,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajfcc  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #bh1        
#bjbf,mr4 ,pflug] 7= himself1 ,mr4      
,joyce ( ,p5nsylvania1 & ,mr4 ,bald]son7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,en]gy & ,comm]ce  ,a
 ,,bill  ,to am5d title ,,xix ( !       
,social ,security ,act to require ea*   
,/ate to designate a s+le ag5t          
responsible = c]ta9 fiscal duties "u !  
,m$icaid program4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,m$icaid ,integrity
 & ,fiscal ,acc\ntability ,act4  #b4    
,requir+ s+le fiscal ag5ts "u ,m$icaid  
,section #aijb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 
7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 
7#hi71 by /rik+ & at ! end2  7,b7 9     
p>agraph 7#ij71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7,c7 by ins]t+ aft]
 p>agraph 7#ij7 ! foll[+ new p>agraph3  
7#ia7 provide t1 beg9n+ ,janu>y #a1     
#bjbh1 ! ,/ate %all designate an        
individual z ! individual prim>ily      

responsible = ensur+1 ?r\gh ! e/abli%m5t
 ( appropriate policies1 proc$ures1     
monitor+ sy/ems1 & corrective actions1 !
 foll[+ ) respect to ! ,/ate plan 7or   
waiv] ( su* plan73 7,a7 ,! process+ &   
adjudication ( claims 9 an accurate &   
timely mann]4  7,b7 ,paym5t integrity1  
includ+ by-- 7i7 id5tify+ & prev5t+     
fraud1 wa/e1 abuse1 & improp] paym5ts2  
7ii7 ov]see+ program integrity          
activities2 &  7iii7 9 ! case t         
defici5cies are id5tifi$1 implem5t+     
corrective actions4  7,c7 ,appropriate  
f9ancial report+1 includ+ by ensur+ !   
accuracy1 complet5ess1 & timel9ess (--  
7i7 report+ ( ,/ate exp5ditures "u su*  
plan or waiv]2  7ii7 report+ ( su*      
exp5ditures t are eligible = ,f$]al     
f9ancial p>ticipation2 &  7iii7 any o!r 
f9ancial in=mation submitt$ to !        
,secret>y4  7,d7 ,! e/abli%m5t &        
ma9t5ance ( controls to ensure t        
exp5ditures "u su* plan or waiv] comply 
) all applicable ,f$]al requirem5ts4  4