,,ii #aag? ,,congress #b;d ,session ,s4 #ciag ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bd1 #bjbb ,mr4 ,inh(e 7= himself1 ,mr4 ,braun1 ,mrs4 ,blackburn1 ,mr4 ,k5n$y1 ,mr4 ,paul1 ,mr4 ,scott ( ,florida1 & ,mr4 ,lank=d7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to apply ! ,m$icaid asset v]ification program to all applicants =1 & recipi5ts (1 m$ical assi/ance 9 all ,/ates & t]ritories1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,m$icaid ,b5efici>ies ,act ( #bjbb4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,rec5t e/imates %[ t ! ,social ,security program loses ov] #d1jjj1jjj1jjj p] ye> to fraud4 7#b7 ,9 fiscal ye> #bjbj1 ! ,m$icaid program lo/ #hf1dij1jjj1jjj 9 improp] paym5ts & ! ,m$ic>e program lo/ ano!r almo/ #dc1jjj1jjj1jjj4 7#c7 ,! fiscal ye> #bjbj national ,*ildr5's ,heal? ,insurance ,program 7,,*ip7 improp] paym5t rate e/imate is #bg p]c5t1 repres5t+ #d1ghj1jjj1jjj 9 improp] paym5ts4 7#d7 ,millions ( ,am]icans exp]i5ce homelessness1 hung]1 or lack ( heal?c>e cov]age4 ,yet1 our c\ntry annually wa/es m ?an #acj1jjj1jjj1jjj 9 ! v programs t 7 design$ to correct ^! s]i\s problems1 demon/rat+ t our sy/em is fail+ ^? :o ne$ x ! mo/4 #c4 ,application ( ,m$icaid asset te/ to all applicants =1 & recipi5ts (1 m$ical assi/ance 9 all ,/ates & t]ritories 7a7 ,9 g5]al ,section #aidj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ p>agraph 7#d72 & 7#b7 9 subsection 7b77#a77;,a71 by /rik+ on ! basis ( be+ ag$1 bl9d1 or disabl$4 7b7 ,rules ,! ,secret>y ( ,heal? & ,human ,s]vices %all promulgate su* rules z are necess>y to implem5t ! am5dm5ts made by subsection 7a74 7c7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made by subsection 7a7 %all take effect on ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,phase-9 ( implem5tation 7,a7 ,9 g5]al ,dur+ ! #b-ye> p]iod t beg9s on ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all require ,/ates to submit & implem5t a plan = an electronic asset v]ification program t meets ! requirem5ts "u section #aidj ( ! ,social ,security ,act 7z am5d$ by subsection 7a774 7,b7 ,implem5tation be=e effective date ,no?+ 9 ?is subsection or section #aidj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw7 %all be con/ru$ z prohibit+ a ,/ate f implem5t+ an asset v]ification program t meets ! requirem5ts ( su* section 7z am5d$ by subsection 7a77 9 advance ( ! effective date specifi$ "u p>agraph 7#a74 7,c7 ,delay ( effective date ,if a ,/ate reque/s a delay ( ! effective date specifi$ "u p>agraph 7#a7 on ! basis ( ongo+ economic h>d%ip limitations1 z det]m9$ by ! *ief executive (fic] ( ! ,/ate1 ! ,secret>y ( ,heal? & ,human ,s]vices may delay su* effective date = up to #cfe days4 #d4 ,m$icaid res\rces eligibility requirem5t 7a7 ,9 g5]al ,section #aijb7;e77#ad77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#ad77;,c77 is am5d$ to read z foll[s-- 7,c7 ,res\rces te/ requirem5t 7i7 ,9 g5]al ,not)/&+ any o!r provision ( ?is title1 9 ! case ( an individual ) respect to :om a det]m9ation ( income eligibility = m$ical assi/ance "u ! ,/ate plan or "u any waiv] ( su* plan is requir$1 ! ,/ate %all also apply a res\rces eligibility te/ t meets ! requirem5t ( clause 7ii74 7ii7 ,requirem5t ,a ,/ate res\rces eligibility te/ meets ! requirem5t ( ?is clause if ! te/ precludes eligibility = any individual ^: res\rces 7z det]m9$ "u section #afac = purposes ( ! supplem5tal security income program7 exce$ ! maximum am\nt ( res\rces t an individual may h & obta9 b5efits "u t program1 or su* am\nt z ! ,/ate %all e/abli%4 4 7b7 ,no effect on cont9u\s eligibility = pregnant wom5 ,section #aijb7;e77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#f77 is am5d$ by ins]t+ or res\rces aft] income ea* place x appe>s4 7c7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5t made by subsection 7a7 %all take effect on ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,rule = *anges requir+ ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! ,/ate plan to meet ! additional requirem5t impos$ by ! am5dm5t made by subsection 7a71 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ?is additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! effective date ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 #e4 ,all[+ ,/ates to reta9 sav+s f asset v]ification program & res\rces eligibility requirem5ts 7a7 ,9 g5]al ,= ea* ( ! fir/ #b ye>s foll[+ ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all pay to ! ,/ate an am\nt equal to ! sav+s 7z e/imat$ by ! ,secret>y7 9 ,f$]al exp5ditures t are attributable to ! ,/ate meet+ ! requirem5ts impos$ by ! am5dm5ts made by sections #c & #d4 7b7 ,use ( funds ,a ,/ate t receives a paym5t "u subsection 7a7 %all use ! funds receiv$ "u su* paym5t to support enrollm5t 91 & ! conduct (1 programs = mat]nal & *ild heal? "u ! ,/ate ,m$icaid program1 or = su* o!r purpose 9 support ( ! ,/ate ,m$icaid program z ! ,secret>y ( ,heal? & ,human ,s]vices %all approve4 #f4 ,requir+ ,,cms to track ,/ate asset v]ification programs 7a7 ,track+ asset v]ification program sav+s ,no lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all create a ,f$]al track+ sy/em ( ! sav+s 9 ,f$]al exp5ditures on ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 t are associat$ ) ! asset v]ification program requirem5t add$ "u section #c7;a74 7b7 ,reports to ,congress ,beg9n+ 9 ! fif? ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all issue biannual reports to ,congress detail+ ! p]=mance ( ,/ate ,m$icaid asset v]ification programs dur+ ! applicable report+ p]iod4 ,ea* su* report %all include-- 7#a7 an ov]view ( ! sav+s1 bo? pre- & po/-report+ p]iod1 attribut$ to su* programs2 & 7#b7 any mat]ial *anges to ! composition ( ! ,/ate ,m$icaid populations z a result ( su* programs4 #g4 ,,gao report to ,congress on ! efficacy ( /r5g!n+ ! fiscal integrity ( ! ,m$icaid program ,no soon] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report t assesses ! efficacy ( ,/ate asset v]ification programs t meet ! requirem5ts ( section #aidj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw7 7z am5d$ by section #c7;a774 ,su* report %all include-- 7#a7 an ov]view ( ,m$icaid enrollm5t be=e & aft] ! implem5tation ( ! *anges to ! asset v]ification sy/em requirem5ts "u su* section #aidj2 7#b7 an ov]view ( ,m$icaid sp5d+ be=e & aft] ! implem5tation ( su* *anges2 7#c7 in=mation on :at is kn[n ab\t ! numb] ( individuals :o appli$ = ,m$icaid or :o appli$ = r$et]m9ation ( ,m$icaid & 7 deem$ ineligible due to _! f9ancial circum/ances 7income & res\rces7 aft] ! implem5tation ( su* *anges2 & 7#d7 any additional recomm5dations = fur!r *anges to ! ,m$icaid asset v]ification program requirem5ts "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474