,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bfj  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #d1 #bjai,mr4 
,pallone 7= himself1 ,mr4 ,wald51 & ,mr4
 ,neal7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committees on
 ,en]gy & ,comm]ce1 & ! ,budget1 = a    
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to ext5d
 ! ,m$icaid ,money ,foll[s ! ,p]son     
,rebalanc+ demon/ration1 to ext5d       
protection = ,m$icaid recipi5ts ( home &
 community-bas$ s]vices aga9/ sp\sal    
impov]i%m5t1 to ext5d ! ,tempor>y       
,assi/ance = ,ne$y ,families program1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,m$icaid           
,provisions & ,,tanf ,ext5d]s ,act (    
#bjai4  ,i ,m$icaid ,ext5d]s  #aja4     
,ext5sion ( ,money ,foll[s ! ,p]son     
,rebalanc+ demon/ration  7a7 ,g5]al     
,fund+ ,section #fjga7;h7 ( ! ,deficit  

,r$uction ,act ( #bjje 7#db ,u4,s4,c4   
#acif;a note7 is am5d$--  7#a7 9        
p>agraph 7#a7-- 7,a7 9 subp>agraph 7,d71
 by /rik+ & aft] ! semicolon2  7,b7 9   
subp>agraph 7,e71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7,c7 by add+ at !  
end ! foll[+3  7,f7 subject to p>agraph 
7#c71 #aab1jjj1jjj = fiscal ye> #bjai4  
2  7#b7 9 p>agraph 7#b7--  7,a7 by /rik+
 ,am\nts made & ins]t+ ,subject to      
p>agraph 7#c71 am\nts made2 &  7,b7 by  
/rik+ ,septemb] #cj1 #bjaf & ins]t+     
,septemb] #cj1 #bjba2 &  7#c7 by add+ at
 ! end ! foll[+ new p>agraph3  7#c7     
,special rule = ,,fy #bjai ,funds       
appropriat$ "u p>agraph 7#a77;,f7 %all  
be made available = grants to ,/ates    
only if su* ,/ates h an approv$ ,,mfp   
demon/ration project "u ?is section z ( 
,decemb] #ca1 #bjah4  4  7b7 ,fund+ =   
quality assurance & improvem5t2 te*nical
 assi/ance2 ov]sight ,section #fjga7;f7 
( ! ,deficit ,r$uction ,act ( #bjje 7#db
 ,u4,s4,c4 #acif;a note7 is am5d$ by    
/rik+ p>agraph 7#b7 & ins]t+ ! foll[+3  

7#b7 ,fund+ ,f ! am\nts appropriat$ "u  
subsection 7h77#a77;,f7 = fiscal ye>    
#bjai1 #ejj1jjj %all be available to !  
,secret>y = su* fiscal ye> to c>ry out  
?is subsection4  4  7c7 ,te*nical       
am5dm5t ,section #fjga7;b7 ( ! ,deficit 
,r$uction ,act ( #bjje 7#db ,u4,s4,c4   
#acif;a note7 is am5d$ by add+ at ! end 
! foll[+3  7#aj7 ,secret>y ,! t]m       
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  4  #ajb4 ,ext5sion (  
protection = ,m$icaid recipi5ts ( home &
 community-bas$ s]vices aga9/ sp\sal    
impov]i%m5t  7a7 ,9 g5]al ,section #bdjd
 ( ,public ,law #aaa-adh 7#db ,u4,s4,c4 
#acifr-#e note7 is am5d$ by /rik+ !     
#e-ye> p]iod t beg9s on ,janu>y #a1     
#bjad1 & ins]t+ ! p]iod beg9n+ on       
,janu>y #a1 #bjad1 & end+ on ,m>* #ca1  
#bjai14  7b7 ,rule ( con/ruction  7#a7  
,protect+ ,/ate sp\sal income & asset   
disreg>d flexibility "u waiv]s & plan   
am5dm5ts ,no?+ 9 section #bdjd ( ,public
 ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e 
note7 or section #aibd ( ! ,social      

