,i #aafth ,,congress #ast ,session ,h4 ,r4 #cfie ,,in ,,the ,,house ,,of ,,representatives ,july #aa1 #bjai,mr4 ,flores 7for himself1 ,mr4 ,guthrie1 and ,mr4 ,mullin7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend titles ,,xi and ,,xix of the ,social ,security ,act to promote program integrity with respect to the enrollment of certain immigrants in ,state plans under ,medicaid1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,verify ,eligibility ,coverage ,act4 #b4 ,promoting program integrity in enrolling certain immigrants under ,medicaid 7a7 ,in general ,section #aacg7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#g7;f77 is amended-- 7#a7 by striking ,subsections 7a77#a7 and 7d7 and inserting 7#a7 ,subsections 7a77#a7 and 7d72 and 7#b7 by adding at the end the following new paragraph3 7#b7 7,a7 ,subparagraphs 7,a7 and 7,b77ii7 of subsection 7d77#d7 shall not apply in the case of an initial determination made on or after the date that is #f months after the date of the enactment of this paragraph with respect to the eligibility of an alien described in subparagraph 7,b7 for benefits under the program listed in subsection 7b77#b74 7,b7 ,an alien described in this subparagraph is an individual declaring to be a citizen or national of the ,united ,states with respect to whom a ,state1 in accordance with section #aijb7;a77#df77;,b71 requires-- 7i7 pursuant to section #aijb7;ee71 the submission of a social security number2 or 7ii7 pursuant to section #aijc7x71 the presentation of satisfactory documentary evidence of citizenship or nationality4 4 7b7 ,no payments for medical assistance provided before presentation of evidence ,section #aijc7;i77#bb7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7i77#bb77 is amended-- 7#a7 by striking with respect to amounts expended and inserting 7,a7 with respect to amounts expended2 7#b7 by inserting and at the end2 and 7#c7 by adding at the end the following new subparagraph3 7,b7 in the case of a ,state that elects to provide a reasonable period to present satisfactory documentary evidence of such citizenship or nationality pursuant to paragraph 7#b77;,c7 of section #aijb7;ee7 or paragraph 7#d7 of subsection 7x7 of this section1 for amounts expended for medical assistance for such an individual 7other than an individual described in paragraph 7#b7 of such subsection 7x77 during such period2 4 7c7 ,conforming amendments ,section #aacg7;d77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#g7;d77#d77 is amended-- 7#a7 in subparagraph 7,a71 in the matter preceding clause 7i71 by inserting subject to subsection 7f77#b71 before the ,state2 and 7#b7 in subparagraph 7,b77ii71 by inserting subject to subsection 7f77#b71 before pending such verification4 #c4 ,medicaid ,improvement ,fund ,section #aida of the ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#a7;b77 is amended to read as follows3 #aida4 ,medicaid ,improvement ,fund 7a7 ,in general ,the ,secretary shall establish1 and administer1 under this title a ,medicaid ,improvement ,fund 7in this section referred to as the ,fund7 which shall be available to the ,secretary for the following purposes3 7#a7 ,to improve the management of the ,medicaid program by the ,centers for ,medicare ,medicaid ,services1 including oversight of contracts and contractors and evaluation of demonstration projects4 7#b7 ,to improve access to care for the most vulnerable individuals eligible to receive medical assistance under the ,state plan under this title 7or a waiver of such plan71 including by carrying out section #d of the ,verify ,eligibility ,coverage ,act 7relating to reducing waiting lists for medical assistance for home and community-based services under a ,state plan waiver under subsection 7c71 7d71 or 7i7 of section #aiae or section #aaae74 7b7 ,supplement1 not supplant ,payments made for activities under this section shall be in addition to payments that would otherwise be made for activities described in subsection 7a74 7c7 ,funding 7#a7 ,in general 7,a7 ,management improvements ,there shall be available to the ,fund1 for the purposes described in subsection 7a77#a71 for expenditures from the ,fund for fiscal year #bjba and thereafter1 #e1jjj1jjj4 7,b7 ,increasing access ,there shall be available to the ,fund1 for the purposes described in subsection 7a77#b71 for expenditures from the ,fund for fiscal year #bjbj and thereafter1 #a1jie1jjj1jjj4 7#b7 ,funding limitation ,amounts in the ,fund shall be available in advance of appropriations but only if the total amount obligated from the ,fund does not exceed the amount available to the ,fund under subparagraphs 7,a7 and 7,b7 of paragraph 7#a74 ,the ,secretary may obligate funds from the ,fund only if the ,secretary determines 7and the ,chief ,actuary of the ,centers for ,medicare ,medicaid ,services and the appropriate budget officer certify7 that there are available in the ,fund sufficient amounts to cover all such obligations incurred consistent with the previous sentence4 4 #d4 ,providing care for the most vulnerable patients on waiting lists 7a7 ,in general ,subject to subsection 7d71 the ,secretary of ,health and ,human ,services shall provide1 for each of fiscal years #bjbj through #bjbh1 payment to eligible ,states selected under subsection 7c7 to provide for medical assistance for home and community-based services under a ,state plan waiver under subsection 7c71 7d71 or 7i7 of section #aiae of the ,social ,security ,act 7#db ,u4,s4,c4 #acifn7 or section #aaae of the ,social ,security ,act 7#db ,u4,s4,c4 #acae7 to individuals who are eligible but1 as of ,january #a1 #bjai1 are on a waiting list for such services through such waiver4 7b7 ,state eligibility ,a ,state is eligible for a payment under this section if the ,state submits an application to the ,secretary at such time1 in such form and manner1 and containing such information1 provisions1 and assurances1 as specified by the ,secretary4 7c7 ,selection ,subject to subsection 7d71 the ,secretary shall1 for each of fiscal years #bjbj through #bjbh1 select1 on a competitive basis1 from among eligible ,states1 the ,states that will receive payment under this section4 ,in making such selections1 the ,secretary shall give priority to-- 7#a7 ,states with the highest number of individuals on a waiting list described in subsection 7a72 7#b7 ,states with the highest average or highest median periods individuals have been on such a list2 and 7#c7 ,states with individuals on such a list who have the lowest income levels1 as compared to the income of individuals on such a list of other eligible ,states4 7d7 ,funding 7#a7 ,funds allocated to ,states ,of the funds available for purposes of carrying out this section under section #aida7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#a7;c771 the ,secretary shall allocate such funds to ,states selected under subsection 7c7 on the basis of criteria1 including a ,state's application submitted under subsection 7b71 the availability of funds under such section #aida7;c71 and criteria specified under subsection 7c71 as determined by the ,secretary4 7#b7 ,payments to ,states ,for each calendar quarter beginning on or after ,october #a1 #bjai1 the ,secretary shall pay to each ,state selected under subsection 7c71 from the allocation made to the ,state under paragraph 7#a71 an amount equal to #ij percent of the ,federal medical assistance percentage of the amount expended during such quarter for the medical assistance described in subsection 7a74 7e7 ,definitions ,in this section3 7#a7 ,federal medical assistance percentage ,the term ,federal medical assistance percentage has the meaning given such term in section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b774 7#b7 ,medical assistance ,the term medical assistance has the meaning given such term in section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a774 7#c7 ,state ,the term ,state has the meaning given such term for purposes of title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474