,,ii  #aagth ,,congress  #b;d ,session  
,s4 #ciag  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #bd1    
#bjbb ,mr4 ,inhofe 7for himself1 ,mr4   
,braun1 ,mrs4 ,blackburn1 ,mr4 ,kennedy1
 ,mr4 ,paul1 ,mr4 ,scott of ,florida1   
and ,mr4 ,lankford7 introduced the      
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to apply the ,medicaid asset
 verification program to all applicants 
for1 and recipients of1 medical         
assistance in all ,states and           
territories1 and for other purposes4    
#a4 ,short title ,this ,act may be cited
 as the ,protecting ,medicaid           
,beneficiaries ,act of #bjbb4  #b4      
,findings ,congress makes the following 
findings3  7#a7 ,recent estimates show  
that the ,social ,security program loses
 over #d1jjj1jjj1jjj per year to fraud4 
7#b7 ,in fiscal year #bjbj1 the         
,medicaid program lost #hf1dij1jjj1jjj  
in improper payments and the ,medicare  
program lost another almost             

#dc1jjj1jjj1jjj4  7#c7 ,the fiscal year 
#bjbj national ,children's ,health      
,insurance ,program 7,,chip7 improper   
payment rate estimate is #bg percent1   
representing #d1ghj1jjj1jjj in improper 
payments4  7#d7 ,millions of ,americans 
experience homelessness1 hunger1 or lack
 of healthcare coverage4 ,yet1 our      
country annually wastes more than       
#acj1jjj1jjj1jjj in the very programs   
that were designed to correct these     
serious problems1 demonstrating that our
 system is failing those who need it the
 most4  #c4 ,application of ,medicaid   
asset test to all applicants for1 and   
recipients of1 medical assistance in all
 ,states and territories  7a7 ,in       
general ,section #aidj of the ,social   
,security ,act 7#db ,u4,s4,c4 #acifw7 is
 amended-- 7#a7 in subsection 7a71 by   
striking paragraph 7#d72 and  7#b7 in   
subsection 7b77#a77;,a71 by striking on 
the basis of being aged1 blind1 or      
disabled4  7b7 ,rules ,the ,secretary of
 ,health and ,human ,services shall     

promulgate such rules as are necessary  
to implement the amendments made by     
subsection 7a74  7c7 ,effective date    
7#a7 ,in general ,subject to paragraph  
7#b71 the amendments made by subsection 
7a7 shall take effect on the date that  
is #b years after the date of enactment 
of this ,act4  7#b7 ,phase-in of        
implementation  7,a7 ,in general ,during
 the #b-year period that begins on the  
date of enactment of this ,act1 the     
,secretary of ,health and ,human        
,services shall require ,states to      
submit and implement a plan for an      
electronic asset verification program   
that meets the requirements under       
section #aidj of the ,social ,security  
,act 7as amended by subsection 7a774    
7,b7 ,implementation before effective   
date ,nothing in this subsection or     
section #aidj of the ,social ,security  
,act 7#db ,u4,s4,c4 #acifw7 shall be    
construed as prohibiting a ,state from  
implementing an asset verification      
program that meets the requirements of  

such section 7as amended by subsection  
7a77 in advance of the effective date   
specified under paragraph 7#a74  7,c7   
,delay of effective date ,if a ,state   
requests a delay of the effective date  
specified under paragraph 7#a7 on the   
basis of ongoing economic hardship      
limitations1 as determined by the chief 
executive officer of the ,state1 the    
,secretary of ,health and ,human        
,services may delay such effective date 
for up to #cfe days4  #d4 ,medicaid     
resources eligibility requirement  7a7  
,in general ,section #aijb7;e77#ad77;,c7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif;a7e77#ad77;,c77 is      
amended to read as follows--  7,c7      
,resources test requirement  7i7 ,in    
general ,notwithstanding any other      
provision of this title1 in the case of 
an individual with respect to whom a    
determination of income eligibility for 
medical assistance under the ,state plan
 or under any waiver of such plan is    
required1 the ,state shall also apply a 

