[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2789 Introduced in House (IH)]
107th CONGRESS
1st Session
H. R. 2789
To amend title XIX of the Social Security Act to permit States to
expand Medicaid eligibility to uninsured, poor adults.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
August 2, 2001
Ms. Millender-McDonald (for herself and Mr. Rangel) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to permit States to
expand Medicaid eligibility to uninsured, poor adults.
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 ``Keep America Healthy Act of 2001''.
SEC. 2. OPTIONAL MEDICAID COVERAGE OF UNINSURED, POOR ADULTS.
(a) Availability of Medicaid Coverage for Uninsured, Poor Adults.--
(1) Addition of optional coverage group.--Section
1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C.
1396a(a)(10)(A)(ii)) is amended--
(A) by striking ``or'' at the end of subclause
(XVII);
(B) by striking the semicolon at the end of
subclause (XVIII) and inserting ``, or''; and
(C) by adding at the end the following new
subclause:
``(XIX) described in subsection
(cc);''.
(2) Eligibility standards for new eligibility group.--
Section 1902 of such Act is further amended by adding at the
end the following new subsection:
``(cc) For purposes of subsection (a)(10)(A)(ii)(XIX), individuals
described in this subsection are individuals who meet the following
requirements:
``(1) The individual is at least 21 years of age but is
under 65 years of age.
``(2) The income of the individual's family does not exceed
a percentage (not to exceed 200 percent) specified by the State
of the poverty line (as defined in section 2110(c)(5))
applicable to a family of the size involved and, at the option
of a State, the individual's resources do not exceed such
resource level as the State may establish, so long as such
resource level is not more restrictive than the resources an
individual may have and obtain benefits under the supplemental
security income program under title XVI.''.
(b) Provision of Enhanced Federal Medical Assistance as Incentive
for States To Increase Coverage.--
(1) Application of enhanced federal medical assistance
percentage.--Section 1905(b)(4) of such Act (42 U.S.C.
1396d(b)(4)) is amended by inserting ``or section
1902(a)(10)(A)(ii)(XIX)'' after ``section
1902(a)(10)(A)(ii)(XVIII)''.
(2) Increase in medicaid payment limit for territories to
accommodate expanded coverage for residents of puerto rico, the
virgin islands, guam, american samoa, and the northern mariana
islands.--Section 1108 of such Act (42 U.S.C. 1308) is
amended--
(A) in subsection (f), by striking ``subsection
(g)'' and inserting ``subsections (g) and (h)''; and
(B) by adding at the end the following new
subsection:
``(h) Increase in Medicaid Payment Limit To Accommodate Expanded
Coverage Under the Keep America Healthy Act.--(1) With respect to
fiscal year 2002 and each succeeding fiscal year, if Puerto Rico, the
Virgin Islands, Guam, the Northern Mariana Islands, or American Samoa
provides for coverage of individuals under section
1902(a)(10)(A)(ii)(XIX) in a fiscal year, the amounts otherwise
determined for the respective territory under subsections (f) and (g)
for such fiscal year shall be increased by a percentage (estimated by
the Secretary) equal to 120 percent of the State average Keep America
Healthy percentage, estimated by the Secretary under paragraph (2) for
the fiscal year involved.
``(2) For each such fiscal year the Secretary shall estimate a
State average Keep America Healthy percentage equal to (A) the total
Federal payments under title XIX for the fiscal year for the 50 States
and the District of Columbia that are attributable to individuals made
eligible for benefits under section 1902(a)(10)(A)(ii)(XIX), divided by
(B) the total Federal payments under such title the fiscal year for
such States and District.''.
(c) Conforming and Technical Amendments.--(1) Section 1903(f)(4) of
such Act (42 U.S.C. 1396b(f)(4)) is amended by inserting
``1902(a)(10)(A)(ii)(XIX),'' after ``1902(a)(10)(A)(ii)(XVIII),''.
(2) Section 1905(a) of such Act (42 U.S.C. 1396d(a)) is amended, in
the matter before paragraph (1)--
(A) by striking ``or'' at the end of clause (xi);
(B) by adding ``or'' at the end of clause (xii); and
(C) by inserting after clause (xii) the following new
clause:
``(xiii) individuals described in section 1902(cc),''.
(3) Section 1905(u)(4) of such Act (42 U.S.C. 1396d(u)(4)) is
amended by inserting before the period at the end the following: ``for
individuals not covered under section 1902(a)(10)(A)(ii)(XIX)''.
(4)(A) Section 1902 of such Act (42 U.S.C. 1396a), as amended by
section 702(b) of the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000 (as enacted into law by section
1(a)(6) of Public Law 106-554), is amended by redesignating the
subsection (aa) added by such section as subsection (bb).
(B) Section 1902(a)(15) of such Act (42 U.S.C. 1396a(a)(15)), as
added by section 702(a)(2) of the Medicare, Medicaid, and SCHIP
Benefits Improvement and Protection Act of 2000 (as so enacted into
law), is amended by striking ``subsection (aa)'' and inserting
``subsection (bb)''.
(C) Section 1915(b) of such Act (42 U.S.C. 1396n(b)), as amended by
section 702(c)(2) of the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000 (as so enacted into law), is
amended by striking ``1902(aa)'' and inserting ``1902(bb)''.
(d) Effective Date.--The amendments made by this section shall take
effect on October 1, 2001.
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