,i #aahth ,,congress #b;d ,session ,h4 ,r4 #hfig ,,in ,,the ,,house ,,of ,,representatives ,june #aa1 #bjbd,mr4 ,schiff 7for himself1 ,mrs4 ,watson ,coleman1 ,ms4 ,norton1 ,mr4 ,mullin1 and ,mr4 ,robert ,garcia of ,california7 introduced the following bill2 which was referred to the ,committee on ,ways and ,means ,a ,,bill ,to direct the ,secretary of ,health and ,human ,services to conduct a demonstration project to test the impact of a guaranteed monthly income on the health of individuals enrolled for medical assistance under the ,medicaid program4 #a4 ,short title ,this ,act may be cited as the ,guaranteed ,additional ,income for families in ,need ,act of #bjbd or the ,,gain ,act of #bjbd4 #b4 ,findings ,congress makes the following findings3 7#a7 ,medical research in recent decades has demonstrated the significant impact of income volatility on individuals' health4 7#b7 ,research has found that income volatility can lead to increased incidence of cardiovascular disease1 depression and anxiety1 and cognitive decline4 7#c7 ,from ,february #bjai to ,january #bjba1 the city of ,stockton1 ,california implemented a universal basic income pilot program4 ,participants reported improved physical1 mental1 and emotional health as a result of increased financial assistance1 according to the final program evaluation published in the ,journal of ,urban ,health4 #c4 ,guaranteed monthly income demonstration project 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary7 shall conduct a #e-year demonstration project 7in this section referred to as the ,project7 under which a participating eligible entity shall provide a guaranteed monthly income to individuals enrolled for medical assistance under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 and measure the impact of such guaranteed monthly income on the health of such participants4 7b7 ,application ,an eligible entity seeking to participate in the ,project under this section shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including information with respect to the manner in which such entity will distribute the guaranteed monthly income4 7c7 ,project design 7#a7 ,in general ,the ,secretary shall award not less than #aj grants to eligible entities on a competitive basis to provide participants in the ,project with a guaranteed monthly income4 7#b7 ,option to target subpopulation ,an eligible entity participating in the ,project may choose to focus on a particular subpopulation of individuals enrolled for medical assistance under title ,,xix of the ,social ,security ,act4 7#c7 ,guaranteed monthly income 7,a7 ,participant requirements ,to participate in the ,project1 a participant shall be enrolled for medical assistance under title ,,xix at the time such participant is selected for participation4 7,b7 ,distribution of monthly income 7i7 ,in general ,each participant shall receive a monthly payment1 in an amount of not less than #ejj1 as determined by the eligible entity through which such participant is enrolled for participation in the ,project4 7ii7 ,method of distribution ,monthly payments made under the ,project shall be made by direct deposit or paper check4 7iii7 ,no tax liability ,any payments made to a participant under clause 7i7 shall not be considered income for purposes of the ,internal ,revenue ,code of #aihf4 7iv7 ,no conditions on use of payments ,an eligible entity may not put any conditions on how participants spend the monthly payments made under the ,project1 and the manner in which a participant spends such payments shall not impact the eligibility of such participant to participate in the ,project4 7#d7 ,limitation on use of funds ,not more than #bj percent of the total funds awarded to an eligible entity under this section may used for administrative costs incurred by such eligible entity in implementing the ,project1 or for outreach and education efforts made by such entity with respect to such ,project4 7d7 ,eligible entity ,for purposes of this subsection1 an eligible entity means one of the following entities3 7#a7 ,any of the following units of local government3 7,a7 ,a county4 7,b7 ,a borough4 7,c7 ,a municipality4 7,d7 ,a city4 7,e7 ,a town4 7,f7 ,a township4 7,g7 ,a parish4 7,h7 ,a local public authority1 including any public housing agency 7as defined in section #c7;b7 of the ,united ,states ,housing ,act of #aicg 7#db ,u4,s4,c4 #adcg7;b774 7,i7 ,a special district4 7,j7 ,a school district4 7,k7 ,an intrastate district4 7,l7 ,a council of governments1 without regard to whether such council is incorporated as a nonprofit corporation under ,state law4 7,m7 ,any other agency or instrumentality of a multi-,state1 regional1 or intra-,state or local government4 7#b7 ,an ,indian ,tribe or ,tribal organization 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act74 7#c7 ,a nonprofit organization4 7e7 ,surveys 7#a7 ,baseline survey ,prior to the first distribution of guaranteed monthly income payment under the ,project1 each eligible entity shall conduct a baseline survey of the participants receiving such income from such entity that includes-- 7,a7 the demographic data of each participant1 including the age1 race1 ethnicity1 employment status1 marital status1 income 7including individual income and total household income7 and number of dependents with respect to such participant2 and 7,b7 the financial circumstances of each participant and the impact of those circumstances on such participant's mental health and physical health4 7#b7 ,ongoing survey ,not less than #c times during each calendar year in which an entity is participating in the project under this subsection1 each such entity shall survey each participant receiving monthly payments from such entity to determine-- 7,a7 how the monthly payments are spent1 including groceries1 rent1 utility bills1 or other expenses2 and 7,b7 the impact1 if any1 on-- 7i7 the employment status of each participant2 7ii7 the mental health and physical health of each participant2 7iii7 the mental health and physical health of the members of each participant's household2 and 7iv7 the status of each participant's financial circumstances1 including any impact to such participant's credit score1 ability to grow savings1 or ability to make financial investments4 7#c7 ,guidance ,prior to the first distribution of guaranteed monthly income payment under the ,project1 the ,secretary shall issue guidance to each eligible entity participating in the ,project on conducting the surveys required under this subsection4 ,such guidance shall include recommendations for how to determine the financial circumstances1 mental health1 and physical health of a participant for purposes of such surveys4 7f7 ,reports 7#a7 ,reports to ,secretary ,not later than #a year after the date on which the first guaranteed monthly income funds are distributed in accordance with subsection 7c77#c77;,b71 and annually thereafter1 each eligible entity shall submit to the ,secretary a report on the ,project1 including the information collected from the surveys described in subsection 7e74 7#b7 ,reports to ,congress ,not later than #b years after the first report is submitted under paragraph 7#a71 and every #b years thereafter1 the ,secretary shall submit to ,congress a report on the ,project1 including a year-over-year analysis of the survey data submitted to the ,secretary under paragraph 7#a71 and any recommendations with respect to potential legislative action4