116 HR 260 IH: Medicaid Provisions and TANF Extenders Act of 2019
U.S. House of Representatives
2019-01-04
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.This Act may be cited as the Medicaid Provisions and TANF Extenders Act of 2019
. <enum>I</enum><header>Medicaid Extenders</header> <section id="HB355EA85BAE94B69A44735F73FC43441"><enum>101.</enum><header>Extension of Money Follows the Person Rebalancing demonstration</header> <subsection id="H9606EF73E93A4E5FA5AC560E46796E97"><enum>(a)</enum><header>General Funding</header><text display-inline="yes-display-inline">Section 6071(h) of the Deficit Reduction Act of 2005 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref> note) is amended—</text>
<paragraph id="H62EC7200206D4D06BA3ED679CF920401"><enum>(1)</enum><text>in paragraph (1)—</text> <subparagraph id="HEFDAC674BFAE445B87311910E8C49A9A"><enum>(A)</enum><text>in subparagraph (D), by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph id="H5C038BD7FA774C22967A449752FC8FE1"><enum>(B)</enum><text>in subparagraph (E), by striking the period at the end and inserting <quote>; and</quote>; and</text> </subparagraph><subparagraph id="H03B7DE804ECA488CACDAB79B676F8172"><enum>(C)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H4F5AB732B51148FBBA995AA6A39CD96B" style="OLC">
<subparagraph id="H5B2BCE2FB0CF4B08A8DD790C01CDDA6B"><enum>(F)</enum><text>subject to paragraph (3), $112,000,000 for fiscal year 2019.</text></subparagraph><after-quoted-block>; </after-quoted-block></quoted-block> </subparagraph></paragraph><paragraph commented="no" id="H751D53896AE046A1A794B600C6700650"><enum>(2)</enum><text>in paragraph (2)—</text>
<subparagraph commented="no" id="HF7B6C7575A8847EFB7DF6A6AB2CED5EA"><enum>(A)</enum><text>by striking <quote>Amounts made</quote> and inserting <quote>Subject to paragraph (3), amounts made</quote>; and</text> </subparagraph><subparagraph commented="no" id="HC06055671D674555BE9EA048F2BE999E"><enum>(B)</enum><text>by striking <quote>September 30, 2016</quote> and inserting <quote>September 30, 2021</quote>; and</text>
</subparagraph></paragraph><paragraph id="HF33FA11271FE42FCB0AC99298BCBD6DF"><enum>(3)</enum><text>by adding at the end the following new paragraph:</text> <quoted-block display-inline="no-display-inline" id="HB5ABFC1B4ED746BAAFF8028DD6F48109" style="OLC"> <paragraph id="HDFA15E7877F74D79BBA3978003D69FD2"><enum>(3)</enum><header>Special rule for FY 2019</header><text display-inline="yes-display-inline">Funds appropriated under paragraph (1)(F) shall be made available for grants to States only if such States have an approved MFP demonstration project under this section as of December 31, 2018.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" id="H99DD43E1D9E6441F9330F6C295F00954"><enum>(b)</enum><header>Funding for quality assurance and improvement; technical assistance; oversight</header><text>Section 6071(f) of the Deficit Reduction Act of 2005 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref> note) is amended by striking paragraph (2) and inserting the following:</text>
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<paragraph commented="no" id="HBC4CA831D00C47BAAD64C37C88FF48DD"><enum>(2)</enum><header>Funding</header><text>From the amounts appropriated under subsection (h)(1)(F) for fiscal year 2019, $500,000 shall be available to the Secretary for such fiscal year to carry out this subsection.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H40C6908FF85D4309B3D3F195E060E379"><enum>(c)</enum><header>Technical amendment</header><text>Section 6071(b) of the Deficit Reduction Act of 2005 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref> note) is amended by adding at the end the following:</text>
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<paragraph id="H541DDEC058F74010861AE9E30E8E259C"><enum>(10)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block> </subsection></section><section id="HB9C1167E0A634B748CADA741A13744BC"><enum>102.</enum><header>Extension of protection for Medicaid recipients of home and community-based services against spousal impoverishment</header> <subsection id="HCA69E05EF6B546A686A3FC06E7B55499"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 2404 of <external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref> (<external-xref legal-doc="usc" parsable-cite="usc/42/1396r-5">42 U.S.C. 1396r–5</external-xref> note) is amended by striking <quote>the 5-year period that begins on January 1, 2014,</quote> and inserting <quote>the period beginning on January 1, 2014, and ending on March 31, 2019,</quote>.</text>
