,i #aafth ,,congress #ast ,session ,h4 ,r4 #bfj ,,in ,,the ,,house ,,of ,,representatives ,january #d1 #bjai,mr4 ,pallone 7for himself1 ,mr4 ,walden1 and ,mr4 ,neal7 introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committees on ,energy and ,commerce1 and the ,budget1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,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 to extend the ,temporary ,assistance for ,needy ,families program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,medicaid ,provisions and ,,tanf ,extenders ,act of #bjai4 ,i ,medicaid ,extenders #aja4 ,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 #ajb4 ,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 #ajc4 ,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 #ajd4 ,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 #aje4 ,budgetary ,effects 7a7 ,statutory ,,paygo scorecards ,the budgetary effects of this title shall not be entered on either ,,paygo scorecard maintained pursuant to section #d7;d7 of the ,statutory ,pay-,as-,you-,go ,act of #bjaj 7#b ,u4,s4,c4 #icc7;d774 7b7 ,senate ,,paygo scorecards ,the budgetary effects of this title shall not be entered on any ,,paygo scorecard maintained for purposes of section #dajf of ,h4 ,con4 ,res4 #ga 7#aaeth ,congress74 7c7 ,classification of budgetary effects ,notwithstanding ,rule #c of the ,budget ,scorekeeping ,guidelines set forth in the joint explanatory statement of the committee of conference accompanying ,conference ,report #aje-bag and section #bej7;c77#h7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe1 the budgetary effects of this title shall not be estimated-- 7#a7 for purposes of section #bea of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe2 and 7#b7 for purposes of paragraph 7#d77;,c7 of section #c of the ,statutory ,pay-,as-,you-,go ,act of #bjaj as being included in an appropriation ,act4 7d7 ,,paygo annual report ,for the purposes of the annual report issued pursuant to section #e of the ,statutory ,pay-,as-,you-,go ,act of #bjaj 7#b ,u4,s4,c4 #icd7 after adjournment of the second session of the #aaeth ,congress1 and for determining whether a sequestration order is necessary under such section1 the debit for the budget year on the #e-year scorecard1 if any1 and the #aj-year scorecard1 if any1 shall be deducted from such scorecard in #bjai and added to such scorecard in #bjbj4 ,,ii ,,tanf and ,technical ,corrections #bja4 ,,tanf program extensions 7a7 ,family assistance grants ,section #djc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #fjc7;a77#a77 is amended in each of subparagraphs 7,a7 and 7,c7 by striking #bjag and #bjah and inserting #bjai and #bjbj4 7b7 ,healthy marriage promotion and responsible fatherhood grants ,section #djc7;a77#b77;,d7 of such ,act 7#db ,u4,s4,c4 #fjc7;a77#b77;,d77 is amended-- 7#a7 by striking #bjag and #bjah and inserting #bjai and #bjbj2 and 7#b7 by striking for fiscal year #bjag or #bjah4 7c7 ,contingency fund ,section #djc7;b77#b7 of such ,act 7#db ,u4,s4,c4 #fjc7;b77#b77 is amended by striking fiscal year #bjah and inserting each of fiscal years #bjai and #bjbj4 7d7 ,tribal family assistance grants ,paragraphs 7#a77;,a7 and 7#b77;,a7 of section #dab7;a7 of such ,act 7#db ,u4,s4,c4 #fab7;a77 are each amended by striking #bjag and #bjah and inserting #bjai and #bjbj4 7e7 ,child care ,section #dah7;a77#c7 of such ,act 7#db ,u4,s4,c4 #fah7;a77#c77 is amended by striking #bjag and #bjah and inserting #bjai and #bjbj4 7f7 ,grants to the territories ,section #aajh7;b77#b7 of such ,act 7#db ,u4,s4,c4 #acjh7;b77#b77 is amended by striking #bjag and #bjah and inserting #bjai and #bjbj4 #bjb4 ,measuring and understanding outcomes 7a7 ,in general ,section #daa7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #faa7;a77 is amended by redesignating paragraph 7#g7 as paragraph 7#h7 and inserting after paragraph 7#f7 the following3 7#g7 ,report on engagement1 employment and outcomes 7,a7 ,reporting agreement ,each ,state and the ,secretary shall enter into an agreement specifying the manner by which the information and data described in this paragraph shall be collected and reported to the ,secretary beginning in fiscal year #bjbj4 7i7 ,outcomes for exiting recipients ,information and data regarding families who formerly received assistance and included a work-eligible individual 7disaggregated by type of family1 reason for exit1 and participation in work activities during the preceding fiscal year7 under the ,state program funded under this part or under any ,state program funded with qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77i771 with respect to the following3 7,i7 ,the percentage with at least #a formerly work-eligible individual employed during the #bnd quarter after exiting from the program4 7,,ii7 ,the percentage with at least #a formerly work-eligible individual employed during the #dth quarter after exiting from the program4 7,,iii7 ,the median earnings when at least #a formerly work-eligible individual is employed during