,i  #aagth ,,congress  #ast ,session    
,h4 ,r4 #hga  ,,in ,,the ,,house ,,of   
,,representatives  ,february #e1        
#bjba,mrs4 ,fletcher introduced the     
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to provide a     
temporary increase in ,,fmap for medical
 assistance under ,state ,medicaid plans
 which begin to expend amounts for newly
 eligible mandatory individuals4  #a4   
,short title ,this ,act may be cited as 
the ,expand ,medicaid ,now ,act4  #b4   
,temporary increase in ,,fmap for       
medical assistance under ,state         
,medicaid plans which begin to expend   
amounts for newly eligible mandatory    
individuals ,section #aije of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7 is amended-- 7#a7 in subsection
 7b71 in the first sentence1 by striking
 and 7ff7 and inserting 7ff71 and 7hh72 
and  7#b7 by adding at the end the      
following new subsection3  7hh7         

,temporary increase in ,,fmap for       
medical assistance under ,state         
,medicaid plans which begin to expend   
amounts for all newly eligible mandatory
 individuals  7#a7 ,in general ,subject 
to paragraph 7#b71 for the #h-quarter   
period beginning with the first calendar
 quarter during which a qualifying      
,state 7as defined in paragraph 7#d77   
expends amounts for all newly eligible  
individuals described in section        
#aijb7;a77#aj77;,a77i77,,viii7 under the
 ,state plan 7or waiver of such plan71  
the ,federal medical assistance         
percentage determined under subsection  
7b7 for such ,state shall be increased  
by #e percentage points4  7#b7          
,exception ,in the case of a ,state that
 ceases to provide medical assistance to
 any newly eligible individual under the
 ,state plan 7or waiver of such plan7   
during a quarter occurring during the   
period described in paragraph 7#a71 the 
increase described in such paragraph    
shall not apply with respect to such    

,state and such quarter 7or any         
succeeding quarter74  7#c7 ,special     
application rules ,any increase         
described in paragraph 7#a7-- 7,a7 shall
 not apply with respect to              
disproportionate share hospital payments
 described in section #aibc2  7,b7 shall
 not be taken into account in           
calculating the enhanced ,,fmap of a    
,state under section #baje2 and  7,c7   
shall not be taken into account for     
purposes of part ,a1 ,d1 or ,e of title 
,,iv4  7#d7 ,definition ,for purposes of
 this subsection1 the term qualifying   
,state means a ,state which has not     
expended amounts for all newly eligible 
individuals described in section        
#aijb7;a77#aj77;,a77i77,,viii7 before   
the date of the enactment of this       
subsection4  4