</subsection><subsection commented="no" id="HFABA5BF9D1ED48EBBCC70F08D1BC16E5"><enum>(b)</enum><header>Rule of construction</header>
<paragraph commented="no" id="H6AEC0F39C035440F8662C5746B06A2C1"><enum>(1)</enum><header>Protecting State spousal income and asset disregard flexibility under waivers and plan amendments</header><text>Nothing in section 2404 of <external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref> (<external-xref legal-doc="usc" parsable-cite="usc/42/1396r-5">42 U.S.C. 1396r–5</external-xref> note) or section 1924 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396r-5">42 U.S.C. 1396r–5</external-xref>) shall be construed as prohibiting a State from disregarding an individual’s spousal income and assets under a State waiver or plan amendment described in paragraph (2) for purposes of making determinations of eligibility for home and community-based services or home and community-based attendant services and supports under such waiver or plan amendment.</text>
</paragraph><paragraph commented="no" id="H1B9C4E5AB72A4E77B670E62A49C734C4"><enum>(2)</enum><header>State waiver or plan amendment described</header><text display-inline="yes-display-inline">A State waiver or plan amendment described in this paragraph is any of the following:</text> <subparagraph commented="no" id="H0A21F99E7B454D5AAC02E2748308C84B"><enum>(A)</enum><text>A waiver or plan amendment to provide medical assistance for home and community-based services under a waiver or plan amendment under subsection (c), (d), or (i) of section 1915 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396n">42 U.S.C. 1396n</external-xref>) or under section 1115 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1315">42 U.S.C. 1315</external-xref>).</text>
</subparagraph><subparagraph commented="no" id="H0A2997BA10724919BC99B869EA50CDE7"><enum>(B)</enum><text>A plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section 1902(a)(10)(C) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(a)(10)(C)</external-xref>) or by reason of section 1902(f) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(f)</external-xref>) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the State disregarded the income and assets of the individual’s spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396r-5">42 U.S.C. 1396r–5</external-xref>).</text>
</subparagraph><subparagraph commented="no" id="HBB2A6B81703D448288FB15FBF886C105"><enum>(C)</enum><text>A plan amendment to provide medical assistance for home and community-based attendant services and supports under section 1915(k) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396n">42 U.S.C. 1396n(k)</external-xref>).</text>
</subparagraph></paragraph></subsection></section><section id="H3C65B0C5BE5C420D841707D2FF666886"><enum>103.</enum><header>Reduction in FMAP after 2020 for States without asset verification program</header><text display-inline="no-display-inline">Section 1940 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396w">42 U.S.C. 1396w</external-xref>) is amended by adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="HA3215C8ABE434806950D25B5FF940692" style="OLC">
<subsection id="HD21B8DF3E13940B7A6385D3EC114C543"><enum>(k)</enum><header>Reduction in FMAP after 2020 for non-Compliant States</header>
<paragraph id="H173D65202D864DD99B41C93E8D77D4A7"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">With respect to a calendar quarter beginning on or after January 1, 2021, the Federal medical assistance percentage otherwise determined under section 1905(b) for a non-compliant State shall be reduced—</text>
<subparagraph id="H75466B9E99EE44DB8CE4FB67C1575119"><enum>(A)</enum><text>for calendar quarters in 2021 and 2022, by 0.12 percentage points;</text> </subparagraph><subparagraph id="HFB8916D61D5E455D91BDC67468339BC3"><enum>(B)</enum><text>for calendar quarters in 2023, by 0.25 percentage points;</text>