the #b;d quarter after exiting from the program4 7,,iv7 ,the percentage with at least #a formerly work-eligible individual employed during any of the first #d quarters after exiting from the program4 7,v7 ,the distribution of income and earnings1 including relative to poverty and deep poverty1 for each of the first #d quarters ending after the quarter of exit from assistance4 7,,vi7 ,the percentage who1 at the time of exit from the program1 were subject to the following3 7aa7 ,a penalty under section #djg7;e74 7bb7 ,a sanction or penalty described in section #djd or #djh4 7cc7 ,a penalty or sanction not described in item 7aa7 or 7bb74 7ii7 ,engagement and employment of current recipients 7,i7 ,work-eligible individuals ,in the case of current work-eligible individuals under the ,state program funded under this part or under any ,state program funded with qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77i771 the following information relative to the current quarter being reported3 7aa7 ,earnings in each of the #d quarters immediately preceding the quarter4 7bb7 ,standard measures of employment1 earnings1 receipt of assistance1 and participation in work activities 7as defined in section #djg7;d77 in each of the first #d quarters following the quarter4 7,,ii7 ,all recipients ,the percentage of recipients of assistance under the ,state program funded under this part or under any ,state program funded with qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77i77 who have not attained #bd years of age and who obtain a high school degree or its recognized equivalent while receiving the assistance4 7,b7 ,statistical adjustment model for employment outcomes ,the ,secretary1 in consultation with the ,secretary of ,labor and relevant experts1 shall develop recommendations by ,march #a1 #bjbj1 on how to establish and disseminate an objective statistical model that will allow the ,secretary to make adjustments to the data reported pursuant to subclauses 7,i7 through 7,,iv7 of subparagraph 7,a77i7 of this paragraph1 based on economic conditions and the characteristics of participants4 ,to the extent practicable1 the recommendations shall be compatible with the statistical adjustment model developed under section #aaf7;b77#c77;,a77viii7 of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#c77;,a77viii77 and1 with respect to a ,state1 the ,state adjusted levels of performance established for the ,state under that section4 4 #bjc4 ,technical corrections to data exchange standards to improve program coordination 7a7 ,in general ,section #daa7;d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #faa7;d77 is amended to read as follows3 7d7 ,data exchange standards for improved interoperability 7#a7 ,designation ,the ,secretary shall1 in consultation with an interagency work group established by the ,office of ,management and ,budget and considering ,state government perspectives1 by rule1 designate data exchange standards to govern1 under this part-- 7,a7 necessary categories of information that ,state agencies operating programs under ,state plans approved under this part are required under applicable ,federal law to electronically exchange with another ,state agency2 and 7,b7 ,federal reporting and data exchange required under applicable ,federal law4 7#b7 ,requirements ,the data exchange standards required by paragraph 7#a7 shall1 to the extent practicable-- 7,a7 incorporate a widely accepted1 non-proprietary1 searchable1 computer-readable format1 such as the e,xtensible ,markup ,language2 7,b7 contain interoperable standards developed and maintained by intergovernmental partnerships1 such as the ,national ,information ,exchange ,model2 7,c7 incorporate interoperable standards developed and maintained by ,federal entities with authority over contracting and financial assistance2 7,d7 be consistent with and implement applicable accounting principles2 7,e7 be implemented in a manner that is cost-effective and improves program efficiency and effectiveness2 and 7,f7 be capable of being continually upgraded as necessary4 7#c7 ,rule of construction ,nothing in this subsection shall be construed to require a change to existing data exchange standards found to be effective and efficient4 4 7b7 ,effective date ,not later than the date that is #bd months after the date of the enactment of this section1 the ,secretary of ,health and ,human ,services shall issue a proposed rule that-- 7#a7 identifies federally required data exchanges1 include specification and timing of exchanges to be standardized1 and address the factors used in determining whether and when to standardize data exchanges2 and 7#b7 specifies ,state implementation options and describes future milestones4 #bjd4 ,unemployment insurance technical corrections ,section #cjf7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #ejf7;a77 is amended-- 7#a7 by striking individuals and inserting claimants of regular compensation1 including claimants2 and 7#b7 by inserting a comma after section #cjc7;j74