,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ccba  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #i1 #bjbe,mr4    
,roy 7= himself1 ,mr4 ,fitzg]ald1 ,mr4  
,gill ( ,texas1 ,mr4 ,ogles1 ,mrs4      
,sp>tz1 ,mr4 ,donalds1 ,mr4 ,cl\d1 ,mr4 
,h>ris ( ,m>yl&1 ,ms4 ,boeb]t1 ,mr4     
,self1 ,mr4 ,higg9s ( ,l\isiana1 ,mr4   
,bre*e51 ,mr4 ,p]ry1 ,mr4 ,gos>1 ,mr4   
,tiffany1 & ,mr4 ,biggs ( ,arizona7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to phase out ! enhanc$  
,f$]al mat* applicable to m$ical        
assi/ance provid$ to l[-income adults4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,end+ ,m$icaid ,discrim9ation ,aga9/ !
 ,mo/ ,vuln]able ,act4  #b4 ,phase-out (
 enhanc$ ,f$]al mat* = m$ical assi/ance 
provid$ to l[-income individuals "u     
,m$icaid  7a7 ,9 g5]al ,section #aije7y7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7y77 is am5d$--  7#a7 9
 p>agraph 7#a7-- 7,a7 9 subp>agraph     

7,a71 by ins]t+ & subject to p>agraph   
7#d7 aft] ,not)/&+ subsection 7b72  7,b7
 9 subp>agraph 7,d71 by /rik+ 2 & &     
ins]t+ a semicolon2  7,c7 9 subp>agraph 
7,e71 by /rik+ & ea* ye> !reaft]4 &     
ins]t+ ?r\gh #bjbf22 &  7,d7 by add+ at 
! end ! foll[+ new subp>agraphs3  7,f7 =
 cal5d> qu>t]s 9 ea* ( cal5d> ye>s #bjbg
 ?r\gh #bjcd1 ! p]c5tage t appli$ "u ?is
 subsection = cal5d> qu>t]s 9 ! prec$+  
cal5d> ye> m9us ! applicable numb] (    
p]c5tage po9ts det]m9$ = ! ,/ate "u     
p>agraph 7#c7 or1 if high]1 ! ,f$]al    
m$ical assi/ance p]c5tage o!rwise       
det]m9$ = ! ,/ate & ye> "u subsection   
7b7 7)\t reg>d to ?is subsection72 &    
7,g7 = cal5d> qu>t]s 9 #bjce & ea* ye>  
!reaft]1 ! ,f$]al m$ical assi/ance      
p]c5tage o!rwise det]m9$ = ! ,/ate & ye>
 "u subsection 7b7 7)\t reg>d to ?is    
subsection74  2 &  7#b7 by add+ at ! end
 ! foll[+ new p>agraphs3  7#c7          
,applicable numb] ( p]c5tage po9ts ,=   
purposes ( p>agraph 7#a77;,f71 !        
applicable numb] ( p]c5tage po9ts = a   

,/ate is ! numb] ( p]c5tage po9ts equal 
to-- 7,a7 ! p]c5tage po9ts diff]5ce     
betwe5--  7i7 #ij p]c5t2 &  7ii7 !      
,f$]al m$ical assi/ance p]c5tage det]m9$
 = ! ,/ate "u subsection 7b7 7)\t reg>d 
to ?is subsection7 = fiscal ye> #bjbf2  
divid$ by  7,b7 #h4  7#d7 ,rules (      
application = cal5d> ye>s aft] #bjbd    
7,a7 ,9 g5]al ,not)/&+ any o!r provision
 ( law1 = cal5d> ye>s aft] #bjbd--  7i7 
p>agraph 7#a7 %all n apply to a         
non-expansion ,/ate 7z def9$ 9          
subp>agraph 7,b772  7ii7 if a           
non-expansion ,/ate elects on or aft] ! 
date ( enactm5t ( ?is p>agraph to exp5d 
am\nts = all or any individuals describ$
 9 section                              
#aijb7;a77#aj77;,a77i77,,viii71 ! ,f$]al
 m$ical assi/ance p]c5tage o!rwise      
det]m9$ = ! ,/ate & ye> "u subsection   
7b7 7)\t reg>d to ?is subsection7 %all  
apply to am\nts exp5d$ by su* ,/ate =   
m$ical assi/ance = su* individuals2 &   
7iii7 an expansion ,/ate 7z def9$ 9 su* 
subp>agraph7 may1 at ! option ( ! ,/ate1

 elect to only exp5d am\nts = m$ical    
assi/ance = newly eligible individuals  
describ$ 9 section                      
#aijb7;a77#aj77;,a77i77,,viii7 ^: income
 does n exce$ #ajj p]c5t ( ! ,f$]al     
pov]ty l9e 7z def9$ = purposes ( su*    
section7 & cont9ue to receive ! ,f$]al  
m$ical assi/ance p]c5tage specifi$ "u   
p>agraph 7#a7 = su* am\nts4  7,b7       
,def9itions ,9 ?is p>agraph3  7i7       
,expansion ,/ate ,! t]m expansion ,/ate 
means a ,/ate t is n a non-expansion    
,/ate4  7ii7 ,non-expansion ,/ate ,! t]m
 non-expansion ,/ate means a ,/ate t has
 n exp5d$ am\nts = all individuals      
describ$ 9 section                      
#aijb7;a77#aj77;,a77i77,,viii7 be=e !   
date ( ! enactm5t ( ?is p>agraph4  4    
7b7  ,elim9at+ tempor>y ,,fmap increase 
= ,/ates t beg9 ,to provide m$ical      
assi/ance = l[-,income adults  ,section 
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$ by /rik+    
subsection 7ii74