</subparagraph><subparagraph id="H6AA67851C75C45C9ABFD218181C480CA"><enum>(C)</enum><text>for calendar quarters in 2024, by 0.35 percentage points; and</text> </subparagraph><subparagraph id="HBDB4A9DA9141458F9FC256B4DE0C5A5C"><enum>(D)</enum><text>for calendar quarters in 2025 and each year thereafter, by 0.5 percentage points.</text>
</subparagraph></paragraph><paragraph id="H3B0D0D87E6F34A3FB8B8C9A60C3768A0"><enum>(2)</enum><header>Non-compliant State defined</header><text>For purposes of this subsection, the term <term>non-compliant State</term> means a State—</text> <subparagraph id="H15796F9772F54D0EA45D705C08A1D7AD"><enum>(A)</enum><text>that is one of the 50 States or the District of Columbia;</text>
</subparagraph><subparagraph id="HF0A5CCB50F0C41D5B9C3CEF055329A4D"><enum>(B)</enum><text>with respect to which the Secretary has not approved a State plan amendment submitted under subsection (a)(2); and</text>
</subparagraph><subparagraph commented="no" id="HD481F4091D4A4356B5C39DC4DB573118"><enum>(C)</enum><text>that is not operating, on an ongoing basis, an asset verification program in accordance with this section.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" display-inline="no-display-inline" id="HD2711FA1ACC245638BB3E813F964BCEF" section-type="subsequent-section"><enum>104.</enum><header>Medicaid Improvement Fund</header><text display-inline="no-display-inline">Section 1941(b)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396w-1">42 U.S.C. 1396w–1(b)(1)</external-xref>) is amended by striking <quote>$31,000,000</quote> and inserting <quote>$6,000,000</quote>.</text> </section><section commented="no" display-inline="no-display-inline" id="HDC9C3E93F6564D05B43C7EFA1EFD7068" section-type="subsequent-section"><enum>105.</enum><header>Budgetary Effects</header> <subsection id="HB943643C05EE471F8316D0DF73519A24"><enum>(a)</enum><header>Statutory PAYGO scorecards</header><text display-inline="yes-display-inline">The budgetary effects of this title shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010 (<external-xref legal-doc="usc" parsable-cite="usc/2/933">2 U.S.C. 933(d)</external-xref>).</text>
</subsection><subsection id="H346D7CEE3CEE4B7AAA5CBD800FEFCDB3"><enum>(b)</enum><header>Senate PAYGO scorecards</header><text>The budgetary effects of this title shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress).</text>
</subsection><subsection id="HFEC0C9D890524BE9BC5E166550F2C6DB"><enum>(c)</enum><header>Classification of budgetary effects</header><text>Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this title shall not be estimated—</text>
<paragraph id="HE1140831C10E40C0B82B03736CFA59E5"><enum>(1)</enum><text display-inline="yes-display-inline">for purposes of section 251 of the Balanced Budget and Emergency Deficit Control Act of 1985; and</text> </paragraph><paragraph id="H0CA9D29A8AEE45BFA37BC1E745BD5236"><enum>(2)</enum><text>for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.</text>
</paragraph></subsection><subsection id="H12F3DD7FD2D144CBB95B6A6CF706F4D6"><enum>(d)</enum><header>PAYGO annual report</header><text>For the purposes of the annual report issued pursuant to section 5 of the Statutory Pay-As-You-Go Act of 2010 (<external-xref legal-doc="usc" parsable-cite="usc/2/934">2 U.S.C. 934</external-xref>) after adjournment of the second session of the 115th Congress, and for determining whether a sequestration order is necessary under such section, the debit for the budget year on the 5-year scorecard, if any, and the 10-year scorecard, if any, shall be deducted from such scorecard in 2019 and added to such scorecard in 2020.</text>
</subsection></section><enum>II</enum><header>TANF and Technical Corrections</header>
<section id="H3D7E6EA8D3B847EA84BF4F9C373C9003" section-type="subsequent-section"><enum>201.</enum><header>TANF program extensions</header>
<subsection id="H835126F0308847B9BCFAFC2B5EDFC989"><enum>(a)</enum><header>Family assistance grants</header><text>Section 403(a)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/603">42 U.S.C. 603(a)(1)</external-xref>) is amended in each of subparagraphs (A) and (C) by striking <quote>2017 and 2018</quote> and inserting <quote>2019 and 2020</quote>.</text>
