #bjbj2 and  7,b7 in        

subparagraph 7,a77i71 by striking #bjai 
and2 and  7#b7 in paragraph             
7#d77;,a77i71 by striking calendar      
quarters in #bjai and inserting calendar
 quarters in #bjbj4  7b7 ,regulations   
,not later than #a year after the date  
of the enactment of this ,act1 the      
,secretary of ,health and ,human        
,services shall issue1 using formal     
rulemaking procedures including notice  
and an opportunity for an agency hearing
 on the record in accordance with       
section #eef of title #e1 ,united       
,states ,code1 regulations relating to  
the requirement under section #aijc7l7  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acif;b7l77 that ,states      
establish electronic visit verification 
for personal care services or home      
health services requiring an in-home    
visit by a provider that are provided   
under a ,state ,medicaid plan or a      
waiver of such plan4