,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #haae  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bc1 #bjbd,mr4 
,s>banes introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to all[
 = ! def]ral or disall[ance ( portions (
 paym5ts = c]ta9 manag$ c>e violations  
"u ,m$icaid4  #a4 ,all[+ = ! def]ral or 
disall[ance ( portions ( paym5ts = c]ta9
 manag$ c>e violations "u ,m$icaid  7a7 
,9 g5]al ,section #aijc7m77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif7m77#b77 is am5d$-- 7#a7 9         
subp>agraph 7,a71 by /rik+ & 7,g7 &     
ins]t+ 7,g71 & 7,i72 &  7#b7 by add+ at 
! end ! foll[+ new subp>agraph3  7,i7   
7i7 ,9 lieu ( apply+ ! paym5t           
prohibition "u subp>agraph 7,a7 = a     
violation ( any requirem5t describ$ 9   
su* subp>agraph1 ! ,secret>y may def] or
 disall[ a portion ( a paym5t to a ,/ate
 describ$ 9 su* subp>agraph 7z det]m9$  
appropriate by ! ,secret>y7 if !        

,secret>y f9ds t su* a def]ral or       
disall[ance m appropriately reflects !  
scope ( su* violation ?an application ( 
su* prohibition4  7ii7 ,if ! ,secret>y  
det]m9es subsequ5t to a def]ral or      
disall[ance ( a portion ( a paym5t "u   
clause 7i7 = a violation by an entity ( 
any requirem5t describ$ 9 subp>agraph   
7,a7 t su* def]ral or disall[ance 0     
insuffici5t to br+ su* entity into      
compliance ) su* requirem5t1 ! ,secret>y
 may apply ! paym5t prohibition "u      
subp>agraph 7,a74  4  7b7 ,treatm5t (   
c]ta9 ,/ate manag$ c>e requirem5ts      
,section #aijb7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;a7a77 is     
am5d$-- 7#a7 9 p>agraph 7#hf71 by /rik+ 
& at ! end2  7#b7 9 p>agraph 7#hg77;,d71
 by /rik+ ! p]iod & ins]t+ 2 &2 &  7#c7 
by ins]t+ aft] p>agraph 7#hg7 ! foll[+  
new p>agraph3  7#hh7 9 ! case ! ,/ate   
elects ! option to use manag$ c>e "u    
section #aicb1 provide = compliance ) ! 
requirem5ts ( su* section4  4