,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ddgi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #cj1 #bjbf,mr4  
,m>%all introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to provide assi/$  
liv+ assi/ance ?r\gh ,m$icaid & !       
l[-income h\s+ tax cr$it4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,assi/$ 
,liv+ ,af=dability1 ,*oice1 ,community1 
,emp[]m5t1 ,sav+s1 & ,support ,act or ! 
,,access ,act4  #b4 ,cov]age ( s]vices 9
 an assi/$ liv+ resid5ce "u ,m$icaid    
7a7 ,def9ition ( m$ical assi/ance       
,section #aije7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7a77 is     
am5d$-- 7#a7 9 p>agraph 7#ca71 by /rik+ 
& aft] ! semicolon2  7#b7 by r$esignat+ 
p>agraph 7#cb7 z p>agraph 7#cc72 &  7#c7
 by ins]t+ aft] p>agraph 7#ca71 ! foll[+
 new p>agraph3  7#cb7 s]vices provid$ 9 
an assi/$ liv+ resid5ce consi/5t ) ,/ate
 law p]mitt+ su* s]vices1 includ+ to    
individuals :o w\ld require ! level (   
c>e provid$ 9 a hospital or nurs+       

facility1 ! co/ ( :i* c\ld be reimburs$ 
"u ! ,/ate plan 7or a waiv] ( su* plan71
 & :o meet ! ,/ate's income & res\rces  
requirem5ts adopt$ "u section           
#aijb7;a77#aj77;,a77i77,v7 & = :om !    
e/imat$ annual av]age p] capita total   
,m$icaid co/ = all s]vices = individuals
 receiv+ s]vices 9 an assi/$ liv+       
resid5ce w\ld be no great] ?an ! e/imat$
 annual av]age p] capita total ,m$icaid 
co/ = all s]vices t w\ld h be5 incurr$  
_h ^? individuals receiv$ s]vices 9 a   
hospital or nurs+ facility2 &  4  7b7   
,m&atory b5efit ,section                
#aijb7;a77#aj77;,a7 ( su* ,act 7#db     
,u4,s4,c4 #acif;a7a77#aj77;,a77 is am5d$
 9 ! matt] prec$+ clause 7i71 by /rik+ &
 7#cj7 & ins]t+ 7#cj71 & 7#cb74  7c7    
,effective date  7#a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! am5dm5ts    
made by ?is section %all take effect on 
,janu>y #a1 #bjbg4  7#b7 ,delay p]mitt$ 
if /ate legislation requir$ ,9 ! case ( 
a ,/ate plan approv$ "u title ,,xix ( ! 
,social ,security ,act 7#db ,u4,s4,c4   

#acif et seq47 :i* ! ,secret>y ( ,heal? 
& ,human ,s]vices det]m9es requires     
,/ate legislation 7o!r ?an legislation  
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5ts impos$ by 
! am5dm5ts made by ?is section1 ! ,/ate 
plan %all n be reg>d$ z fail+ to comply 
) ! requirem5ts ( su* title ,,xix solely
 on ! basis ( ! failure ( ! plan to meet
 su* additional requirem5ts be=e ! fir/ 
day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! 
close ( ! fir/ regul> session ( ! ,/ate 
legislature t ends aft] ! #a-ye> p]iod  
beg9n+ ) ! date ( ! enactm5t ( ?is      
section4 ,= purposes ( ! prec$+ s5t5ce1 
9 ! case ( a ,/ate t has a #b-ye>       
legislative session1 ea* ye> ( ! session
 is deem$ to be a sep>ate regul> session
 ( ! ,/ate legislature4  #c4 ,selection 
crit]ia = qualifi$ allocation plan "u ! 
l[-income h\s+ tax cr$it  7a7 ,9 g5]al  
,subp>agraph 7,c7 ( section #db7m77#a7 (
 ! ,int]nal ,rev5ue ,code ( #aihf is    
am5d$ by /rik+ & at ! end ( clause 7ix71
 by /rik+ ! p]iod at ! end ( clause 7x7 

& ins]t+ 1 &1 & by add+ at ! end !      
foll[+ new clause3  7xi7 projects :i*   
r$uce ! m$ical assi/ance co/s ( long-t]m
 s]vices & supports = ! eld]ly by       
provid+ su* s]vices & supports 9 a      
non-in/itutional sett+4  4  7b7         
,effective date ,! am5dm5ts made by ?is 
section %all apply to allocations made  
aft] ,janu>y #a1 #bjbg4