,,ib  ,union ,cal5d> ,no4 #acg  #aag?   
,,congress  #a/ ,session  ,h4 ,r4 #chid 
,report ,no4 #aag-ahg  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,june #ae1 #bjba  
,ms4 ,blunt ,ro*e/] 7= h]self & ,mr4    
,bilirakis7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,novemb] #cj1 #bjba           
,additional sponsor3 ,mr4 ,ruiz         
,novemb] #cj1 #bjba ,report$ ) an       
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$ ,/rike out all aft] ! 
enact+ clause & ins]t ! "p pr9t$ 9      
italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,june #ae1   
#bjba  ,a ,,bill  ,to require !         
,secret>y ( ,heal? & ,human ,s]vices to 
issue & dissem9ate guidance to ,/ates to
 cl>ify /rategies to address social     
det]m9ants ( heal? "u ! ,m$icaid program
 & ! ,*ildr5's ,heal? ,insurance        
,program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,collect+ & ,analyz+ ,res\rces ,integral

 & ,necess>y = ,guidance = ,social      
,det]m9ants ,act ( #bjba or ! ,,c>+ =   
,social ,det]m9ants ,act ( #bjba4  #b4  
,requirem5t to issue guidance to cl>ify 
/rategies to address social det]m9ants (
 heal? 9 ! ,m$icaid program & !         
,*ildr5's ,heal? ,insurance ,program ,n 
lat] ?an #c ye>s aft] ! date ( !        
enactm5t ( ?is ,act1 & n less frequ5tly 
?an once e #c ye>s !reaft]1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all update !
 ,/ate ,heal? ,(fice lett] #ba-jja1     
issu$ on ,janu>y #g1 #bjba1 to cl>ify   
/rategies to address social det]m9ants (
 heal? "u ! ,m$icaid program & !        
,*ildr5's ,heal? ,insurance ,program4   
,su* update %all include ! foll[+3  7#a7
 ,guidance to ,/ate ,m$icaid ag5cies    
reg>d+ ! /rategies t ,/ates c implem5t  
"u au?orities 9 exi/5ce z ( su* update  
"u title ,,xix ( ! ,social ,security    
,act1 title ,,xxi ( su* ,act1 or section
 #aaae ( su* ,act to address social     
det]m9ants ( heal? 9 ! provision ( heal?
 c>e1 includ+ /rategies specifically    

t>get+ *ildr5 receiv+ m$ical assi/ance  
"u a ,/ate plan "u title ,,xix ( su*    
,act 7or a waiv] ( su* plan7 or *ild    
heal? assi/ance "u a ,/ate *ild heal?   
plan "u title ,,xxi ( su* ,act4  7#b7   
,guidance on h[ ,/ates c enc\rage &     
inc5tivize manag$ c>e entities to       
address social det]m9ants ( heal? ?r\gh 
contracts ) su* entities4  7#c7 ,updat$ 
examples f ,/ates ) respect to h[ ,/ates
 are address+ social det]m9ants ( heal? 
9 ! provision ( heal? c>e "u ! ,m$icaid 
program "u title ,,xix ( ! ,social      
,security ,act & ! ,*ildr5's ,heal?     
,insurance ,program "u title ,,xxi ( su*
 ,act1 includ+ ?r\gh paym5t models4     
,novemb] #cj1 #bjba ,report$ ) an       
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$