resources eligibility test that meets   
the requirement of clause 7ii74  7ii7   
,requirement ,a ,state resources        
eligibility test meets the requirement  
of this clause if the test precludes    
eligibility for any individual whose    
resources 7as determined under section  
#afac for purposes of the supplemental  
security income program7 exceed the     
maximum amount of resources that an     
individual may have and obtain benefits 
under that program1 or such amount as   
the ,state shall establish4  4  7b7 ,no 
effect on continuous eligibility for    
pregnant women ,section #aijb7;e77#f7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif;a7e77#f77 is amended by 
inserting or resources after income each
 place it appears4  7c7 ,effective date 
7#a7 ,in general ,subject to paragraph  
7#b71 the amendment made by subsection  
7a7 shall take effect on the date that  
is #b years after the date of enactment 
of this ,act4  7#b7 ,rule for changes   
requiring ,state legislation ,in the    

case of a ,state plan under title ,,xix 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acif et seq47 which the      
,secretary of ,health and ,human        
,services determines requires ,state    
legislation 7other than legislation     
appropriating funds7 in order for the   
,state plan to meet the additional      
requirement imposed by the amendment    
made by subsection 7a71 the ,state plan 
shall not be regarded as failing to     
comply with the requirements of such    
title solely on the basis of its failure
 to meet this additional requirement    
before the first day of the first       
calendar quarter beginning after the    
close of the first regular session of   
the ,state legislature that begins after
 the effective date of this ,act4 ,for  
purposes of the previous sentence1 in   
the case of a ,state that has a #b-year 
legislative session1 each year of such  
session shall be deemed to be a separate
 regular session of the ,state          
legislature4  #e4 ,allowing ,states to  

retain savings from asset verification  
program and resources eligibility       
requirements  7a7 ,in general ,for each 
of the first #b years following the date
 that is #b years after the date of     
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
pay to the ,state an amount equal to the
 savings 7as estimated by the           
,secretary7 in ,federal expenditures    
that are attributable to the ,state     
meeting the requirements imposed by the 
amendments made by sections #c and #d4  
7b7 ,use of funds ,a ,state that        
receives a payment under subsection 7a7 
shall use the funds received under such 
payment to support enrollment in1 and   
the conduct of1 programs for maternal   
and child health under the ,state       
,medicaid program1 or for such other    
purpose in support of the ,state        
,medicaid program as the ,secretary of  
,health and ,human ,services shall      
approve4  #f4 ,requiring ,,cms to track 
,state asset verification programs  7a7 

,tracking asset verification program    
savings ,no later than #c years after   
the date of enactment of this ,act1 the 
,secretary of ,health and ,human        
,services1 acting through the ,centers  
for ,medicare  ,medicaid ,services1     
shall create a ,federal tracking system 
of the savings in ,federal expenditures 
on the ,medicaid program under title    
,,xix of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acif et seq47 that are      
associated with the asset verification  
program requirement added under section 
#c7;a74  7b7 ,reports to ,congress      
,beginning in the fifth year after the  
date of enactment of this ,act1 the     
,administrator of the ,centers for      
,medicare  ,medicaid ,services shall    
issue biannual reports to ,congress     
detailing the performance of ,state     
,medicaid asset verification programs   
during the applicable reporting period4 
,each such report shall include--  7#a7 
an overview of the savings1 both pre-   
and post-reporting period1 attributed to

 such programs2 and  7#b7 any material  
changes to the composition of the ,state
 ,medicaid populations as a result of   
such programs4  #g4 ,,gao report to     
,congress on the efficacy of            
strengthening the fiscal integrity of   
the ,medicaid program ,no sooner than #e
 years after the date of enactment of   
this ,act1 the ,comptroller ,general of 
the ,united ,states shall submit to the 
,committee on ,finance of the ,senate   
and the ,committee on ,energy and       
,commerce of the ,house of              
,representatives a report that assesses 
the efficacy of ,state asset            
verification programs that meet the     
requirements of section #aidj of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acifw7 7as amended by section #c7;a774 
,such report shall include-- 7#a7 an    
overview of ,medicaid enrollment before 
and after the implementation of the     
changes to the asset verification system
 requirements under such section #aidj2 
7#b7 an overview of ,medicaid spending  

before and after the implementation of  
such changes2  7#c7 information on what 
is known about the number of individuals
 who applied for ,medicaid or who       
applied for redetermination of ,medicaid
 and were deemed ineligible due to their
 financial circumstances 7income and    
resources7 after the implementation of  
such changes2 and  7#d7 any additional  
recommendations for further changes to  
the ,medicaid asset verification program
 requirements under title ,,xix of the  
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474