,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #cdde  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #ag1
 #bjah,mr4 ,markey 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 require       
,states to suspend1 rather than         
terminate1 an individual's eligibility  
for medical assistance under the ,state 
,medicaid plan while such individual is 
an inmate of a public institution4  #a4 
,short title ,this ,act may be cited as 
the ,supporting ,positive ,outcomes     
,after ,release ,act4  #b4 ,suspension  
of ,medicaid benefits for inmates of    
public institutions  7a7 ,in general    
,section #aijb of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;a7 is         
amended-- 7#a7 in subsection 7a7--  7,a7
 by striking and at the end of paragraph
 7#hb72  7,b7 by striking the period at 
the end of paragraph 7#hc7 and inserting
 2 and2 and  7,c7 by inserting after    

paragraph 7#hc7 the following new       
paragraph3  7#hd7 provide that the      
,state shall not terminate 7but may     
suspend7 enrollment under a ,state plan 
for medical assistance for an individual
 who is an eligible individual 7as      
defined in subsection 7nn77#a77 because 
the individual is an inmate of a public 
institution 7as defined in subsection   
7nn77#b774  2 and  7#b7 by adding at the
 end the following new subsection3  7nn7
 ,eligible individual2 public           
institution ,for purposes of subsection 
7a77#hd7 and this subsection3  7#a7     
,eligible individual ,the term eligible 
individual means an individual who is an
 inmate of a public institution and was 
enrolled for medical assistance under   
the ,state plan immediately before      
becoming an inmate of such a public     
institution or who becomes eligible to  
enroll for such medical assistance while
 an inmate of a public institution4     
7#b7 ,inmate of a public institution    
,the term inmate of a public institution

 has the meaning given such term for    
purposes of applying the subdivision    
7,a7 following paragraph 7#bi7 of       
section #aije7;a71 taking into account  
the exception in such subdivision for a 
patient of a medical institution4  4    
7b7 ,no change in exclusion from medical
 assistance for inmates of public       
institutions ,nothing in this section   
shall be construed as changing the      
exclusion from medical assistance under 
the subdivision 7,a7 following paragraph
 7#bi7 of section #aije7;a7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a771 including any applicable   
restrictions on a ,state submitting     
claims for ,federal financial           
participation under title ,,xix of such 
,act for such assistance4  7c7          
,effective date  7#a7 ,in general       
,except as provided in paragraph 7#b71  
the amendments made by subsection 7a7   
shall apply to eligibility and          
enrollment of individuals who become    
inmates of public institutions on or    

after the date that is #a year after the
 date of the enactment of this ,act4    
7#b7 ,rule for changes requiring state  
legislation ,in the case of a ,state    
plan for medical assistance under title 
,,xix of the ,social ,security ,act     
which the ,secretary of ,health and     
,human ,services determines requires    
,state legislation 7other than          
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirements imposed by the  
amendments made by subsection 7a71 the  
,state plan shall not be regarded as    
failing to comply with the requirements 
of such title solely on the basis of its
 failure to meet these additional       
requirements before the first day of the
 first calendar quarter beginning after 
the close of the first regular session  
of the ,state legislature that begins   
after the date of the enactment of this 
,act4 ,for purposes of the previous     
sentence1 in the case of a ,state that  
has a #b-year legislative session1 each 

year of such session shall be deemed to 
be a separate regular session of the    
,state legislature4