,security ,act 7#db ,u4,s4,c4 #acifr-#e7
 %all be con/ru$ z prohibit+ a ,/ate f  
disreg>d+ an individual's sp\sal income 
& assets "u a ,/ate waiv] or plan       
am5dm5t describ$ 9 p>agraph 7#b7 =      
purposes ( mak+ det]m9ations (          
eligibility = home & community-bas$     
s]vices or home & community-bas$        
att5dant s]vices & supports "u su* waiv]
 or plan am5dm5t4  7#b7 ,/ate waiv] or  
plan am5dm5t describ$ ,a ,/ate waiv] or 
plan am5dm5t describ$ 9 ?is p>agraph is 
any ( ! foll[+3 7,a7 ,a waiv] or plan   
am5dm5t to provide m$ical assi/ance =   
home & community-bas$ s]vices "u a waiv]
 or plan am5dm5t "u subsection 7c71 7d71
 or 7i7 ( section #aiae ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acifn7 or
 "u section #aaae ( su* ,act 7#db       
,u4,s4,c4 #acae74  7,b7 ,a plan am5dm5t 
to provide m$ical assi/ance = home &    
community-bas$ s]vices = individuals by 
reason ( be+ det]m9$ eligible "u section
 #aijb7;a77#aj77;,c7 ( su* ,act 7#db    
,u4,s4,c4 #acif;a7a77#aj77;,c77 or by   

reason ( section #aijb7;f7 ( su* ,act   
7#db ,u4,s4,c4 #acif;a7f77 or o!rwise on
 ! basis ( a r$uction ( income bas$ on  
co/s incurr$ = m$ical or o!r rem$ial c>e
 "u :i* ! ,/ate disreg>d$ ! income &    
assets ( ! individual's sp\se 9 det]m9+ 
! initial & ongo+ f9ancial eligibility (
 an individual = su* s]vices 9 place ( !
 sp\sal impov]i%m5t provisions appli$ "u
 section #aibd ( su* ,act 7#db ,u4,s4,c4
 #acifr-#e74  7,c7 ,a plan am5dm5t to   
provide m$ical assi/ance = home &       
community-bas$ att5dant s]vices &       
supports "u section #aiae7k7 ( su* ,act 
7#db ,u4,s4,c4 #acifn7k774  #ajc4       
,r$uction 9 ,,fmap aft] #bjbj = ,/ates  
)\t asset v]ification program ,section  
#aidj ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acifw7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7k7       
,r$uction 9 ,,fmap aft] #bjbj =         
non-,compliant ,/ates  7#a7 ,9 g5]al ,) 
respect to a cal5d> qu>t] beg9n+ on or  
aft] ,janu>y #a1 #bjba1 ! ,f$]al m$ical 
assi/ance p]c5tage o!rwise det]m9$ "u   

section #aije7;b7 = a non-compliant     
,/ate %all be r$uc$--  7,a7 = cal5d>    
qu>t]s 9 #bjba & #bjbb1 by #j4ab        
p]c5tage po9ts2  7,b7 = cal5d> qu>t]s 9 
#bjbc1 by #j4be p]c5tage po9ts2  7,c7 = 
cal5d> qu>t]s 9 #bjbd1 by #j4ce p]c5tage
 po9ts2 &  7,d7 = cal5d> qu>t]s 9 #bjbe 
& ea* ye> !reaft]1 by #j4e p]c5tage     
po9ts4  7#b7 ,non-compliant ,/ate def9$ 
,= purposes ( ?is subsection1 ! t]m     
non-compliant ,/ate means a ,/ate-- 7,a7
 t is "o ( ! #ej ,/ates or ! ,di/rict ( 
,columbia2  7,b7 ) respect to :i* !     
,secret>y has n approv$ a ,/ate plan    
am5dm5t submitt$ "u subsection 7a77#b72 
&  7,c7 t is n op]at+1 on an ongo+      
basis1 an asset v]ification program 9   
accordance ) ?is section4  4  #ajd4     
,m$icaid ,improvem5t ,fund ,section     
#aida7;b77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifw-#a7;b77#a77 is   
am5d$ by /rik+ #ca1jjj1jjj & ins]t+     
#f1jjj1jjj4  #aje4 ,budget>y ,effects   
7a7 ,/atutory ,,paygo scorec>ds ,!      
budget>y effects ( ?is title %all n be  