</subsection><subsection id="H2A8CDF409CD34F349AA8DD9D0BDD5512"><enum>(b)</enum><header>Healthy marriage promotion and responsible fatherhood grants</header><text>Section 403(a)(2)(D) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/603">42 U.S.C. 603(a)(2)(D)</external-xref>) is amended—</text> <paragraph id="H0E7EFF960583448482E119DED92B5539"><enum>(1)</enum><text>by striking <quote>2017 and 2018</quote> and inserting <quote>2019 and 2020</quote>; and</text>
</paragraph><paragraph id="HB12218674C0B4D96ACEEABC87E04E125"><enum>(2)</enum><text>by striking <quote>for fiscal year 2017 or 2018</quote>.</text> </paragraph></subsection><subsection id="HEB3AE845F2C34A1EA32141401B0E14E9"><enum>(c)</enum><header>Contingency fund</header><text>Section 403(b)(2) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/603">42 U.S.C. 603(b)(2)</external-xref>) is amended by striking <quote>fiscal year 2018</quote> and inserting <quote>each of fiscal years 2019 and 2020</quote>.</text>
</subsection><subsection id="HEC280841C5C6488E929C02A18254D727"><enum>(d)</enum><header>Tribal family assistance grants</header><text>Paragraphs (1)(A) and (2)(A) of section 412(a) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/612">42 U.S.C. 612(a)</external-xref>) are each amended by striking <quote>2017 and 2018</quote> and inserting <quote>2019 and 2020</quote>.</text>
</subsection><subsection id="H66CF1242D4714EBC9FAC7089FDE58B40"><enum>(e)</enum><header>Child care</header><text>Section 418(a)(3) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/618">42 U.S.C. 618(a)(3)</external-xref>) is amended by striking <quote>2017 and 2018</quote> and inserting <quote>2019 and 2020</quote>.</text> </subsection><subsection id="HC5792844322642A9964BBB0C15C0B763"><enum>(f)</enum><header>Grants to the territories</header><text>Section 1108(b)(2) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1308">42 U.S.C. 1308(b)(2)</external-xref>) is amended by striking <quote>2017 and 2018</quote> and inserting <quote>2019 and 2020</quote>.</text>
</subsection></section><section id="HDCB0749DC7154928A0A97062BC0C424F"><enum>202.</enum><header>Measuring and understanding outcomes</header>
<subsection id="H269872155E1846AFBB9F56BF677A7691"><enum>(a)</enum><header>In general</header><text>Section 411(a) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/611">42 U.S.C. 611(a)</external-xref>) is amended by redesignating paragraph (7) as paragraph (8) and inserting after paragraph (6) the following:</text>
<quoted-block display-inline="no-display-inline" id="H5574391E4C684C4FA49D4EB2C5BFCECA" style="OLC">
<paragraph id="H04FCF671DE6C4EC8A49EF308731C0420"><enum>(7)</enum><header>Report on engagement, employment and outcomes</header>
<subparagraph id="H7D1F16ACE7DE4B53AF0106544ED43907"><enum>(A)</enum><header>Reporting agreement</header><text display-inline="yes-display-inline">Each State and the Secretary shall enter into an agreement specifying the manner by which the information and data described in this paragraph shall be collected and reported to the Secretary beginning in fiscal year 2020.</text>
<clause id="HFAAE9FF67551403285DD790A3F88C2EB"><enum>(i)</enum><header>Outcomes for exiting recipients</header><text display-inline="yes-display-inline">Information and data regarding families who formerly received assistance and included a work-eligible individual (disaggregated by type of family, reason for exit, and participation in work activities during the preceding fiscal year) under the State program funded under this part or under any State program funded with qualified State expenditures (as defined in section 409(a)(7)(B)(i)), with respect to the following:</text>
<subclause id="H7FE0067D0BE2425BB72481F6F4C4F892"><enum>(I)</enum><text>The percentage with at least 1 formerly work-eligible individual employed during the 2nd quarter after exiting from the program.</text>
</subclause><subclause id="HF133D268B3044FA59AE525FEB3D35352"><enum>(II)</enum><text>The percentage with at least 1 formerly work-eligible individual employed during the 4th quarter after exiting from the program.</text>
