,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #fbgc  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ac1 #bjbj,mr4
 ,butterfield introduced the following  
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xi of the     
,social ,security ,act to increase      
allotments under the ,medicaid program  
for territories of the ,united ,states1 
to provide for a temporary increase in  
the ,federal medical assistance         
percentage for ,states under the        
,medicaid program1 and for other        
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,protecting         
,vulnerable ,americans in ,times of     
,crisis ,act of #bjbj4  #b4 ,temporary  
increase of ,medicaid ,,fmap  7a7 ,in   
general ,subject to subsection 7b71 for 
each calendar quarter occurring during  
the period beginning on the first day of
 the emergency period defined in        
paragraph 7#a77;,b7 of section #aace7;g7
 of the ,social ,security ,act 7#db     

,u4,s4,c4 #acbj;b-#e7;g77 and ending on 
the last day of the calendar quarter in 
which the last day of such emergency    
period occurs1 the ,federal medical     
assistance percentage determined for    
each ,state1 including the ,district of 
,columbia1 ,american ,samoa1 ,guam1 the 
,commonwealth of the ,northern ,mariana 
,islands1 ,puerto ,rico1 and the ,united
 ,states ,virgin ,islands1 under section
 #aije7;b7 of the ,social ,security ,act
 7#db ,u4,s4,c4 #acif;d7b77 shall be    
increased by #h percentage points4  7b7 
,requirement for all ,states ,a ,state  
described in subsection 7a7 may not     
receive the increase described in such  
subsection in the ,federal medical      
assistance percentage for such ,state1  
with respect to a quarter1 if-- 7#a7    
eligibility standards1 methodologies1 or
 procedures under the ,state plan of    
such ,state under title ,,xix of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 7including any waiver    
under such title or section #aaae of    

such ,act 7#db ,u4,s4,c4 #acae77 are    
more restrictive during such quarter    
than the eligibility standards          
methodologies1 or procedures1           
respectively1 under such plan 7or       
waiver7 as in effect on ,january #a1    
#bjbj2  7#b7 the amount of any premium  
imposed by the ,state pursuant to       
section #aiaf or #aiaf;,a of such ,act  
7#db ,u4,s4,c4 #acifo1 #acifo-#a7 during
 such quarter1 with respect to an       
individual enrolled under such plan 7or 
waiver71 exceeds the amount of such     
premium as of ,january #a1 #bjbj2  7#c7 
the ,state terminates or denies the     
enrollment of any individual under such 
plan 7or waiver7 during such quarter for
 a reason other than a failure to       
satisfy financial1 categorical1 and     
,state residency requirements 7as       
applicable7 under such plan 7or waiver72
  7#d7 the ,state does not provide      
coverage under such plan 7or waiver71   
without the imposition of cost sharing1 
during such quarter for any testing     

services and treatments for ,,covid-#ai1
 including vaccines1 specialized        
equipment1 and therapies2 or  7#e7 the  
,state conducts during such quarter     
periodic income checks1 including       
automated income checks1 or eligibility 
redeterminations under such plan 7or    
waiver7 at a rate more frequent than    
once every #ab months4  7c7 ,requirement
 for certain ,states ,section #aije7;cc7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif;d7cc77 is amended by    
striking ,american ,recovery and        
,reinvestment ,act of #bjji4 and        
inserting and section #b of the         
,protecting ,vulnerable ,americans in   
,times of ,crisis ,act1 except that in  
applying such treatments to the         
increases in the ,federal medical       
assistance percentage under such section
 #b1 the reference to ,december #ca1    
#bjji shall be deemed to be a reference 
to ,march #aa1 #bjbj44  #c4 ,increase in
 ,medicaid allotments for territories   
,section #aajh7;g7 of the ,social       

,security ,act 7#db ,u4,s4,c4 #acjh7;g77
 is amended-- 7#a7 in paragraph 7#b7--  
7,a7 in subparagraph 7,b7-- 7i7 in      
clause 7i71 by striking and at the end2 
7ii7 in clause 7ii71 by striking for    
each of fiscal years #bjbj through      
#bjba1 #abf1jjj1jjj2 and inserting for  
fiscal year #bjbj1 #abi1ejj1jjj2 and2   
and  7iii7 by adding at the end the     
following new clause3  7iii7 for fiscal 
year #bjba1 #abh1ejj1jjj2  2  7,b7 in   
subparagraph 7,c7-- 7i7 in clause 7i71  
by striking and at the end2  7ii7 in    
clause 7ii71 by striking for each of    
fiscal years #bjbj through #bjba1       
#abg1jjj1jjj2 and inserting for fiscal  
year #bjbj1 #acb1jjj1jjj2 and2 and      
7iii7 by adding at the end the following
 new clause3  7iii7 for fiscal year     
#bjba1 #acj1ejj1jjj2  2  7,c7 in        
subparagraph 7,d7-- 7i7 in clause 7i71  
by striking and at the end2  7ii7 in    
clause 7ii71 by striking for each of    
fiscal years #bjbj through #bjba1       
#fj1jjj1jjj2 and and inserting for      

fiscal year #bjbj1 #fd1jjj1jjj2 and2 and
  7iii7 by adding at the end the        
following new clause3  7iii7 for fiscal 
year #bjba1 #fc1jjj1jjj2 and  2 and     
7,d7 in subparagraph 7,e7-- 7i7 in      
clause 7i71 by striking and at the end2 
7ii7 in clause 7ii71 by striking for    
each of fiscal years #bjbj through      
#bjba1 #hd1jjj1jjj4 and inserting for   
fiscal year #bjbj1 #hg1jjj1jjj2 and2 and
  7iii7 by adding at the end the        
following new clause3  7iii7 for fiscal 
year #bjba1 #hf1jjj1jjj4  2 and  7#b7 in
 paragraph 7#f77;,a7-- 7,a7 in clause   
7i71 by striking #b1fbc1ahh1jjj and     
inserting #b1gdc1ahh1jjj2 and  7,b7 in  
clause 7ii71 by striking #b1gai1jgb1jjj 
and inserting #b1hjd1jgb1jjj4