,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #gbfg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #g1 #bjbd,mr4
 ,tonko 7= himself & ,mr4 ,fitzpatrick7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to provide a tempor>y   
high] ,f$]al m$ical assi/ance p]c5tage =
 ,f$]al exp5ditures "u ! ,m$icaid       
program t are associat$ ) ! co/ (       
compliance ) c]ta9 ,f$]al regulations ) 
respect to s]vices furni%$ 9 c]ta9      
int]m$iate c>e facilities or home &     
community-bas$ s]vices furni%$ to       
individuals ) intellectual &            
developm5tal disabilities4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,disability ,community ,act ( #bjbc4    
#b4 ,high] ,,fmap = c]ta9 ,m$icaid      
exp5ditures associat$ ) c]ta9 regulation
 compliance  7a7 ,9 g5]al ,section      
#aijc7;a77#e7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;b7a77#e77 is      
am5d$-- 7#a7 by /rik+ an am\nt equal to 

& ins]t+ 7,a7 an am\nt equal to2  7#b7  
by /rik+ supplies2 & ins]t+ supplies2 &2
 &  7#c7 by add+ at ! end ! foll[+3     
7,b7 an am\nt equal to #ij p]c5t ( ! sum
 ( ! am\nts exp5d$ dur+ a qu>t] 9 #bjbd1
 #bjbe1 or #bjbf1 = items & s]vices     
furni%$ 9 an int]m$iate c>e facility = !
 m5tally ret>d$ or = home &             
community-bas$ s]vices furni%$ to       
individuals ) intellectual &            
developm5tal disabilities1 z ! ,secret>y
 det]m9es are attributable to compliance
 ) any ( ! regulations specifi$ 9-- 7i7 
"p #eda4fjj ( title #bi1 ,code ( ,f$]al 
,regulations2 or  7ii7 "p #dcj1 #dca1   
#dce1 #dcf1 #ddj1 #dda1 or #ddg ( title 
#db1 ,code ( ,f$]al ,regulations2  4    
7b7 ,con=m+ t]m9ology = int]m$iate c>e  
facilities ,title ,,xix ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 is am5d$-- 7#a7 by /rik+          
int]m$iate c>e facility = ! m5tally     
ret>d$ ea* "t su* t]m appe>s 7includ+ 9 
head+s7 & ins]t+ int]m$iate c>e facility
 = individuals ) intellectual &         

developm5tal disabilities2  7#b7 by     
/rik+ int]m$iate c>e facilities = !     
m5tally ret>d$ ea* "t su* t]m appe>s    
7includ+ 9 head+s7 & ins]t+ int]m$iate  
c>e facilities = individuals )          
intellectual & developm5tal             
disabilities2  7#c7 by /rik+ ,/ate m5tal
 ret>dation or developm5tal disability  
au?ority ea* "t su* t]m appe>s & ins]t+ 
,/ate intellectual or developm5tal      
disability au?ority2  7#d7 9 section    
#aije7;d7-- 7,a7 9 ! matt] be=e p>agraph
 7#a71 by /rik+ !re(7 = ! m5tally ret>d$
 or p]sons & ins]t+ !re(7 = individuals 
) intellectual or developm5tal          
disabilities or2  7,b7 9 p>agraph 7#a71 
by /rik+ m5tally ret>d$ individuals &   
ins]t+ individuals ) intellectual or    
developm5tal disabilities2 &  7,c7 9    
p>agraph 7#b71 by /rik+ ! m5tally ret>d$
 individual & ins]t+ ! individual ) an  
intellectual or developm5tal disability2
  7#e7 9 section #aiae7;c77#g77;,c71 by 
/rik+ m5tal ret>dation & ins]t+         
intellectual or developm5tal            

disabilities2  7#f7 9 section           
#aiai7;b7-- 7,a7 9 p>agraph 7#c7-- 7i7 9
 subp>agraph 7,e71 by /rik+ m5tally     
ret>d$ & ins]t+ has intellectual or     
developm5tal disabilities2 &  7ii7 9    
subp>agraph 7,f7-- 7,i7 9 ! head+1 by   
/rik+ & m5tally ret>d$ individuals &    
ins]t+ individuals & individuals )      
intellectual or developm5tal            
disabilities2 &  7,,ii7 9 clause 7ii7-- 
7aa7 by /rik+ is m5tally ret>d$ & ins]t+
 has an intellectual or developm5tal    
disability2 &  7bb7 by /rik+ = m5tal    
ret>dation & ins]t+ = intellectual or   
developm5tal disabilities2  7,b7 9      
p>agraph 7#d7-- 7i7 9 subp>agraph       
7,a77vii71 by /rik+ m5tally ill &       
m5tally ret>d$ resid5ts & ins]t+        
resid5ts :o are m5tally ill or :o h     
intellectual or developm5tal            
disabilities2 &  7ii7 9 subp>agraph     
7,c77ii77,,iv71 by /rik+ ! m5tally      
ret>d$ & ins]t+ individuals )           
intellectual or developm5tal            
disabilities2 &  7#g7 9 section         

#aiai7;e7-- 7,a7 9 p>agraph 7#g7-- 7i7 9
 subp>agraph 7,a77i71 by /rik+ m5tally  
ill & m5tally ret>d$ individuals &      
ins]t+ individuals :o are m5tally ill or
 :o h intellectual or developm5tal      
disabilities2  7ii7 9 subp>agraph 7,b7--
 7,i7 by /rik+ m5tal ret>dation ea*     
place su* t]m appe>s & ins]t+           
intellectual or developm5tal disability2
  7,,ii7 9 clause 7ii7-- 7aa7 9 ! head+1
 by /rik+ m5tally ret>d$ resid5ts &     
ins]t+ resid5ts ) intellectual or       
developm5tal disabilities2 &  7bb7 9 !  
matt] prec$+ subclause 7,i71 by /rik+ is
 m5tally ret>d$ & ins]t+ has an         
intellectual or developm5tal disability2
 &  7,,iii7 9 clause 7iii71 by /rik+    
m5tally ill or m5tally ret>d$ resid5t & 
ins]t+ resid5t :o is m5tally ill or :o  
has an intellectual or developm5tal     
disability2  7iii7 9 subp>agraph 7,c71  
by /rik+ m5tal ret>dation ea* place su* 
t]m appe>s & ins]t+ intellectual or     
developm5tal disability2  7iv7 9        
subp>agraph 7,e7-- 7,i7 by /rik+ are    

m5tally ret>d$ or & ins]t+ h            
intellectual or developm5tal            
disabilities or are2 &  7,,ii7 by /rik+ 
m5tal ret>dation & ins]t+ intellectual  
or developm5tal disability2 &  7v7 9    
subp>agraph 7,g77ii7-- 7,i7 by /rik+ be 
m5tally ret>d$ & ins]t+ h an            
intellectual or developm5tal disability2
 &  7,,ii7 by /rik+ is m5tally ret>d$ or
 a p]son ) & ins]t+ has an intellectual 
or developm5tal disability or4