[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3414 Introduced in House (IH)]







107th CONGRESS
  1st Session
                                H. R. 3414

     To provide certain temporary increases in the Federal medical 
assistance percentage (FMAP) under the Medicaid Program for fiscal year 
   2002 to help States finance increases in enrollment due to rising 
unemployment and to prevent reductions in health insurance coverage due 
                        to State budget crises.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            December 5, 2001

 Mr. King (for himself, Mr. Brown of Ohio, Mr. Walsh, Mr. Dingell, Mr. 
Houghton, Mr. Waxman, Mrs. Kelly, Mr. Bonior, Mr. Sweeney, Mr. Nadler, 
   Mr. Quinn, Mr. Pallone, Mr. Grucci, Mrs. Capps, Mr. Serrano, Mrs. 
Maloney of New York, Mr. Boucher, Mr. Towns, Mr. Barrett of Wisconsin, 
 Mr. McNulty, Mr. Farr of California, Mr. Ackerman, Mr. Stenholm, Mr. 
 Israel, Mr. Shows, Mr. Engel, Mrs. McCarthy of New York, Mr. Green of 
Texas, Mr. Strickland, Mr. Gilman, Mr. Allen, Mr. Hinchey, Mr. Stupak, 
Ms. Lee, Mr. Rangel, Mr. Reynolds, Mrs. Lowey, Mr. Weiner, Mr. Crowley, 
  Ms. Velazquez, Mr. McHugh, and Mr. Foley) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
     To provide certain temporary increases in the Federal medical 
assistance percentage (FMAP) under the Medicaid Program for fiscal year 
   2002 to help States finance increases in enrollment due to rising 
unemployment and to prevent reductions in health insurance coverage due 
                        to State budget crises.

    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 ``State Budget Relief Act of 2001''.

SEC. 2. TEMPORARY INCREASES OF MEDICAID FMAP FOR FISCAL YEAR 2002.

    (a) Permitting Maintenance of Fiscal Year 2001 FMAP.--
Notwithstanding any other provision of law, but subject to subsection 
(d), if the FMAP determined without regard to this section for a State 
for fiscal year 2002 is less than the FMAP as so determined for fiscal 
year 2001, the FMAP for the State for fiscal year 2001 shall be 
substituted for the State's FMAP for fiscal year 2002, before the 
application of this section.
    (b) General 2 Percentage Point Increase.--Notwithstanding any other 
provision of law, but subject to subsections (d) and (e), for each 
State for each calendar quarter in fiscal year 2002, the FMAP (taking 
into account the application of subsection (a)) shall be increased by 2 
percentage points.
    (c) Further Increase for States With High Unemployment Rates.--
            (1) In general.--Notwithstanding any other provision of 
        law, but subject to subsections (d) and (e), if a State is a 
        high unemployment State for a calendar quarter in fiscal year 
        2002, then the FMAP for that State for that calendar quarter 
        and for any subsequent calendar quarter in such fiscal year 
        regardless of whether the State continues to be high 
        unemployment State for that subsequent calendar quarter shall 
        be increased (after the application of subsections (a) and (b)) 
        by 2.5 percentage points.
            (2) High unemployment state.--For purposes of this 
        subsection, a State is a high unemployment State for a calendar 
        quarter if, for any 3 consecutive month period beginning on or 
        after June 2001 and ending with the second month before the 
        beginning of the calendar quarter, the State has an average 
        seasonally adjusted unemployment rate that exceeds the average 
        weighted unemployment rate during such period. Such 
        unemployment rates for such months shall be determined based on 
        publications of the Bureau of Labor Statistics of the 
        Department of Labor.
            (3) Average weighted unemployment rate defined.--For 
        purposes of paragraph (2), the ``average weighted unemployment 
        rate'' for a period is--
                    (A) the sum of the seasonally adjusted number of 
                unemployed civilians in each State and the District of 
                Columbia for the period, divided by
                    (B) the sum of the civilian labor force in each 
                State and the District of Columbia for the period.
    (d) Scope of Application.--The increases in the FMAP for a State 
under this section shall apply only for purposes of title XIX of the 
Social Security Act and shall not apply with respect to--
            (1) disproportionate share hospital payments described in 
        section 1923 of such Act; and
            (2) payments under titles IV and XXI of such Act.
    (e) State Eligibility.--A State is eligible for an increase in its 
FMAP under subsection (b) or (c) or an increase in a cap amount under 
subsection (f) only if the eligibility under its State plan under title 
XIX of the Social Security Act (including any waiver under such title 
or under section 1115 of such Act) is no more restrictive than the 
eligibility under such plan (or waiver) as in effect on October 1, 
2001.
    (f) One-Year Increase in Cap on Medicaid Payments to Territories.--
Notwithstanding any other provision of law, but subject to section (e), 
with respect to fiscal year 2002, the amounts otherwise determined for 
Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, 
and American Samoa under subsections (f) and (g)(2) of section 1108 of 
the Social Security Act (42 U.S.C 1308) shall each be increased by 9 
percent of such amounts.
    (g) Definitions.--For purposes of this section:
            (1) FMAP.--The term ``FMAP'' means the Federal medical 
        assistance percentage, as defined in section 1905(b) of the 
        Social Security Act (42 U.S.C. 1396d(b)).
            (2) State.--The term ``State'' has the meaning given such 
        term for purposes of title XIX of the Social Security Act.
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