</subclause><subclause id="H807D3FC814B64B24B9D3BA0FD3B2C083"><enum>(III)</enum><text>The median earnings when at least 1 formerly work-eligible individual is employed during the 2d quarter after exiting from the program.</text>
</subclause><subclause id="H95249E2911A04127BF0AA1910C77B9F8"><enum>(IV)</enum><text>The percentage with at least 1 formerly work-eligible individual employed during any of the first 4 quarters after exiting from the program.</text>
</subclause><subclause id="H9DBEEE5498A24A1F8648AF56B47A8A44"><enum>(V)</enum><text>The distribution of income and earnings, including relative to poverty and deep poverty, for each of the first 4 quarters ending after the quarter of exit from assistance.</text>
</subclause><subclause id="H00D0E536A91E4099A906EB86956A1D2F"><enum>(VI)</enum><text>The percentage who, at the time of exit from the program, were subject to the following:</text> <item id="H60D3AB6F78BC45FC8852508EE3C594EE"><enum>(aa)</enum><text>A penalty under section 407(e).</text>
</item><item id="H8885F2D68EC842F1B3749DB26596EF9A"><enum>(bb)</enum><text>A sanction or penalty described in section 404 or 408.</text> </item><item id="H76EE516E1C2A4C1BA201581DCA8DB545"><enum>(cc)</enum><text>A penalty or sanction not described in item (aa) or (bb).</text>
</item></subclause></clause><clause id="H37DE17EF8FA849AB9C72449F814C43CC"><enum>(ii)</enum><header>Engagement and employment of current recipients</header>
<subclause id="HC358E20AFB0445DB81AB543160AF7669"><enum>(I)</enum><header>Work-eligible individuals</header><text display-inline="yes-display-inline">In the case of current work-eligible individuals under the State program funded under this part or under any State program funded with qualified State expenditures (as defined in section 409(a)(7)(B)(i)), the following information relative to the current quarter being reported:</text>
<item id="H33B9996194C3449698762ED302EDDA38"><enum>(aa)</enum><text>Earnings in each of the 4 quarters immediately preceding the quarter.</text> </item><item id="H80F75A61B3F24D2BB45FD16405B8B75E"><enum>(bb)</enum><text>Standard measures of employment, earnings, receipt of assistance, and participation in work activities (as defined in section 407(d)) in each of the first 4 quarters following the quarter.</text>
</item></subclause><subclause id="HCA15958FE6B649B8982FC8474BB7F263"><enum>(II)</enum><header>All recipients</header><text display-inline="yes-display-inline">The percentage of recipients of assistance under the State program funded under this part or under any State program funded with qualified State expenditures (as defined in section 409(a)(7)(B)(i)) who have not attained 24 years of age and who obtain a high school degree or its recognized equivalent while receiving the assistance.</text>
</subclause></clause></subparagraph><subparagraph id="HB7F199A1E1E44BDA8797BBD6E64A33D7"><enum>(B)</enum><header>Statistical adjustment model for employment outcomes</header><text>The Secretary, in consultation with the Secretary of Labor and relevant experts, shall develop recommendations by March 1, 2020, on how to establish and disseminate an objective statistical model that will allow the Secretary to make adjustments to the data reported pursuant to subclauses (I) through (IV) of subparagraph (A)(i) of this paragraph, based on economic conditions and the characteristics of participants. To the extent practicable, the recommendations shall be compatible with the statistical adjustment model developed under section 116(b)(3)(A)(viii) of the Workforce Innovation and Opportunity Act (<external-xref legal-doc="usc" parsable-cite="usc/29/3141">29 U.S.C. 3141(b)(3)(A)(viii)</external-xref>) and, with respect to a State, the State adjusted levels of performance established for the State under that section.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="H76F89E3753A44C79A8F840C542DD02FE"><enum>203.</enum><header>Technical corrections to data exchange standards to improve program coordination</header>
