,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #haah  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,augu/ #bh1 #bjbj,ms4 
,bass 7= h]self1 ,mr4 ,langev91 ,mrs4   
,lawr5ce1 ,mr4 ,bacon1 ,mr4             
,fitzpatrick1 ,ms4 ,cl>ke ( ,new ,york1 
,ms4 ,sewell ( ,alabama1 ,mr4 ,?ompson (
 ,mississippi1 ,mrs4 ,davis ( ,cali=nia1
 ,mr4 ,clay1 ,ms4 ,johnson ( ,texas1    
,mr4 ,ha/+s1 ,mr4 ,danny ,k4 ,davis (   
,ill9ois1 & ,ms4 ,pressley7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to /r5g!n cov]age "u !  
,m$icaid program = c]ta9 fo/] y\?       
individuals4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,fo/] ,y\? ,d5tal ,act (
 #bjbj4  #b4 ,/r5g!n+ cov]age "u !      
,m$icaid program = c]ta9 fo/] y\?       
individuals  7a7 ,expansion ( ,,epsdt   
s]vices to c]ta9 individuals ag$ #ba-be 
7#a7 ,9 g5]al ,section #aije7;a7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77 is am5d$-- 7,a7 9 p>agraph  

7#d77;,b71 by ins]t+ 7or1 9 ! case ( a  
specifi$ individual 7z def9$ 9 ! matt]  
at ! end ( ?is subsection71 "u ! age (  
#bf7 aft] #ba2 &  7,b7 by add+ at ! end 
! foll[+ new s5t5ce3 ,= purposes (      
p>agraph 7#d77;,b71 ! t]m specifi$      
individual means an individual :o is 9  
fo/] c>e "u ! responsibility ( a ,/ate  
7or 0 9 fo/] c>e "u ! responsibility ( !
 ,/ate on ! date ( atta9+ #ah ye>s ( age
 or su* high] age z ! ,/ate has elect$  
"u section #dge7h77;,b77iii7 & 0 enroll$
 9 a ,/ate plan "u ?is title or "u a    
waiv] ( a plan :ile 9 su* fo/] c>e744   
7#b7 ,provision ( in=mation ) respect to
 d5tal s]vices ,section                 
#aijb7;a77#dc77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#dc77;,a77 is am5d$-- 7,a7 by
 ins]t+ 7or1 9 ! case ( a specifi$      
individual 7z def9$ 9 ! matt] at ! end (
 section #aije7;a771 "u ! age ( #bf7    
aft] #ba2  7,b7 by ins]t+ 7includ+ d5tal
 s]vices7 aft] treatm5t s]vices2  7,c7  
by /rik+ & ! ne$ & ins]t+ 1 ! ne$2 &    

7,d7 by /rik+ ! comma at ! end & ins]t+ 
1 & ! importance ( ma9ta9+ good oral    
heal?14  7#c7 ,effective date  7,a7     
,ext5sion ( cov]age ,! am5dm5ts made by 
p>agraph 7#a7 %all apply ) respect to   
m$ical assi/ance furni%$ dur+ cal5d>    
qu>t]s beg9n+ on or aft] ! date t is #hj
 days aft] ! date ( ! enactm5t ( ?is    
,act4  7,b7 ,provision ( in=mation ,!   
am5dm5t made by p>agraph 7#b7 %all apply
 to in=mation provid$ "u section        
#aijb7;a77#dc77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#dc77;,a77 beg9n+ ) ! fir/   
cal5d> qu>t] beg9n+ on or aft] ! date t 
is #hj days aft] ! date ( ! enactm5t (  
?is ,act4  7b7 ,inc5tive = ! provision (
 d5tal s]vices to c]ta9 individuals     
7#a7 ,9 g5]al ,section #aijb7;a7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77 is am5d$-- 7,a7 9 p>agraph  
7#ac7-- 7i7 9 subp>agraph 7,b71 by /rik+
 & at ! end2  7ii7 9 subp>agraph 7,c71  
by add+ & at ! end2 &  7iii7 by add+ at 
! end ! foll[+ new subp>agraph3  7,d7 = 

paym5t = d5tal s]vices furni%$ on or    
aft] ! fir/ day ( ! fir/ cal5d> qu>t]   
beg9n+ on or aft] ! date t is #hj days  
aft] ! date ( ! enactm5t ( ?is          
subp>agraph by a d5ti/ to a specifi$    
individual 7z def9$ 9 ! matt] at ! end (
 section #aije7;a77 "u ! age ( #bf at a 
rate n less ?an ! specifi$ av]age rate  
7z def9$ 9 subsection 7tt77 = su*       
s]vices4  2 &  7,b7 by add+ at ! end !  
foll[+ new subsection3  7tt7 ,specifi$  
av]age rate def9$  7#a7 ,9 g5]al ,=     
purposes ( subsection 7a77#ac77;,d71 !  
t]m specifi$ av]age rate means1 )       
respect to a d5tal s]vice furni%$ 9 a   
,/ate1 ! av]age ( ! contract$ rates 7z  
def9$ 9 p>agraph 7#b77 9 effect dur+ !  
#e-ye> p]iod end+ on ! date su* s]vice  
is s furni%$-- 7,a7 = su* s]vice furni%$
 9 su* ,/ate 7z det]m9$ by ! ,/ate72 or 
7,b7 = su* s]vice furni%$ 9 ! ,unit$    
,/ates 7z det]m9$ by ! ,secret>y72  z   
select$ by su* ,/ate4  7#b7 ,contract$  
rate def9$  7,a7 ,9 g5]al ,= purposes ( 
p>agraph 7#a71 ! t]m contract$ rate     

