#aafth ,,congress #ast ,session ,h4 ,r4 #bei ,,an ,,act ,to extend the ,medicaid ,money ,follows the ,person ,rebalancing demonstration1 to extend protection for ,medicaid recipients of home and community-based services against spousal impoverishment1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,medicaid ,extenders ,act of #bjai4 #b4 ,extension of ,money ,follows the ,person ,rebalancing demonstration 7a7 ,general ,funding ,section #fjga7;h7 of the ,deficit ,reduction ,act of #bjje 7#db ,u4,s4,c4 #acif;a note7 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,d71 by striking and after the semicolon2 7,b7 in subparagraph 7,e71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following3 7,f7 subject to paragraph 7#c71 #aab1jjj1jjj for fiscal year #bjai4 2 7#b7 in paragraph 7#b7-- 7,a7 by striking ,amounts made and inserting ,subject to paragraph 7#c71 amounts made2 and 7,b7 by striking ,september #cj1 #bjaf and inserting ,september #cj1 #bjba2 and 7#c7 by adding at the end the following new paragraph3 7#c7 ,special rule for ,,fy #bjai ,funds appropriated under paragraph 7#a77;,f7 shall be made available for grants to ,states only if such ,states have an approved ,,mfp demonstration project under this section as of ,december #ca1 #bjah4 4 7b7 ,funding for quality assurance and improvement2 technical assistance2 oversight ,section #fjga7;f7 of the ,deficit ,reduction ,act of #bjje 7#db ,u4,s4,c4 #acif;a note7 is amended by striking paragraph 7#b7 and inserting the following3 7#b7 ,funding ,from the amounts appropriated under subsection 7h77#a77;,f7 for fiscal year #bjai1 #ejj1jjj shall be available to the ,secretary for such fiscal year to carry out this subsection4 4 7c7 ,technical amendment ,section #fjga7;b7 of the ,deficit ,reduction ,act of #bjje 7#db ,u4,s4,c4 #acif;a note7 is amended by adding at the end the following3 7#aj7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 4 #c4 ,extension of protection for ,medicaid recipients of home and community-based services against spousal impoverishment 7a7 ,in general ,section #bdjd of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 is amended by striking the #e-year period that begins on ,january #a1 #bjad1 and inserting the period beginning on ,january #a1 #bjad1 and ending on ,march #ca1 #bjai14 7b7 ,rule of construction 7#a7 ,protecting ,state spousal income and asset disregard flexibility under waivers and plan amendments ,nothing in section #bdjd of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 or section #aibd of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#e7 shall be construed as prohibiting a ,state from disregarding an individual's spousal income and assets under a ,state waiver or plan amendment described in paragraph 7#b7 for purposes of making determinations of eligibility for home and community-based services or home and community-based attendant services and supports under such waiver or plan amendment4 7#b7 ,state waiver or plan amendment described ,a ,state waiver or plan amendment described in this paragraph is any of the following3 7,a7 ,a waiver or plan amendment to provide medical assistance for home and community-based services under a waiver or plan amendment under subsection 7c71 7d71 or 7i7 of section #aiae of the ,social ,security ,act 7#db ,u4,s4,c4 #acifn7 or under section #aaae of such ,act 7#db ,u4,s4,c4 #acae74 7,b7 ,a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section #aijb7;a77#aj77;,c7 of such ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,c77 or by reason of section #aijb7;f7 of such ,act 7#db ,u4,s4,c4 #acif;a7f77 or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the ,state disregarded the income and assets of the individual's spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section #aibd of such ,act 7#db ,u4,s4,c4 #acifr-#e74 7,c7 ,a plan amendment to provide medical assistance for home and community-based attendant services and supports under section #aiae7k7 of such ,act 7#db ,u4,s4,c4 #acifn7k774 #d4 ,reduction in ,,fmap after #bjbj for ,states without asset verification program ,section #aidj of the ,social ,security ,act 7#db ,u4,s4,c4 #acifw7 is amended by adding at the end the following new subsection3 7k7 ,reduction in ,,fmap after #bjbj for non-,compliant ,states 7#a7 ,in general ,with respect to a calendar quarter beginning on or after ,january #a1 #bjba1 the ,federal medical assistance percentage otherwise determined under section #aije7;b7 for a non-compliant ,state shall be reduced-- 7,a7 for calendar quarters in #bjba and #bjbb1 by #j4ab percentage points2 7,b7 for calendar quarters in #bjbc1 by #j4be percentage points2 7,c7 for calendar quarters in #bjbd1 by #j4ce percentage points2 and 7,d7 for calendar quarters in #bjbe and each year thereafter1 by #j4e percentage points4 7#b7 ,non-compliant ,state defined ,for purposes of this subsection1 the term non-compliant ,state means a ,state-- 7,a7 that is one of the #ej ,states or the ,district of ,columbia2 7,b7 with respect to which the ,secretary has not approved a ,state plan amendment submitted under subsection 7a77#b72 and 7,c7 that is not operating1 on an ongoing basis1 an asset verification program in accordance with this section4 4 #e4 ,medicaid ,improvement ,fund ,section #aida7;b77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#a7;b77#a77 is amended by striking #ca1jjj1jjj and inserting #f1jjj1jjj4 ,passed the ,house of ,representatives ,january #h1 #bjai4;,clerk4