,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #deed  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bj1 #bjba ,mr4 
,butt]field 7= himself & ,mr4 ,joyce (  
,p5nsylvania7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d title    
,,xix ( ! ,social ,security ,act to     
provide grants = support = ,/ates to    
id5tify & act on racial disp>ities1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,c>e ,t's ,fair ,act4  
#b4 ,grants to support = ,/ates to      
id5tify & act on racial disp>ities "u   
,m$icaid ,section #aidf ( ! ,social     
,security ,act 7#db ,u4,s4,c4 is am5d$  
by add+ ! foll[+ new subsection3  7d7   
,support = ,/ates ,to id5tify & act on  
racial disp>ities  7#a7 ,9 g5]al ,!     
,adm9i/rator is au?oriz$ to aw>d grants 
to ,/ates 9 accordance ) ?is section to 
analyze ,m$icaid claims & cl9ical data  
to /udy-- 7,a7 v>iation 9 ,m$icaid heal?
 outcomes & heal? c>e s]vice utilization
 t are correlat$ to race & e?nicity =   

cl9ically simil> pati5ts2 or  7,b7 !    
contribut+ cl9ical & social factors to  
poor infant & mat]nal heal? outcomes 9  
,m$icaid4  7#b7 ,/ate application ,a    
,/ate seek+ approval ( a grant %all     
submit an application to ! ,adm9i/rator1
 aft] ,april #a1 #bjba1 & prior to      
,septemb] #a1 #bjbd1 9 su* =mat z !     
,adm9i/rator requires4  7#c7            
,limitations ,no ,/ate %all receive--   
7,a7 m ?an "o grant 9 any fiscal ye>2 or
  7,b7 a grant t exce$s #ejj1jjj4  7#d7 
,action report ,ea* ,/ate receiv+ a     
grant "u ?is subsection mu/ submit to ! 
,adm9i/rator an action report no lat]   
?an #b fiscal ye>s aft] be+ aw>d$ !     
grant1 :i* ! ,adm9i/rator mu/ make      
public on ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices website & provide analysis     
comp>+ ! results ( ! action reports     
across ea* grantee1 tak+ into acc\nt    
v>iation 9 ! demographics & cl9ical ne$s
 9 ea* ,/ate4  7#e7 ,def9itions ,=      
purposes ( ?is section3 7,a7            
,adm9i/rator ,! t]m ,adm9i/rator means !

 ,adm9i/rator = ! ,c5t] = ,m$ic>e &     
,m$icaid ,s]vices4  7,b7 ,/ate ,! t]m   
,/ate means any ( ! #ej ,/ates or !     
,di/rict ( ,columbia4  7,c7 ,cl9ically  
,simil> ,! t]m cl9ically simil> means1 )
 respect to a ,/ate ,m$icaid program1   
,m$icaid enrollees t h ! same heal?     
/atus1 burd5 ( illness1 comorbid        
conditions1 & ne$ = s]vices4  7,d7      
,heal? ,outcomes ,! t]m heal? outcomes  
means1 ) respect to a ,/ate ,m$icaid    
program1 a *ange 9 heal? /atus = a      
,m$icaid enrollee z a result ( c>e      
int]v5tions4  7,e7 ,heal? ,c>e ,s]vice  
,utilization ,! t]m heal? c>e s]vice    
utilization means1 ) respect to a ,/ate 
,m$icaid program1 ! rate ( use ( a      
p>ticul> heal? c>e s]vice1 proc$ure1    
te/1 process1 or c>e int]v5tion4  7,f7  
,social ,factors ,! t]m social factors  
may include1 b is n limit$ to-- 7i7     
h\s+2  7ii7 transportation2  7iii7 food 
insecurity2  7iv7 environm5tal          
conditions2  7v7 economic insecurity2   
7vi7 heal? lit]acy2  7vii7 family &     

community in/ability2 &  7viii7         
int]p]sonal viol5ce4  7,g7 ,action      
,report ,! t]m action report means1 )   
respect to a ,/ate ,m$icaid program--   
7i7 a summ>y at ! aggregate level ( !   
results f ! ,/ate analysis p]=m$ "u     
p>agraph 7#a72  7ii7 a summ>y ( !       
*>act]i/ics ( ! /udy1 includ+ population
 includ$1 "t p]iod cov]$1 me?odologies  
us$1 & any limitations enc\nt]$2  7iii7 
! actions ! ,/ate plans to take or w\ld 
l to take "u ! ,/ate ,m$icaid program 9 
! next #e ye>s to address p>agraph      
7#a77;,a7 or 7#a77;,b72 &  7iv7 :at     
regulatory b>ri]s exi/ 9 enact+ ! /eps  
"u clause 7ii74  7#f7 ,appropriations ,9
 g5]al1 !re are appropriat$1 f any funds
 9 ! ,treasury n o!rwise appropriat$1 = 
grants to c>ry out ?is section-- 7,a7   
#e1jjj1jjj = fiscal ye> #bjba2  7,b7    
#aj1jjj1jjj = fiscal ye> #bjbb2 &  7,c7 
#aj1jjj1jjj = fiscal ye> #bjbc4  4