I 111th CONGRESS 1st Session H. R. 686 IN THE HOUSE OF REPRESENTATIVES January 26, 2009 Mrs. Davis of California (for herself, Mr. Bilbray, Mr. Filner, and Mr. Issa) 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 local public agencies to act as Medicaid enrollment brokers.

1.

Permitting local public agencies to Act as Medicaid enrollment brokers

Section 1903(b)(4) of the Social Security Act (42 U.S.C. 1396b(b)(4)) is amended by adding at the end the following new subparagraph: (C)(i)Subparagraphs (A) and (B) shall not apply in the case of a local public agency that is acting as an enrollment broker under a contract or memorandum with a State medicaid agency, provided the local public agency does not have a direct or indirect financial interest with any medicaid managed care plan for which it provides enrollment broker services. (ii)In determining whether a local public agency has a direct or indirect financial interest with a medicaid managed care plan under clause (i), the status of a local public agency as a contractor of the plan does not constitute having a direct or indirect financial interest with the plan. .