,,ii #aag? ,,congress #a/ ,session ,s4 #bcae ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #ab1 #bjba ,mr4 ,w>nock 7= himself1 ,ms4 ,baldw91 & ,mr4 ,oss(f7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,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