ent]$ on ei!r ,,paygo scorec>d ma9ta9$  
pursuant to section #d7;d7 ( ! ,/atutory
 ,pay-,z-,y-,g ,act ( #bjaj 7#b         
,u4,s4,c4 #icc7;d774  7b7 ,s5ate ,,paygo
 scorec>ds ,! budget>y effects ( ?is    
title %all n be ent]$ on any ,,paygo    
scorec>d ma9ta9$ = purposes ( section   
#dajf ( ,h4 ,con4 ,res4 #ga 7#aae?      
,congress74  7c7 ,classification (      
budget>y effects ,not)/&+ ,rule #c ( !  
,budget ,scorekeep+ ,guidel9es set =? 9 
! jo9t explanatory /atem5t ( ! committee
 ( conf]5ce accompany+ ,conf]5ce ,report
 #aje-bag & section #bej7;c77#h7 ( !    
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe1 ! budget>y       
effects ( ?is title %all n be e/imat$-- 
7#a7 = purposes ( section #bea ( !      
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe2 &  7#b7 =        
purposes ( p>agraph 7#d77;,c7 ( section 
#c ( ! ,/atutory ,pay-,z-,y-,g ,act (   
#bjaj z be+ includ$ 9 an appropriation  
,act4  7d7 ,,paygo annual report ,= !   
purposes ( ! annual report issu$        

pursuant to section #e ( ! ,/atutory    
,pay-,z-,y-,g ,act ( #bjaj 7#b ,u4,s4,c4
 #icd7 aft] adj\rnm5t ( ! second session
 ( ! #aae? ,congress1 & = det]m9+ :e!r a
 seque/ration ord] is necess>y "u su*   
section1 ! debit = ! budget ye> on !    
#e-ye> scorec>d1 if any1 & ! #aj-ye>    
scorec>d1 if any1 %all be d$uct$ f su*  
scorec>d 9 #bjai & add$ to su* scorec>d 
9 #bjbj4  ,,ii ,,tanf & ,te*nical       
,corrections  #bja4 ,,tanf program      
ext5sions  7a7 ,family assi/ance grants 
,section #djc7;a77#a7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#fjc7;a77#a77 is am5d$ 9 ea* (          
subp>agraphs 7,a7 & 7,c7 by /rik+ #bjag 
& #bjah & ins]t+ #bjai & #bjbj4  7b7    
,heal?y m>riage promotion & responsible 
fa!rhood grants ,section                
#djc7;a77#b77;,d7 ( su* ,act 7#db       
,u4,s4,c4 #fjc7;a77#b77;,d77 is am5d$-- 
7#a7 by /rik+ #bjag & #bjah & ins]t+    
#bjai & #bjbj2 &  7#b7 by /rik+ = fiscal
 ye> #bjag or #bjah4  7c7 ,cont+5cy fund
 ,section #djc7;b77#b7 ( su* ,act 7#db  

,u4,s4,c4 #fjc7;b77#b77 is am5d$ by     
/rik+ fiscal ye> #bjah & ins]t+ ea* (   
fiscal ye>s #bjai & #bjbj4  7d7 ,tribal 
family assi/ance grants ,p>agraphs      
7#a77;,a7 & 7#b77;,a7 ( section #dab7;a7
 ( su* ,act 7#db ,u4,s4,c4 #fab7;a77 are
 ea* am5d$ by /rik+ #bjag & #bjah &     
ins]t+ #bjai & #bjbj4  7e7 ,*ild c>e    
,section #dah7;a77#c7 ( su* ,act 7#db   
,u4,s4,c4 #fah7;a77#c77 is am5d$ by     
/rik+ #bjag & #bjah & ins]t+ #bjai &    
#bjbj4  7f7 ,grants to ! t]ritories     
,section #aajh7;b77#b7 ( su* ,act 7#db  
,u4,s4,c4 #acjh7;b77#b77 is am5d$ by    
/rik+ #bjag & #bjah & ins]t+ #bjai &    
#bjbj4  #bjb4 ,measur+ & und]/&+        
outcomes  7a7 ,9 g5]al ,section #daa7;a7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #faa7;a77 is am5d$ by         
r$esignat+ p>agraph 7#g7 z p>agraph 7#h7
 & ins]t+ aft] p>agraph 7#f7 ! foll[+3  
7#g7 ,report on engagem5t1 employm5t &  
outcomes  7,a7 ,report+ agreem5t ,ea*   
,/ate & ! ,secret>y %all ent] into an   
agreem5t specify+ ! mann] by :i* !      

