,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dig  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #af1 #bjbe,mr4
 ,cr5%aw introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
provide cl>ification ) respect to !     
liability ( ?ird p>ty pay]s = m$ical    
assi/ance paid "u ! ,m$icaid program1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,m$icaid ,?ird     
,p>ty ,liability ,act4  #b4 ,m$icaid    
?ird p>ty liability  7a7 ,removal (     
special treatm5t ( c]ta9 types ( c>e &  
paym5ts "u m$icaid ?ird p>ty liability  
rules ,section #aijb7;a77#be7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#be77 is am5d$ by /rik+      
subp>agraphs 7,e7 & 7,f7 & r$esignat+ ! 
subsequ5t subp>agraphs accord+ly4  7b7  
,cl>ification ( role ( heal? insur]s )  
respect to ?ird p>ty liability ,section 
#aijb7;a77#be7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7a77#be771 z 

am5d$ by subsection 7a71 is fur!r       
am5d$-- 7#a7 9 subp>agraph 7,f7 7z s    
r$esignat$71 by /rik+ at ! end &2  7#b7 
9 subp>agraph 7,g7 7z s r$esignat$71 by 
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,h7 t1 9 ! case ( a ,/ate
 aft] ,janu>y #a1 #bjbf1 t provides     
m$ical assi/ance "u ?is title ?r\gh a   
contract ) a heal? insur] 7includ+ a    
gr\p heal? plan 7z def9$ 9 section      
#fjg7a7 ( ! ,employee ,retirem5t ,income
 ,security ,act ( #aigd71 a self-insur$ 
plan1 a fully insur$ plan1 a s]vice     
b5efit plan1 a manag$ c>e organization1 
a ph>macy b5efit manag]1 or any o!r     
heal? plan det]m9$ appropriate by !     
,secret>y7-- 7i7 su* contract %all      
specify-- 7,i7 :e!r ! ,/ate is delegat+ 
to su* insur] all or "s ( its "r (      
recov]y f a responsible ?ird p>ty = an  
item or s]vice = :i* paym5t has be5 made
 "u ! ,/ate plan 7or "u a waiv] ( !     
plan72 &  7,,ii7 :e!r ! ,/ate is        
transf]r+ to su* insur] all or "s ( !   

assignm5t to ! ,/ate ( any "r ( an      
individual or o!r entity to paym5t f a  
responsible ?ird p>ty = an item or      
s]vice = :i* paym5t has be5 made "u !   
,/ate plan 7or "u a waiv] ( ! plan72 &  
7ii7 9 ! case ( a ,/ate t elects an     
option describ$ 9 subclause 7,i7 or 7,i7
 ( clause 7i7 ) respect to a heal?      
insur] 7includ+ a gr\p heal? plan 7z    
def9$ 9 section #fjg7a7 ( ! ,employee   
,retirem5t ,income ,security ,act (     
#aigd71 self-insur$ plan1 a fully insur$
 plan1 a s]vice b5efit plan1 a manag$   
c>e organization1 a ph>macy b5efit      
manag]1 & any o!r heal? plan det]m9$    
appropriate by ! ,secret>y71 ! ,/ate    
%all provide assurances to ! ,secret>y t
 ! ,/ate laws ref]r$ to 9 subp>agraph   
7,g7 conf] to ! heal? insur] ! au?ority 
( ! ,/ate ) respect to ! requirem5ts    
specifi$ 9 clauses 7i7 ?r\gh 7iv7 ( su* 
subp>agraph4  4  7c7 ,increas+ /ate     
flexibility ) respect to ?ird p>ty      
liability ,section                      
#aijb7;a77#be77;,g77ii7 ( ! ,social     

,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#be77;,g77ii771 z s          
r$esignat$ by subsection 7a71 is am5d$  
to read z foll[s3  7ii7 accept-- 7,i7 ! 
,/ate's "r ( recov]y & ! assignm5t to ! 
,/ate ( any "r ( an individual or o!r   
entity to paym5t f ! p>ty = an item or  
s]vice = :i* paym5t has be5 made "u !   
respective ,/ate's plan 7or "u a waiv] (
 ! plan72 &  7,,ii7 aft] ,janu>y #a1    
#bjbf1 z a valid au?orization ( !       
responsible ?ird p>ty = ! furni%+ ( an  
item or s]vice to an individual eligible
 to receive m$ical assi/ance "u ?is     
title1 an au?orization made on behalf ( 
su* individual "u ! ,/ate plan 7or "u a 
waiv] ( su* plan7 = ! furni%+ ( su* item
 or s]vice to su* individual2  4  7d7   
,v]ification ( insurance /atus requir$  
7#a7 ,9 g5]al ,section                  
#aijb7;a77#be77;,a77i7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#be77;,a77i77 is am5d$ by    
ins]t+ 1 includ+ ! collection (1 )      
respect to an individual seek+ to       

receive m$ical assi/ance "u ?is title1  
in=mation on :e!r ! individual has heal?
 insurance cov]age provid$ ?r\gh a ?ird 
p>ty 7z describ$ 9 su* p>agraph7 & !    
plan ( su* insur] 9 :i* ! individual is 
enroll$1 aft] 9 regulations74  7#b7     
,,ffp unavailable )\t insurance /atus   
v]ification ,section #aijc7;i7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is am5d$-- 7,a7 9 p>agraph  
7#bf71 by /rik+ 2 or & ins]t+ 22  7,b7 9
 p>agraph 7#bg71 by /rik+ ( ! ,/ate4 &  
ins]t+ ( ! ,/ate2 or2 &  7,c7 by ins]t+ 
aft] p>agraph 7#bg7 ! foll[+3  7#bh7 )  
respect to any am\nts aft] ,janu>y #a1  
#bjbf1 exp5d$ = m$ical assi/ance =      
individuals = :om ! ,/ate has n obta9$ &
 v]ifi$1 9 accordance ) section         
#aijb7;a77#be77;,a77i71 in=mation on    
:e!r su* an individual has cov]age      
provid$ ?r\gh a ?ird p>ty 7z describ$ 9 
su* p>agraph7 & ! plan ( su* cov]age 9  
:i* ! individual is enroll$4  4  #c4    
,effective date ,9 ! case ( a ,/ate plan
 = m$ical assi/ance "u title ,,xix ( !  

,social ,security ,act t ! ,secret>y (  
,heal? & ,human ,s]vices det]m9es       
requires ,/ate legislation 7o!r ?an     
legislation appropriat+ funds7 9 ord] = 
! plan to meet ! additional requirem5t  
impos$ by ! am5dm5ts made "u ?is        
section1 ! ,/ate plan %all n be reg>d$ z
 fail+ to comply ) ! requirem5ts ( su*  
title solely on ! basis ( its failure to
 meet ?is additional requirem5t be=e !  
fir/ day ( ! fir/ cal5d> qu>t] beg9n+   
aft] ! close ( ! fir/ regul> session ( !
 ,/ate legislature t beg9s aft] ! date (
 enactm5t ( ?is ,act4 ,= purposes ( !   
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4