[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4054 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 4054

  To amend title XIX of the Social Security Act to require States to 
  submit an annual report on sources of funds used to finance the non-
Federal share of expenditures under such title, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 12, 2017

 Mr. Guthrie 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 require States to 
  submit an annual report on sources of funds used to finance the non-
Federal share of expenditures under such title, and for other purposes.

    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 ``Medicaid Requiring Expenditures for 
Public Objectives to be Reflective of Total Spending Act'' or the 
``Medicaid REPORTS Act''.

SEC. 2. REQUIREMENT FOR STATES TO SUBMIT REPORTS ON SOURCES OF FUNDS 
              USED TO FINANCE THE NON-FEDERAL SHARE OF MEDICAID.

    (a) In General.--Section 1903(w)(6) of the Social Security Act (42 
U.S.C. 1396b(w)(6)) is amended by adding at the end the following new 
subparagraphs:
    ``(C) The Secretary shall require each State to submit a report, at 
least once during 2019 and each subsequent year, using formats and 
standards established and updated as necessary by the Secretary, that 
identifies each source of funds specified in subparagraph (D) (and the 
amount of funds from each such source) used by the State to finance the 
non-Federal share of expenditures under this title for such year. Such 
report also shall--
            ``(i) identify each entity providing the funds used by the 
        State to finance the non-Federal share of expenditures under 
        this title; and
            ``(ii) provide such additional information as the Secretary 
        determines is sufficient to ensure the State's compliance with 
        the requirements of this title applicable to financing such 
        non-Federal share.
    ``(D) A source of funds specified in this subparagraph includes 
each of the following:
            ``(i) A State appropriation or transfer to the State agency 
        administering the State plan under this title, or to any other 
        State agency or government entity that is used to finance such 
        non-Federal share of expenditures under this title.
            ``(ii) A bona fide provider-related donation (as defined in 
        paragraph (2)(B)) and donation revenue (as described in 
        paragraph (2)(C)).
            ``(iii) A broad-based health care related tax (as defined 
        in paragraph (3)(B)).
            ``(iv) An intergovernmental transfer from a unit of local 
        government within the State.
            ``(v) A certified public expenditure from a unit of local 
        government within the State.
            ``(vi) The general revenue of the State.
            ``(vii) Any other source as determined necessary by the 
        Secretary.
    ``(E) Not later than 12 months after the date on which a report 
required under subparagraph (C) is submitted, the Secretary shall make 
the information included in such report publicly available on the 
website of the Centers for Medicare & Medicaid Services.''.
    (b) Conforming Amendment.--Section 1903(w)(6)(A) of such Act (42 
U.S.C. 1396b(w)(6)(A)) is amended by inserting before the period at the 
end the following: ``or the transferred funds are not reported as 
required under subparagraph (C)''.
    (c) Clarification.--Section 1903(w) is amended by striking ``unit 
of government'' each place it appears and inserting ``unit of local 
government, State university, or State agency''.
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