,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fbed  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ba1         
#bjbe,mr4 ,c>t] ( ,georgia 7= himself1  
,mr4 ,davis ( ,nor? ,c>ol9a1 ,mr4 ,dunn 
( ,florida1 ,mr4 ,bacon1 & ,mr4         
,valadao7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to all[
 ,/ates m flexibility ) respect to us+  
contractors to make eligibility         
det]m9ations & r$et]m9ations & conduct  
fair he>+s on behalf ( ! ,/ate ,m$icaid 
plan1 & = o!r purposes4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,m$icaid     
,/aff+ ,flexibility & ,protection ,act (
 #bjbe4  #b4 ,/ate flexibility to use   
contractors to make eligibility         
det]m9ations1 r$et]m9ations1 & fair     
he>+s on behalf ( a /ate  7a7           
,requirem5ts ,) ,respect to ,eligibility
 ,det]m9ations ,section #aijb7;a77#e7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;a7a77#e77 is am5d$ by ins]t+ be=e 

! semicolon at ! end ! foll[+3 1 b su*  
det]m9ations ( eligibility may be made1 
at ! option ( a ,/ate1 "u a contract )  
ano!r ,/ate or local ag5cy or a         
contractor1 s long z ! contract does n  
provide inc5tives = ! ag5cy or          
contractor to delay eligibility         
det]m9ations or to d5y eligibility =    
individuals o!rwise eligible = m$ical   
assi/ance4  7b7 ,requirem5ts ,) respect 
to fair he>+s ,section #aijb7;a77#c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;a7a77#c77 is am5d$ by ins]t+ be=e 
! semicolon at ! end ! foll[+3 1 except 
t su* fair he>+ may be conduct$1 at !   
option ( a ,/ate1 "u a contract ) ano!r 
,/ate or local ag5cy or a contractor1 s 
long z su* ag5cy or contractor does n   
provide inc5tives to delay a fair he>+  
or to d5y eligibility = an individual   
o!rwise eligible = m$ical assi/ance4    
#c4 ,prohibit+ conflicts ( int]e/ ,a    
,/ate %all n use ! flexibility provid$  
"u section #b unless a contractor       
select$ to conduct eligibility          

det]m9ations or r$et]m9ations pursuant  
to ! am5dm5ts made by su* section has no
 direct or indirect f9ancial relation%ip
 ) any ,m$icaid manag$ c>e organization 
7z def9$ 9 section #aijc7m77#a77;,a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;b7m77#a77;,a7771 includ+ ! network
 provid]s affiliat$ ) su* organization1 
t provides s]vices to individuals       
entitl$ to m$ical assi/ance "u title    
,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et
 seq47 pursuant to a contract ) su*     
,/ate4