,,ii  #aag? ,,congress  #b;d ,session   
,s4 #dbfd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ai 7legislative  
day1 ,may #ag71 #bjbb,mr4 ,scott ( ,s\? 
,c>ol9a 7= himself1 ,mr4 ,casey1 & ,mr4 
,cassidy7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to require  
,/ates to develop a /rategy to integrate
 & coord9ate ,m$icaid & ,m$ic>e cov]age 
= full-b5efit dual eligible individuals4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,advanc+ ,integration 9 ,m$ic>e &   
,m$icaid 7,,aim7 ,act4  #b4 ,cov]age    
integration & coord9ation /rategy =     
full-b5efit dual eligible individuals   
7a7 ,m$icaid /ate plan requirem5t       
,section #aijb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 
7#a7 9 subsection 7a7-- 7,a7 by /rik+ & 
at ! end ( p>agraph 7#hf72  7,b7 by     
/rik+ ! p]iod at ! end ( p>agraph 7#hg7 
& ins]t+ 2 &2 &  7,c7 by ins]t+ aft]    
p>agraph 7#hg7 ! foll[+ new p>agraph3   

7#hh7 include a /rategy = integrat+ &   
coord9at+ heal? b5efits cov]age "u ?is  
title & title ,,xviii = full-b5efit dual
 eligible individuals 7z def9$ 9 section
 #aice7;c77#f77 9 accordance ) !        
requirem5ts ( subsection 7tt74  2 &     
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7tt7 ,cov]age integration &
 coord9ation /rategy = full-,b5efit dual
 eligible individuals ,= purposes (     
subsection 7a77#hh71 ! requirem5ts "u   
?is subsection are ! foll[+3 7#a7 ,g5]al
 requirem5ts ,n lat] ?an #b ye>s aft] ! 
date ( enactm5t ( ?is subsection1 !     
,/ate %all develop1 9 consultation )    
relevant /akehold]s1 & submit to !      
,secret>y = approval a /rategy =        
integrat+ & coord9at+ heal? b5efits     
cov]age = full-b5efit dual eligible     
individuals 7z def9$ 9 section          
#aice7;c77#f77 t includes detail$       
descriptions ( ! foll[+ compon5ts3 7,a7 
,! integration & coord9ation approa*es  
select$ by ! ,/ate4  7,b7 ,! eligibility
 requirem5ts & b5efits available "u su* 

/rategy4  7,c7 ,! education & enrollm5t 
/rategy = p>ticipation by full-b5efit   
dual eligible individuals 7z s def9$74  
7,d7 ,b5efici>y protections int5d$ to   
pres]ve & /r5g!n b5efici>y *oice &      
access to c>e4  7,e7 ,! plan = collect+ 
data analytics & measur+ ! quality ( c>e
 provid$ "u su* /rategy4  7,f7          
,/ructures to promote heal? equity4     
7,g7 ,! coord9ation & integration (     
m5tal heal? b5efits ) o!r b5efits &     
s]vices available "u ?is title & title  
,,xviii = full-b5efit dual eligible     
individuals "u su* /rategy4  7,h7 ,su*  
o!r compon5ts z ! ,secret>y may require4
  7#b7 ,regul> reviews & updates ,!     
,/ate regul>ly %all review & update !   
/rategy develop$ & approv$ "u p>agraph  
7#a7 9 accordance ) su* tim+ & o!r      
requirem5ts z ! ,secret>y %all specify4 
7#c7 ,relevant /akehold]s ,= purposes ( 
p>agraph 7#a71 ! t]m relevant /akehold]s
 means ea* ( ! foll[+3 7,a7 ,full-b5efit
 dual eligible individuals 7z def9$ 9   
section #aice7;c77#f77 & _!             

repres5tatives4  7,b7 ,heal? plans4     
7,c7 ,heal? c>e provid]s1 su* z         
physicians1 hospitals1 & nurs+ homes4   
7,d7 ,,pace provid]s4  7,e7             
,community-bas$ organizations4  7,f7    
,b5efici>y advocates4  7,g7 ,o!rs z     
det]m9$ appropriate by ! ,secret>y or ! 
,/ate4  4  7b7 ,effective date2         
implem5tation  7#a7 ,9 g5]al ,except z  
provid$ 9 p>agraph 7#b71 ! am5dm5ts made
 by ?is section %all take effect on !   
date ( enactm5t ( ?is ,act4  7#b7 ,delay
 if /ate legislation ne$$ ,9 ! case ( a 
,/ate plan = m$ical assi/ance "u title  
,,xix ( ! ,social ,security ,act :i* !  
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ! section1 ! ,/ate plan %all n be      
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    

cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?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