in=mation & data describ$ 9 ?is p>agraph
 %all be collect$ & report$ to !        
,secret>y beg9n+ 9 fiscal ye> #bjbj4    
7i7 ,outcomes = exit+ recipi5ts         
,in=mation & data reg>d+ families :o    
=m]ly receiv$ assi/ance & includ$ a     
"w-eligible individual 7disaggregat$ by 
type ( family1 reason = exit1 &         
p>ticipation 9 "w activities dur+ !     
prec$+ fiscal ye>7 "u ! ,/ate program   
fund$ "u ?is "p or "u any ,/ate program 
fund$ ) qualifi$ ,/ate exp5ditures 7z   
def9$ 9 section #dji7;a77#g77;,b77i771 )
 respect to ! foll[+3  7,i7 ,! p]c5tage 
) at lea/ #a =m]ly "w-eligible          
individual employ$ dur+ ! #bnd qu>t]    
aft] exit+ f ! program4  7,,ii7 ,!      
p]c5tage ) at lea/ #a =m]ly "w-eligible 
individual employ$ dur+ ! #d? qu>t] aft]
 exit+ f ! program4  7,,iii7 ,! m$ian   
e>n+s :5 at lea/ #a =m]ly "w-eligible   
individual is employ$ dur+ ! #b;d qu>t] 
aft] exit+ f ! program4  7,,iv7 ,!      
p]c5tage ) at lea/ #a =m]ly "w-eligible 
individual employ$ dur+ any ( ! fir/ #d 

qu>t]s aft] exit+ f ! program4  7,v7 ,! 
di/ribution ( income & e>n+s1 includ+   
relative to pov]ty & deep pov]ty1 = ea* 
( ! fir/ #d qu>t]s end+ aft] ! qu>t] (  
exit f assi/ance4  7,,vi7 ,! p]c5tage   
:o1 at ! "t ( exit f ! program1 7       
subject to ! foll[+3 7aa7 ,a p5alty "u  
section #djg7;e74  7bb7 ,a sanction or  
p5alty describ$ 9 section #djd or #djh4 
7cc7 ,a p5alty or sanction n describ$ 9 
item 7aa7 or 7bb74  7ii7 ,engagem5t &   
employm5t ( curr5t recipi5ts  7,i7      
,"w-eligible individuals ,9 ! case (    
curr5t "w-eligible individuals "u !     
,/ate program fund$ "u ?is "p or "u any 
,/ate program fund$ ) qualifi$ ,/ate    
exp5ditures 7z def9$ 9 section          
#dji7;a77#g77;,b77i771 ! foll[+         
in=mation relative to ! curr5t qu>t] be+
 report$3  7aa7 ,e>n+s 9 ea* ( ! #d     
qu>t]s imm$iately prec$+ ! qu>t]4  7bb7 
,/&>d measures ( employm5t1 e>n+s1      
receipt ( assi/ance1 & p>ticipation 9 "w
 activities 7z def9$ 9 section #djg7;d77
 9 ea* ( ! fir/ #d qu>t]s foll[+ !      

qu>t]4  7,,ii7 ,all recipi5ts ,!        
p]c5tage ( recipi5ts ( assi/ance "u !   
,/ate program fund$ "u ?is "p or "u any 
,/ate program fund$ ) qualifi$ ,/ate    
exp5ditures 7z def9$ 9 section          
#dji7;a77#g77;,b77i77 :o h n atta9$ #bd 
ye>s ( age & :o obta9 a high s*ool      
degree or its recogniz$ equival5t :ile  
receiv+ ! assi/ance4  7,b7 ,/ati/ical   
adju/m5t model = employm5t outcomes ,!  
,secret>y1 9 consultation ) ! ,secret>y 
( ,labor & relevant exp]ts1 %all develop
 recomm5dations by ,m>* #a1 #bjbj1 on h[
 to e/abli% & dissem9ate an objective   
/ati/ical model t w all[ ! ,secret>y to 
make adju/m5ts to ! data report$        
pursuant to subclauses 7,i7 ?r\gh 7,,iv7
 ( subp>agraph 7,a77i7 ( ?is p>agraph1  
bas$ on economic conditions & !         
*>act]i/ics ( p>ticipants4 ,to ! ext5t  
practicable1 ! recomm5dations %all be   
compatible ) ! /ati/ical adju/m5t model 
develop$ "u section                     
#aaf7;b77#c77;,a77viii7 ( ! ,work=ce    
,innovation & ,opportunity ,act 7#bi    

