[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 682 Introduced in House (IH)]

<DOC>






115th CONGRESS
  1st Session
                                H. R. 682

To amend titles XIX and XXI of the Social Security Act to eliminate the 
 CHIP maintenance of effort requirement and to eliminate DSH cuts for 
          States not implementing the ACA Medicaid expansion.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 24, 2017

Mr. Mullin (for himself, Mr. Russell, and Mr. Grothman) introduced the 
   following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
To amend titles XIX and XXI of the Social Security Act to eliminate the 
 CHIP maintenance of effort requirement and to eliminate DSH cuts for 
          States not implementing the ACA Medicaid expansion.

    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 ``Preserving Access to Medicaid for 
Americans Act of 2017''.

SEC. 2. ELIMINATION OF MOE REQUIREMENT FOR CHIP ELIGIBILITY.

    Section 2105(d)(3) of the Social Security Act (42 U.S.C. 
1397ee(d)(3)) is amended by striking ``September 30, 2019'' and 
inserting ``the date of the enactment of the Preserving Access to 
Medicaid for Americans Act of 2017''.

SEC. 3. ELIMINATION OF DSH CUTS FOR STATES NOT IMPLEMENTING ACA 
              EXPANSION.

    (a) In General.--Section 1923(f)(7) of the Social Security Act (42 
U.S.C. 1396r-4(f)(7)) is amended--
            (1) in subparagraph (A)--
                    (A) in clause (i)--
                            (i) in the matter preceding subclause (I), 
                        by striking ``each of fiscal years 2018 through 
                        2025'' and inserting ``each of fiscal years 
                        2019 through 2028''; and
                            (ii) in subclause (I)--
                                    (I) by striking ``the amount 
                                specified under the DSH health reform 
                                methodology under subparagraph (B)'' 
                                and inserting ``the amount of the 
                                aggregate reduction target''; and
                                    (II) by striking ``DSH allotments 
                                to States'' and inserting ``the DSH 
                                allotment to each expansion State'' 
                                each place it appears;
                    (B) in clause (ii)--
                            (i) in the matter preceding subclause (I), 
                        by striking ``The aggregate reductions'' and 
                        inserting ``In applying subparagraph (B), the 
                        aggregate reduction targets'';
                            (ii) by striking subclause (I);
                            (iii) by redesignating subclauses (II) 
                        through (VIII) as subclauses (I) through (VII), 
                        respectively;
                            (iv) in subclause (VI) (as so 
                        redesignated), by striking ``and'' at the end;
                            (v) in subclause (VII) (as so 
                        redesignated), by striking the period at the 
                        end and inserting ``; and''; and
                            (vi) by adding at the end the following new 
                        subclause:
                                    ``(VIII) $8,000,000,000 for fiscal 
                                years 2027 and 2028.'';
                    (C) by amending clause (iv) to read as follows:
                            ``(iv) Definitions.--For purposes of this 
                        paragraph:
                                    ``(I) The term `expansion State' 
                                means, for a fiscal year, a State that, 
                                as of the date that is 180 days before 
                                the start of such fiscal year, provides 
                                for eligibility under clause (i)(VIII) 
                                or (ii)(XX) of section 1902(a)(10)(A) 
                                for medical assistance under this title 
                                (or a waiver of the State plan approved 
                                under section 1115).
                                    ``(II) The term `non-expansion 
                                State' means, for a fiscal year, a 
                                State that is not an expansion State 
                                for such fiscal year.
                                    ``(III) The term `State' means the 
                                50 States and the District of 
                                Columbia.''; and
                    (D) in clause (v), by striking ``Distribution of 
                aggregate reductions.--The Secretary shall distribute 
                the aggregate reductions under clause (ii) among 
                States'' and inserting ``Distribution of aggregate 
                reduction targets.--The Secretary shall distribute the 
                aggregate reduction targets under clause (ii) among all 
                the States (including non-expansion States)''; and
            (2) in subparagraph (B), by adding at the end the following 
        new clause:
                            ``(iv) The methodology imposes reduction 
                        targets as if the reductions under subparagraph 
                        (A) were applied to all States, including non-
                        expansion States.''.
    (b) Conforming Amendment.--Section 1923(f)(8) of the Social 
Security Act (42 U.S.C. 1396r-4(f)(8)) is amended by striking ``fiscal 
year 2025'' and inserting ``fiscal year 2028''.
                                 <all>