,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dchd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #ad1 #bjbe,mr4  
,/eube introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to require        
imm$iate *anges to ,m$icaid relat+ to   
ali5 eligibility & paym5ts to ,m$icaid  
expansion ,/ates t furni% heal? c>e to  
c]ta9 ali5s4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,exclud+ ,illegal ,ali5s
 f ,m$icaid ,act4  #b4 ,*ange (         
effective date = ali5 ,m$icaid          
eligibility  7a7 ,9 g5]al ,section      
#aijc7v77#e7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif;b7v77#e771 z add$  
by section #gaaji7;a7 ( an ,act to      
provide = reconciliation pursuant to    
title ,,ii ( ,h4 ,con4 ,res4 #ad        
7,public ,law #aai-ba71 is am5d$ by     
/rik+ ,octob] #a1 #bjbf & ins]t+ ,july  
#d1 #bjbe4  7b7 ,effective date ,!      
am5dm5t made by subsection 7a7 %all take
 effect z if includ$ 9 ! enactm5t (     
section #gaaji ( an ,act to provide =   

reconciliation pursuant to title ,,ii ( 
,h4 ,con4 ,res4 #ad 7,public ,law       
#aai-ba74  #c4 ,expansion ,,fmap = c]ta9
 ,/ates provid+ paym5ts = heal? c>e     
furni%$ to c]ta9 individuals ,section   
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9    
subsection 7y7--  7,a7 9 p>agraph       
7#a77;,e71 by ins]t+ 7or1 = cal5d>      
qu>t]s beg9n+ on or aft] ,july #d1      
#bjbe1 9 ! case su* ,/ate is a specifi$ 
,/ate ) respect to su* cal5d> qu>t]1 !  
,f$]al m$ical assi/ance p]c5tage det]m9$
 "u subsection 7b7 = su* ,/ate7 aft]    
!reaft]2 &  7,b7 9 p>agraph 7#b71 by    
add+ at ! end ! foll[+ new subp>agraph3 
7,c7 ,specifi$ ,/ate ,! t]m specifi$    
,/ate means1 ) respect to a qu>t]1 a    
,/ate t-- 7i7 provides any =m ( f9ancial
 assi/ance f a ,/ate g5]al fund dur+ su*
 qu>t]1 9 :ole or 9 "p1 :e!r or n made  
"u a ,/ate plan 7or waiv] ( su* plan7 "u
 ?is title or "u ano!r program e/abli%$ 
by ! ,/ate1 to or on behalf ( an ali5 :o
 is n a qualifi$ ali5 & is n a *ild or  

pregnant woman :o is lawfully resid+ 9 !
 ,unit$ ,/ates & eligible = m$ical      
assi/ance pursuant to section           
#aijc7v77#d7 or = *ild heal? assi/ance  
or pregnancy-relat$ assi/ance pursuant  
to section #bajg7;e77#a77,q71 = !       
pur*as+ ( heal? insurance cov]age 7z    
def9$ 9 section #bgia7;b77#a7 ( !       
,public ,heal? ,s]vice ,act7 = an ali5  
:o is n a qualifi$ ali5 & is n su* a    
*ild or pregnant woman2 or  7ii7        
provides any =m ( compreh5sive heal?    
b5efits cov]age1 except su* cov]age     
requir$ by ,f$]al law1 dur+ su* qu>t]1  
:e!r or n "u a ,/ate plan 7or waiv] (   
su* plan7 "u ?is title or "u ano!r      
program e/abli%$ by ! ,/ate1 & reg>dless
 ( ! s\rce ( fund+ = su* cov]age1 to an 
ali5 :o is n a qualifi$ ali5 & is n su* 
a *ild or pregnant woman4  7,d7         
,immigration t]ms  7i7 ,ali5 ,! t]m ali5
 has ! mean+ giv5 su* t]m 9 section     
#aja7;a7 ( ! ,immigration & ,nationality
 ,act4  7ii7 ,qualifi$ ali5 ,! t]m      
qualifi$ ali5 has ! mean+ giv5 su* t]m 9

 section #dca ( ! ,p]sonal              
,responsibility & ,"w ,opportunity      
,reconciliation ,act ( #aiif1 except t !
 ref]5ces to 79 ! op9ion ( ! ag5cy      
provid+ su* b5efits7 9 subsection 7c7 ( 
su* section #dca %all be treat$ z       
ref]5ces to 79 ! op9ion ( ! ,/ate 9 :i* 
su* compreh5sive heal? b5efits cov]age  
or su* f9ancial assi/ance is provid$1 z 
applicable74  2 &  7#b7 9 subsection    
7z77#b7--  7,a7 9 subp>agraph 7,a71 by  
/rik+ = su* ye> & ins]t+ = su* qu>t]2 & 
7,b7 9 subp>agraph 7,b77i7--  7i7 9 !   
matt] prec$+ subclause 7,i71 by /rik+ = 
a ye> & ins]t+ = a cal5d> qu>t] 9 a ye>2
 &  7ii7 9 subclause 7,,ii71 by /rik+ = 
! ye> & ins]t+ = ! qu>t] = ! ,/ate4