,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #deie  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #ba1 #bjba,ms4  
,b\rdeaux 7= h]self1 ,ms4 ,ca/or (      
,florida1 ,mrs4 ,mc,bath1 ,ms4 ,ross1   
,ms4 ,mann+1 ,ms4 ,williams ( ,georgia1 
,mr4 ,veasey1 ,ms4 ,moore ( ,wiscons91  
,mr4 ,c>son1 ,mr4 ,?ompson (            
,mississippi1 ,mr4 ,danny ,k4 ,davis (  
,ill9ois1 ,mr4 ,clyburn1 ,mrs4 ,murphy (
 ,florida1 ,mr4 ,coop]1 ,mr4 ,bi%op (   
,georgia1 ,mr4 ,johnson ( ,georgia1 ,mr4
 ,k9d1 ,mr4 ,butt]field1 ,ms4 ,lois     
,frankel ( ,florida1 ,ms4 ,sewell1 ,mr4 
,coh51 ,mr4 ,cri/1 ,mr4 ,price ( ,nor?  
,c>ol9a1 ,mr4 ,soto1 ,ms4 ,wass]man     
,s*ultz1 ,mrs4 ,dem+s1 ,mr4 ,deut*1 ,ms4
 ,jackson ,lee1 ,mr4 ,lawson ( ,florida1
 ,mr4 ,david ,scott ( ,georgia1 ,ms4    
,adams1 ,mr4 ,gre5 ( ,texas1 ,mr4 ,ca/ro
 ( ,texas1 & ,mr4 ,allr$7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to require ! ,secret>y ( ,heal?
 & ,human ,s]vices to e/abli% a program 

to provide heal? c>e cov]age to         
l[-income adults 9 ,/ates t h n exp&$   
,m$icaid4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,m$icaid ,saves ,lives     
,act4  #b4 ,m$icaid fallback cov]age    
program = l[-income adults 9            
non-expansion ,/ates  7a7 ,9 g5]al ,z   
soon z possible aft] ! date ( enactm5t (
 ?is ,act ! ,secret>y ( ,heal? & ,human 
,s]vices 79 ?is section ref]r$ to z !   
,secret>y7 %all-- 7#a7 directly or by   
contract1 e/abli% a program t (f]s      
eligible individuals ! opportunity to   
enroll 9 heal? b5efits cov]age t meets !
 requirem5ts describ$ 9 subsection 7c7 &
 any requirem5ts applicable to su*      
cov]age pursuant to subsection 7d72 &   
7#b7 ensure t su* program is adm9i/]$   
consi/5t ) ! requirem5ts ( section      
#dca4aj7;c77#b7 ( title #db1 ,code (    
,f$]al ,regulations4  7b7 ,def9ition (  
eligible individual ,9 ?is section1 !   
t]m eligible individual means an        
individual :o-- 7#a7 is describ$ 9      
section #aijb7;a77#aj77;,a77i77,,viii7 (

 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;a7a77#aj77;,a77i77,,viii772  7#b7
 resides 9 a ,/ate t-- 7,a7 does n exp5d
 am\nts = m$ical assi/ance "u title     
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq47 = all          
individuals describ$ 9 su* section2 &   
7,b7 did n exp5d am\nts = m$ical        
assi/ance "u su* title = all su*        
individuals z ( ! date ( enactm5t ( ?is 
,act2 &  7#c7 w\ld n be eligible =      
m$ical assi/ance "u su* ,/ate's plan =  
m$ical assi/ance "u title ,,xix ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq471 or a waiv] ( su* plan1 z
 su* plan or waiv] 0 9 effect on su*    
date4  7c7 ,heal? b5efits cov]age       
requirem5ts ,! requirem5ts describ$ 9   
?is subsection ) respect to heal?       
b5efits cov]age are ! foll[+3 7#a7      
,ess5tial heal? b5efits ,at a m9imum1 ! 
cov]age meets ! m9imum /&>ds requir$ "u 
p>agraph 7#e7 ( section #aicg7;b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifu-#g7;b77 = b5*m>k cov]age describ$

 9 p>agraph 7#a7 ( su* section or b5*m>k
 equival5t cov]age describ$ 9 p>agraph  
7#b7 ( su* section4  7#b7 ,premiums &   
co/-%>+ ,no premiums are impos$ = !     
cov]age1 & deductibles1 co/ %>+1 or     
simil> *>ges may only be impos$ 9       
accordance ) ! requirem5ts impos$ on    
,/ate ,m$icaid plans "u section #aiaf ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acifo74  7d7 ,application ( requirem5ts
 & provisions ( title ,,xix ( ! ,social 
,security ,act ,! ,secret>y %all specify
 t-- 7#a7 any requirem5t applicable to !
 furni%+ ( m$ical assi/ance "u title    
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq47 by ,/ates t h  
elect$ to make m$ical assi/ance         
available to individuals describ$ 9     
section #aijb7;a77#aj77;,a77i77,,viii7 (
 su* title 7#db ,u4,s4,c4               
#acif;a7a77#aj77;,a77i77,,viii77 t does 
n conflict ) ! requirem5ts specifi$ 9   
subsection 7c7 applies to ! program     
e/abli%$ "u ?is section2 &  7#b7 o!r    
provisions ( su* title apply to su*     

program4  7e7 ,no ,/ate m&ate ,no?+ 9   
?is section %all be con/ru$ z requir+ a 
,/ate to make exp5ditures relat$ to !   
program e/abli%$ "u ?is section & !     
,secret>y %all n impose any su*         
requirem5t4  7f7 ,fund+ ,!re are        
appropriat$ to ! ,secret>y = ea* fiscal 
ye> beg9n+ ) fiscal ye> #bjba f any     
funds 9 ! ,treasury n o!rwise           
appropriat$1 su* sums z are necess>y to 
c>ry out ?is section4  #c4 ,increase &  
ext5sion ( tempor>y enhanc$ ,,fmap =    
,/ates :i* beg9 to exp5d am\nts = c]ta9 
m&atory individuals  7a7 ,9 g5]al       
,section #aije7;ii77#a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;d7ii77#a77 is am5d$-- 7#a7 by     
/rik+ #h-qu>t] p]iod & ins]t+ #dj-qu>t] 
p]iod2 &  7#b7 by /rik+ #e p]c5tage     
po9ts & ins]t+ #aj p]c5tage po9ts4  7b7 
,effective date ,! am5dm5ts made by ?is 
section %all take effect z if includ$ 9 
! enactm5t ( section #ihad ( ! ,am]ican 
,rescue ,plan ,act ( #bjba 7,public ,law
 #aag-b74