,,ii #aagth ,,congress #b;d ,session ,s4 #dbfd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ai 7legislative day1 ,may #ag71 #bjbb,mr4 ,scott of ,south ,carolina 7for himself1 ,mr4 ,casey1 and ,mr4 ,cassidy7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xix of the ,social ,security ,act to require ,states to develop a strategy to integrate and coordinate ,medicaid and ,medicare coverage for full-benefit dual eligible individuals4 #a4 ,short title ,this ,act may be cited as the ,advancing ,integration in ,medicare and ,medicaid 7,,aim7 ,act4 #b4 ,coverage integration and coordination strategy for full-benefit dual eligible individuals 7a7 ,medicaid state plan requirement ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 by striking and at the end of paragraph 7#hf72 7,b7 by striking the period at the end of paragraph 7#hg7 and inserting 2 and2 and 7,c7 by inserting after paragraph 7#hg7 the following new paragraph3 7#hh7 include a strategy for integrating and coordinating health benefits coverage under this title and title ,,xviii for full-benefit dual eligible individuals 7as defined in section #aice7;c77#f77 in accordance with the requirements of subsection 7tt74 2 and 7#b7 by adding at the end the following new subsection3 7tt7 ,coverage integration and coordination strategy for full-,benefit dual eligible individuals ,for purposes of subsection 7a77#hh71 the requirements under this subsection are the following3 7#a7 ,general requirements ,not later than #b years after the date of enactment of this subsection1 the ,state shall develop1 in consultation with relevant stakeholders1 and submit to the ,secretary for approval a strategy for integrating and coordinating health benefits coverage for full-benefit dual eligible individuals 7as defined in section #aice7;c77#f77 that includes detailed descriptions of the following components3 7,a7 ,the integration and coordination approaches selected by the ,state4 7,b7 ,the eligibility requirements and benefits available under such strategy4 7,c7 ,the education and enrollment strategy for participation by full-benefit dual eligible individuals 7as so defined74 7,d7 ,beneficiary protections intended to preserve and strengthen beneficiary choice and access to care4 7,e7 ,the plan for collecting data analytics and measuring the quality of care provided under such strategy4 7,f7 ,structures to promote health equity4 7,g7 ,the coordination and integration of mental health benefits with other benefits and services available under this title and title ,,xviii for full-benefit dual eligible individuals under such strategy4 7,h7 ,such other components as the ,secretary may require4 7#b7 ,regular reviews and updates ,the ,state regularly shall review and update the strategy developed and approved under paragraph 7#a7 in accordance with such timing and other requirements as the ,secretary shall specify4 7#c7 ,relevant stakeholders ,for purposes of paragraph 7#a71 the term relevant stakeholders means each of the following3 7,a7 ,full-benefit dual eligible individuals 7as defined in section #aice7;c77#f77 and their representatives4 7,b7 ,health plans4 7,c7 ,health care providers1 such as physicians1 hospitals1 and nursing homes4 7,d7 ,,pace providers4 7,e7 ,community-based organizations4 7,f7 ,beneficiary advocates4 7,g7 ,others as determined appropriate by the ,secretary or the ,state4 4 7b7 ,effective date2 implementation 7#a7 ,in general ,except as provided in paragraph 7#b71 the amendments made by this section shall take effect on the date of enactment of this ,act4 7#b7 ,delay if state legislation needed ,in the case of a ,state plan for medical assistance under title ,,xix of the ,social ,security ,act which the ,secretary of ,health and ,human ,services determines requires ,state legislation 7other than legislation appropriating funds7 in order for the plan to meet the additional requirements imposed by the amendments made by the section1 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 these additional requirements 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 date of the enactment 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