[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4595 Introduced in House (IH)]
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117th CONGRESS
1st Session
H. R. 4595
To require the Secretary of Health and Human Services to establish a
program to provide health care coverage to low-income adults in States
that have not expanded Medicaid.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 21, 2021
Ms. Bourdeaux (for herself, Ms. Castor of Florida, Mrs. McBath, Ms.
Ross, Ms. Manning, Ms. Williams of Georgia, Mr. Veasey, Ms. Moore of
Wisconsin, Mr. Carson, Mr. Thompson of Mississippi, Mr. Danny K. Davis
of Illinois, Mr. Clyburn, Mrs. Murphy of Florida, Mr. Cooper, Mr.
Bishop of Georgia, Mr. Johnson of Georgia, Mr. Kind, Mr. Butterfield,
Ms. Lois Frankel of Florida, Ms. Sewell, Mr. Cohen, Mr. Crist, Mr.
Price of North Carolina, Mr. Soto, Ms. Wasserman Schultz, Mrs. Demings,
Mr. Deutch, Ms. Jackson Lee, Mr. Lawson of Florida, Mr. David Scott of
Georgia, Ms. Adams, Mr. Green of Texas, Mr. Castro of Texas, and Mr.
Allred) introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To require the Secretary of Health and Human Services to establish a
program to provide health care coverage to low-income adults in States
that have not expanded Medicaid.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicaid Saves Lives Act''.
SEC. 2. MEDICAID FALLBACK COVERAGE PROGRAM FOR LOW-INCOME ADULTS IN
NON-EXPANSION STATES.
(a) In General.--As soon as possible after the date of enactment of
this Act the Secretary of Health and Human Services (in this section
referred to as the ``Secretary'') shall--
(1) directly or by contract, establish a program that
offers eligible individuals the opportunity to enroll in health
benefits coverage that meets the requirements described in
subsection (c) and any requirements applicable to such coverage
pursuant to subsection (d); and
(2) ensure that such program is administered consistent
with the requirements of section 431.10(c)(2) of title 42, Code
of Federal Regulations.
(b) Definition of Eligible Individual.--In this section, the term
``eligible individual'' means an individual who--
(1) is described in section 1902(a)(10)(A)(i)(VIII) of the
Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)(VIII));
(2) resides in a State that--
(A) does not expend amounts for medical assistance
under title XIX of the Social Security Act (42 U.S.C.
1396 et seq.) for all individuals described in such
section; and
(B) did not expend amounts for medical assistance
under such title for all such individuals as of the
date of enactment of this Act; and
(3) would not be eligible for medical assistance under such
State's plan for medical assistance under title XIX of the
Social Security Act (42 U.S.C. 1396 et seq.), or a waiver of
such plan, as such plan or waiver was in effect on such date.
(c) Health Benefits Coverage Requirements.--The requirements
described in this subsection with respect to health benefits coverage
are the following:
(1) Essential health benefits.--At a minimum, the coverage
meets the minimum standards required under paragraph (5) of
section 1937(b) of the Social Security Act (42 U.S.C. 1396u-
7(b)) for benchmark coverage described in paragraph (1) of such
section or benchmark equivalent coverage described in paragraph
(2) of such section.
(2) Premiums and cost-sharing.--No premiums are imposed for
the coverage, and deductibles, cost sharing, or similar charges
may only be imposed in accordance with the requirements imposed
on State Medicaid plans under section 1916 of the Social
Security Act (42 U.S.C. 1396o).
(d) Application of Requirements and Provisions of Title XIX of the
Social Security Act.--The Secretary shall specify that--
(1) any requirement applicable to the furnishing of medical
assistance under title XIX of the Social Security Act (42
U.S.C. 1396 et seq.) by States that have elected to make
medical assistance available to individuals described in
section 1902(a)(10)(A)(i)(VIII) of such title (42 U.S.C.
1396a(a)(10)(A)(i)(VIII)) that does not conflict with the
requirements specified in subsection (c) applies to the program
established under this section; and
(2) other provisions of such title apply to such program.
(e) No State Mandate.--Nothing in this section shall be construed
as requiring a State to make expenditures related to the program
established under this section and the Secretary shall not impose any
such requirement.
(f) Funding.--There are appropriated to the Secretary for each
fiscal year beginning with fiscal year 2021 from any funds in the
Treasury not otherwise appropriated, such sums as are necessary to
carry out this section.
SEC. 3. INCREASE AND EXTENSION OF TEMPORARY ENHANCED FMAP FOR STATES
WHICH BEGIN TO EXPEND AMOUNTS FOR CERTAIN MANDATORY
INDIVIDUALS.
(a) In General.--Section 1905(ii)(1) of the Social Security Act (42
U.S.C. 1396d(ii)(1)) is amended--
(1) by striking ``8-quarter period'' and inserting ``40-
quarter period''; and
(2) by striking ``5 percentage points'' and inserting ``10
percentage points''.
(b) Effective Date.--The amendments made by this section shall take
effect as if included in the enactment of section 9814 of the American
Rescue Plan Act of 2021 (Public Law 117-2).
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