,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #icde  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #ah1 #bjbf,mr4  
,cl\d introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
e/abli% a res\rces te/ = eligibility "u 
! ,m$icaid program = ! expansion        
population4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,m$icaid ,equal ,/&>ds  
,act4  #b4 ,e/abli%+ a res\rces te/ =   
eligibility "u ! ,m$icaid program = !   
expansion population  7a7 ,9 g5]al      
,section #aijb7;e77#ad7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;a7e77#ad77 is am5d$--  7#a7 9     
subp>agraph 7,c71 by /rik+ ,a ,/ate &   
ins]t+ ,subject to subp>agraph 7,m71 a  
,/ate2 &  7#b7 by add+ at ! end ! foll[+
 new subp>agraph3  7,m7 ,res\rces te/ = 
expansion individuals  7i7 ,9 g5]al     
,not)/&+ any o!r provision ( ?is title1 
a ,/ate %all provide1 z a condition (   
eligibility = m$ical assi/ance = an     

applicable individual 7z def9$ 9 clause 
7v771 t su* individual satisfy a        
res\rces te/ e/abli%$ by ! ,/ate t meets
 ! requirem5ts ( clause 7ii74  7ii7     
,res\rces te/ requirem5ts  7,i7 ,9 g5]al
 ,= purposes ( clause 7i71 subject to   
subclause 7,,iii71 a res\rces te/       
e/abli%$ by a ,/ate meets ! requirem5ts 
( ?is clause if--  7aa7 ! te/ precludes 
eligibility = m$ical assi/ance = any    
applicable individual ^: res\rces 7z    
det]m9$ "u section #afac = purposes ( ! 
supplem5tal security income program7    
exce$ ! am\nt specifi$ 9 subclause      
7,,ii7 7or1 9 ! case su* individual is  
m>ri$1 d\ble su* am\nt72 &  7bb7 ! ,/ate
 provides = application ( su* te/ at su*
 times z are specifi$ 9 clause 7iii74   
7,,ii7 ,am\nt specifi$  7aa7 ,9 g5]al ,=
 purposes ( subclause 7,i77aa71 ! am\nt 
specifi$ 9 ?is subclause is-- 7,,aa7 =  
#bjbi1 #aj1jjj2 7,,bb7 = ea* subsequ5t  
ye> 7o!r ?an an applicable ye>71 ! am\nt
 specifi$ 9 ?is subclause = ! previ\s   
ye>2 & 7,,cc7 = an applicable ye>1 !    

am\nt specifi$ 9 ?is subclause = !      
previ\s ye>1 increas$ by ! p]c5tage     
*ange 9 ! ,consum] ,price ,index = ,all 
,urban ,consum]s ov] ! #d-ye> p]iod end+
 on ,septemb] #cj ( su* previ\s ye>4    
7bb7 ,applicable ye> def9$ ,= purposes (
 item 7aa71 ! t]m applicable ye> means  
#bjcc & e f\r? ye> !reaft]4  7,,iii7    
,/ate flexibility ,a ,/ate may elect1 9 
a =m & mann] specifi$ by ! ,secret>y--  
7aa7 to apply1 9 lieu ( ! doll> am\nt   
describ$ 9 subclause 7,i77aa7 applicable
 to an applicable individual = a ye>1   
su* l[] am\nt specifi$ by ! ,/ate2 or   
7bb7 to take into acc\nt res\rces       
specifi$ by ! ,/ate t w\ld o!rwise be   
exclud$ "u section #afac 9 det]m9+ !    
res\rces ( an individual4  7,,iv7       
,process to ex]cise ,/ate flexibility ,a
 ,/ate's election "u subclause 7,,iii7  
may n be d5i$ by ! ,secret>y & %all take
 effect at su* "t & = su* p]iod ( "t z !
 ,/ate specifies 9 su* election4  7iii7 
,application ( te/ ,a ,/ate %all provide
 t a res\rces te/ describ$ 9 clause 7i7 

is appli$--  7,i7 9 ! case ( an         
applicable individual :o has fil$ an    
application = m$ical assi/ance "u a     
,/ate plan 7or a waiv] ( su* plan7 "u   
?is title1 at ! "t ( ! initial          
det]m9ation ( su* individual's          
eligibility2 &  7,,ii7 9 ! case ( an    
applicable individual enroll$ & receiv+ 
m$ical assi/ance "u a ,/ate plan 7or "u 
a waiv] ( su* plan7 "u ?is title1 at !  
"t ( ea* r$et]m9ation ( eligibility =   
su* individual4  7iv7 ,treatm5t )       
respect to c]ta9 ,,fmap increases ,a    
,/ate %all n be treat$ z n provid+      
m$ical assi/ance to all individuals     
describ$ 9 section                      
#aijb7;a77#aj77;,a77i77,,viii71 or z n  
exp5d+ am\nts = all su* individuals "u !
 ,/ate plan 7or waiv] ( su* plan71      
solely because su* an individual is     
det]m9$ ineligible = m$ical assi/ance "u
 ! ,/ate plan 7or waiv]7 on ! basis ( a 
failure to satisfy a res\rces te/       
describ$ 9 clause 7i74  7v7 ,applicable 
individual def9$  7,i7 ,9 g5]al ,=      

purposes ( ?is subp>agraph1 subject to  
subclause 7,,ii71 ! t]m applicable      
individual has ! mean+ giv5 su* t]m 9   
subsection 7xx77#i77;,a7 & does n       
include any specifi$ exclud$ individual4
  7,,ii7 ,/ate option to exp& def9ition 
( applicable individual ,a ,/ate may1 = 
purposes ( ?is subp>agraph1 elect to    
include z applicable individuals any    
category ( specifi$ exclud$ individuals1
 or all su* specifi$ exclud$            
individuals1 z det]m9$ appropriate by ! 
,/ate4  7,,iii7 ,specifi$ exclud$       
individual def9$ ,= purposes ( ?is      
clause1 ! t]m specifi$ exclud$          
individual has ! mean+ giv5 su* t]m 9   
subsection 7xx77#i77;,a77ii74  4  7b7   
,/ate plan requirem5t ,section #aijb7;a7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;a7a77 is am5d$-- 7#a7 9 
p>agraph 7#hi71 by /rik+ & at ! end2    
7#b7 9 p>agraph 7#ij71 by /rik+ ! p]iod 
& ins]t+ 2 &2 &  7#c7 by ins]t+ aft]    
p>agraph 7#ij7 ! foll[+ new p>agraph3   
7#ia7 provide t ! ,/ate meets !         

requirem5t describ$ 9 subsection        
7e77#ad77,m74  4  7c7 ,effective date ,!
 am5dm5ts made by ?is section %all apply
 beg9n+ ,janu>y #a1 #bjbi4