means1 ) respect to a d5tal s]vice1 a   
rate 9 effect betwe5 a heal? insurance  
issu] (f]+ gr\p or individual heal?     
insurance cov]age or a gr\p heal? plan  
7z su* t]ms are def9$ 9 section #bgia ( 
! ,public ,heal? ,s]vice ,act7 & a d5ti/
 ) a contractual relation%ip 9 effect ) 
su* issu] or plan 7z applicable7 =      
furni%+ su* s]vice "u su* cov]age or    
plan 7z applicable7 t repres5ts ! total 
am\nt payable 7includ+ co/ %>+7 "u su*  
cov]age or plan 7z applicable7 = su*    
s]vice s furni%$4  7,b7 ,exclusion (    
self-insur$ gr\p heal? plan rates ,=    
purposes ( subp>agraph 7,a71 ! t]m      
contract$ rate %all n include a rate    
describ$ 9 su* subp>agraph t is 9 effect
 betwe5 a self-insur$ gr\p heal? plan & 
a d5ti/4  4  7#b7 ,m$icaid manag$ c>e   
plans ,section #aicb7;f7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acifu-#b7;f77 is am5d$-- 7,a7 9 !      
head]1 by /rik+ prim>y c>e s]vices &    
ins]t+ c]ta9 s]vices2  7,b7 by ins]t+ or
 d5tal s]vices aft] prim>y c>e s]vices2 

7,c7 by /rik+ section                   
#aijb7;a77#ac77;,c7 & ins]t+ subp>agraph
 7,c7 or 7,d71 respectively1 ( section  
#aijb7;a77#ac72 &  7,d7 by /rik+ su*    
section & ins]t+ su* subp>agraph 7,c7 or
 7,d71 z applicable4  7#c7 ,increas$    
,,fmap = increas$ exp5ses ,section #aije
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7 is am5d$ by add+ at !
 end ! foll[+ new subsection3  7gg7     
,increas$ ,,fmap = additional           
exp5ditures = d5tal s]vices ,not)/&+    
subsection 7b71 ) respect to ! portion (
 ! am\nts exp5d$ = m$ical assi/ance =   
s]vices describ$ 9 section              
#aijb7;a77#ac77;,d7 furni%$ on or aft] !
 fir/ day ( ! fir/ cal5d> qu>t] beg9n+  
on or aft] ! date t is #hj days aft] !  
date ( ! enactm5t ( ?is subsection      
furni%$ to an individual describ$ 9 su* 
section by a d5ti/ t is attributable to 
! am\nt by :i* ! m9imum paym5t rate     
requir$ "u su* section 7or1 by          
application1 section #aicb7;f77 exce$s !
 paym5t rate applicable to su* s]vices  

"u ! ,/ate plan z ( ,july #a1 #bjbj1 !  
,f$]al m$ical assi/ance p]c5tage = a    
,/ate t is "o ( ! #ej ,/ates or !       
,di/rict ( ,columbia %all be equal to   
#ajj p]c5t4 ,! prec$+ s5t5ce does n     
prohibit ! paym5t ( ,f$]al f9ancial     
p>ticipation bas$ on ! ,f$]al m$ical    
assi/ance p]c5tage = am\nts 9 excess (  
^? specifi$ 9 su* s5t5ce4  4  7c7       
,outrea* ef=ts = enrollm5t ( =m] fo/]   
*ildr5 ,section #aijb7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77 is am5d$-- 7#a7 9 p>agraph  
7#he71 by /rik+ 2 & & ins]t+ a          
semicolon2  7#b7 9 p>agraph 7#hf71 by   
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by ins]t+ aft] p>agraph 7#hf7 !    
foll[+ new p>agraph3  7#hg7 n lat] ?an  
#f mon?s aft] ! date ( ! enactm5t ( ?is 
p>agraph-- 7,a7 e/abli% an outrea* &    
enrollm5t program1 9 coord9ation ) !    
,/ate ag5cy responsible = adm9i/]+ !    
,/ate plan "u "p ,e ( title ,,iv & any  
o!r appropriate or int]e/$ ag5cies1     
design$ to increase ! enrollm5t (       

individuals :o are eligible = m$ical    
assi/ance "u ! ,/ate plan "u p>agraph   
7#aj77;,a77i77,,ix7 9 accordance ) be/  
practices e/abli%$ by ! ,secret>y2 &    
7,b7 e/abli% an outrea* program to      
d5ti/s practic+ 9 su* ,/ate to enc\rage 
enrollm5t by su* d5ti/s 9 su* plan z    
p>ticipat+ provid]s "u su* plan4  4  7d7
 ,provid+ = imm$iate eligibility = =m]  
fo/] y\? ,section #ajjb7;a77#b7 ( !     
,,support = ,pati5ts & ,communities ,act
 7,public ,law #aae-bga7 is am5d$ by    
/rik+ ,janu>y #a1 #bjbc & ins]t+ ! date 
( enactm5t ( ! ,fo/] ,y\? ,d5tal ,act ( 
#bjbj4