[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1389 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1389

     To amend title XVI of the Social Security Act to make a State 
ineligible for medicaid reimbursement payments under title XIX of such 
     Act, unless the State maintains the level at which the State 
  supplements Federal supplemental security income benefits or passes 
                   along increases in such benefits.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 17, 1993

Mr. Stark (for himself, Mr. Evans, Mr. Jefferson, Mrs. Meek, Mr. Miller 
  of California, Mr. Mineta, and Mr. Towns) introduced the following 
 bill; which was referred jointly to the Committees on Ways and Means 
                        and Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
     To amend title XVI of the Social Security Act to make a State 
ineligible for medicaid reimbursement payments under title XIX of such 
     Act, unless the State maintains the level at which the State 
  supplements Federal supplemental security income benefits or passes 
                   along increases in such benefits.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. STATE MADE INELIGIBLE FOR MEDICAID PROGRAM PAYMENTS UNLESS 
              STATE MAINTAINS LEVEL OF STATE SUPPLEMENTARY PAYMENTS OR 
              PASSES ALONG INCREASES IN SSI BENEFITS.

    Section 1618 of the Social Security Act (42 U.S.C. 1382g) is 
amended to read as follows:

``SEC. 1618. STATE SUPPLEMENTATION PROGRAM BENEFIT RULES.

    ``(a) In General.--A State shall not be eligible for payments 
pursuant to title XIX with respect to expenditures for any calendar 
quarter that begins after the later of the first month for which the 
State makes qualified payments or December 31, 1992, unless--
            ``(1) the aggregate amount of the expenditures of the State 
        for such qualified payments during the measuring year equals or 
        exceeds--
                    ``(A) the aggregate amount of such expenditures for 
                the base year, multiplied by
                    ``(B) the multiplier for the measuring year; or
            ``(2) the combined level of such qualified payments to 
        recipients of the type involved, and of the amounts payable to 
        or on behalf of such recipients under section 1611 of this Act 
        and section 211(a)(1)(A) of Public Law 93-66, for any 
        particular month in the calendar quarter equals or exceeds the 
        sum of--
                    ``(A) such combined level for the month that 
                immediately precedes such particular month;
                    ``(B) the amount of any cost-of-living adjustment 
                under section 1617 that took effect during such 
                particular month; and
                    ``(C) the amount of any other benefit increase 
                under this title which occurred during such particular 
                month.
    ``(b) Definitions.--As used in subsection (a):
            ``(1) Qualified payments.--The term `qualified payments' 
        means--
                    ``(A) supplementary payments of the type described 
                in section 1616(a); and
                    ``(B) payments pursuant to an agreement entered 
                into under section 212(a) of Public Law 93-66.
            ``(2) Multiplier for the measuring year.--The term 
        `multiplier for the measuring year' means--
                    ``(A) in the case of a measuring year during which 
                there took effect an increase in benefits under this 
                title (including any cost-of-living adjustment under 
                section 1617), the number obtained by--
                            ``(i) adding 1.00 to the decimal 
                        representation of each such increase in 
                        benefits; and
                            ``(ii) multiplying the sums obtained 
                        pursuant to clause (i); or
                    ``(B) in the case of any other year, 1.00.
            ``(3) Decimal representation of increase in benefits.--The 
        term `decimal representation' means, with respect to an 
        increase in benefits--
                    ``(A) if benefits are increased by a uniform 
                percentage, the decimal representation of the 
                percentage; or
                    ``(B) if benefits are increased by a uniform 
                amount, the decimal representation of--
                            ``(i) the aggregate amount expended solely 
                        for the increase in benefits; divided by
                            ``(ii) the aggregate amount expended for 
                        such benefits for the month immediately 
                        preceding the month in which the increase took 
                        effect.
            ``(4) Measuring year.--The term `measuring year' means, 
        with respect to a calendar quarter, the calendar year that 
        immediately precedes the calendar year in which the calendar 
        quarter occurs.
            ``(5) Base year.--The term `base year' means, with respect 
        to a measuring year, the calendar year that immediately 
        precedes the measuring year.''.

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