<subsection id="HFF99E032CF8441C29E975A315D1085E7"><enum>(a)</enum><header>In general</header><text>Section 411(d) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/611">42 U.S.C. 611(d)</external-xref>) is amended to read as follows:</text> <quoted-block id="H2CD7DE4FD0D94FA9B040703C988D7D93" style="OLC"> <subsection id="HF5E06052533E4A969A3D47FD698535C3"><enum>(d)</enum><header>Data exchange standards for improved interoperability</header> <paragraph id="HF1B4B10918A54E389B167C63BE85B074"><enum>(1)</enum><header>Designation</header><text>The Secretary shall, in consultation with an interagency work group established by the Office of Management and Budget and considering State government perspectives, by rule, designate data exchange standards to govern, under this part—</text>
<subparagraph id="HAF65D5EEE361408F8F55F3575D582760"><enum>(A)</enum><text>necessary categories of information that State agencies operating programs under State plans approved under this part are required under applicable Federal law to electronically exchange with another State agency; and</text>
</subparagraph><subparagraph id="H1E1A79F4BEA34DD2BF02070867FC31C3"><enum>(B)</enum><text>Federal reporting and data exchange required under applicable Federal law.</text> </subparagraph></paragraph><paragraph id="H5104CE77F52E4D939C4ED72BDAB7EED0"><enum>(2)</enum><header>Requirements</header><text>The data exchange standards required by paragraph (1) shall, to the extent practicable—</text>
<subparagraph id="H748F7A09C4E74AA6B342E462783DBEE7"><enum>(A)</enum><text>incorporate a widely accepted, non-proprietary, searchable, computer-readable format, such as the eXtensible Markup Language;</text>
</subparagraph><subparagraph id="H7538EC6F71E94AE29820225CD268539E"><enum>(B)</enum><text>contain interoperable standards developed and maintained by intergovernmental partnerships, such as the National Information Exchange Model;</text>
</subparagraph><subparagraph id="HD587FEC98AD84B9196BF0B25EFB5B7CD"><enum>(C)</enum><text>incorporate interoperable standards developed and maintained by Federal entities with authority over contracting and financial assistance;</text>
</subparagraph><subparagraph id="HA039BAE3AB16470C96D306510A3E80FA"><enum>(D)</enum><text>be consistent with and implement applicable accounting principles;</text> </subparagraph><subparagraph id="HE2AE5C5F79BD4B19AF69C7D7EF08A521"><enum>(E)</enum><text>be implemented in a manner that is cost-effective and improves program efficiency and effectiveness; and</text>
</subparagraph><subparagraph id="H3623DEB44CF84B0E8B98D1E8FFAE3FE2"><enum>(F)</enum><text>be capable of being continually upgraded as necessary.</text> </subparagraph></paragraph><paragraph id="H95788F19EED847F4B03F1064FD2BE0E0"><enum>(3)</enum><header>Rule of construction</header><text>Nothing in this subsection shall be construed to require a change to existing data exchange standards found to be effective and efficient.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HE84BAA57E1B3487BAF1B5A6BD024039C"><enum>(b)</enum><header>Effective date</header><text>Not later than the date that is 24 months after the date of the enactment of this section, the Secretary of Health and Human Services shall issue a proposed rule that—</text>
<paragraph id="H246271A1251840368D8BCAD2422583FF"><enum>(1)</enum><text>identifies federally required data exchanges, include specification and timing of exchanges to be standardized, and address the factors used in determining whether and when to standardize data exchanges; and</text>
</paragraph><paragraph id="H24D3F345B61F4194B31020FA6012887A"><enum>(2)</enum><text>specifies State implementation options and describes future milestones.</text> </paragraph></subsection></section><section id="H63237747060F4CFF86CA333084D92A0C"><enum>204.</enum><header>Unemployment insurance technical corrections</header><text display-inline="no-display-inline">Section 306(a) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/506">42 U.S.C. 506(a)</external-xref>) is amended—</text>
<paragraph id="H8BC02A4E0E514133885E38E93E3A15C2"><enum>(1)</enum><text>by striking <quote>individuals</quote> and inserting <quote>claimants of regular compensation, including claimants</quote>; and</text> </paragraph><paragraph id="H1213EA7508DA418BA54EB29FE2A5CA94"><enum>(2)</enum><text>by inserting a comma after <quote>section 303(j)</quote>.</text>
</paragraph></section>