,,ii  #aahth ,,congress  #ast ,session  
,s4 #caif  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #a1  
#bjbc,mr4 ,rubio 7for himself and ,mr4  
,tillis7 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 provide a ,state      
option to extend ,medicaid coverage for 
foster care children while receiving    
treatment from a qualified residential  
treatment program4  #a4 ,short title    
,this ,act may be cited as the ,ensuring
 ,medicaid ,continuity for ,children in 
,foster ,care ,act of #bjbc4  #b4 ,state
 option to extend ,medicaid coverage for
 foster care children while receiving   
treatment from a qualified residential  
treatment program ,section #aijb7;e7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7e77 is amended by     
adding at the end the following3  7#ag7 
,extending coverage for foster care     
children while receiving treatment from 

a qualified residential treatment       
program  7,a7 ,state option ,at the     
option of the ,state1 the ,state plan   
7or a waiver of such ,state plan7 may   
provide that a child in foster care     
under the responsibility of a ,state who
 is eligible for medical assistance     
under such plan 7or waiver7 7including  
during a period of retroactive          
eligibility under subsection 7a77#cd771 
shall remain eligible under such plan   
7or waiver7 for medical assistance      
during any period in which the child--  
7i7 receives treatment provided by any  
qualified residential treatment program 
7as defined in section #dgb7k77#d77 in  
which the child has been placed in      
accordance with the requirements of     
sections #dgb7k77#c7 and #dge;,a7c72 and
  7ii7 continues to be in foster care   
under the responsibility of a ,state4   
7,b7 ,federal financial participation ,a
 ,state that has elected the option     
under subparagraph 7,a7 shall receive   
payment under section #aijc7;a7 for     

amounts expended to provide medical     
assistance to a child described in such 
subparagraph1 including amounts expended
 for medical assistance for items or    
services that are provided to any such  
child outside of the facility 7or       
distinct part thereof7 in which a       
qualified residential treatment program 
7as so defined7 is located4  4