,u4,s4,c4 #cada7;b77#c77;,a77viii77 &1 )
 respect to a ,/ate1 ! ,/ate adju/$     
levels ( p]=mance e/abli%$ = ! ,/ate "u 
t section4  4  #bjc4 ,te*nical          
corrections to data ex*ange /&>ds to    
improve program coord9ation  7a7 ,9     
g5]al ,section #daa7;d7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #faa7;d77 
is am5d$ to read z foll[s3  7d7 ,data   
ex*ange /&>ds = improv$ int]op]ability  
7#a7 ,designation ,! ,secret>y %all1 9  
consultation ) an int]ag5cy "w gr\p     
e/abli%$ by ! ,(fice ( ,managem5t &     
,budget & consid]+ ,/ate gov]nm5t       
p]spectives1 by rule1 designate data    
ex*ange /&>ds to gov]n1 "u ?is "p--     
7,a7 necess>y categories ( in=mation t  
,/ate ag5cies op]at+ programs "u ,/ate  
plans approv$ "u ?is "p are requir$ "u  
applicable ,f$]al law to electronically 
ex*ange ) ano!r ,/ate ag5cy2 &  7,b7    
,f$]al report+ & data ex*ange requir$ "u
 applicable ,f$]al law4  7#b7           
,requirem5ts ,! data ex*ange /&>ds      
requir$ by p>agraph 7#a7 %all1 to !     

ext5t practicable--  7,a7 incorporate a 
widely accept$1 non-propriet>y1         
se>*able1 comput]-readable =mat1 su* z !
 e,xtensible ,m>kup ,language2  7,b7    
conta9 int]op]able /&>ds develop$ &     
ma9ta9$ by int]gov]nm5tal p>tn]%ips1 su*
 z ! ,national ,in=mation ,ex*ange      
,model2  7,c7 incorporate int]op]able   
/&>ds develop$ & ma9ta9$ by ,f$]al      
entities ) au?ority ov] contract+ &     
f9ancial assi/ance2  7,d7 be consi/5t ) 
& implem5t applicable acc\nt+ pr9ciples2
  7,e7 be implem5t$ 9 a mann] t is      
co/-effective & improves program        
effici5cy & effectiv5ess2 &  7,f7 be    
capable ( be+ cont9ually upgrad$ z      
necess>y4  7#c7 ,rule ( con/ruction     
,no?+ 9 ?is subsection %all be con/ru$  
to require a *ange to exi/+ data ex*ange
 /&>ds f\nd to be effective & effici5t4 
4  7b7 ,effective date ,n lat] ?an !    
date t is #bd mon?s aft] ! date ( !     
enactm5t ( ?is section1 ! ,secret>y (   
,heal? & ,human ,s]vices %all issue a   
propos$ rule t--  7#a7 id5tifies f$]ally

 requir$ data ex*anges1 include         
specification & tim+ ( ex*anges to be   
/&>diz$1 & address ! factors us$ 9      
det]m9+ :e!r & :5 to /&>dize data       
ex*anges2 &  7#b7 specifies ,/ate       
implem5tation options & describes future
 mile/ones4  #bjd4 ,unemploym5t         
insurance te*nical corrections ,section 
#cjf7;a7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #ejf7;a77 is am5d$--  7#a7 by
 /rik+ individuals & ins]t+ claimants ( 
regul> comp5sation1 includ+ claimants2 &
  7#b7 by ins]t+ a comma aft] section   
#cjc7;j74