[Congressional Record Volume 171, Number 112 (Saturday, June 28, 2025)]
[Senate]
[Page S4007]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2554. Mr. SCOTT of Florida (for himself, Mr. Crapo, Mr. Johnson, 
Mr. Lee, and Ms. Lummis) submitted an amendment intended to be proposed 
to amendment SA 2360 proposed by Mr. Thune (for Mr. Graham) to the bill 
H.R. 1, to provide for reconciliation pursuant to title II of H. Con. 
Res. 14; which was ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. __. GRANDFATHERING OF MEDICAID EXPANSION AND UNIFYING 
                   FMAP FOR EXPANSION STATES.

       (a) In General.--Title XIX of the Social Security Act (42 
     U.S.C. 1396 et seq.), as amended by section 71121(a), is 
     amended--
       (1) in section 1902 (42 U.S.C. 1396a)--
       (A) in subsection (a)(10)(A)--
       (i) in clause (i)(VIII), by inserting ``and ending December 
     31, 2030,'' after ``2014,'';
       (ii) in clause (ii)(XX), by inserting ``and ending December 
     31, 2030,'' after ``2014,''; and
       (iii) in clause (ii), by adding at the end the following 
     new subclause:
       ``(XXIV) beginning January 1, 2031--

       ``(aa) who are expansion enrollees (as defined in 
     subsection (yy)(1)); or
       ``(bb) who are grandfathered expansion enrollees (as 
     defined in subsection (yy)(2));''; and

       (B) by adding at the end the following new subsection:
       ``(yy) Expansion Enrollees.--For purposes of this 
     subsection:
       ``(1) Expansion enrollee.--The term `expansion enrollee' 
     means an individual--
       ``(A) who is under 65 years of age;
       ``(B) who is not pregnant;
       ``(C) who is not entitled to, or enrolled for, benefits 
     under part A of title XVIII, or enrolled for benefits under 
     part B of title XVIII;
       ``(D) who is not described in any of subclauses (I) through 
     (VII) of subsection (a)(10)(A)(i); and
       ``(E) whose income (as determined under subsection (e)(14)) 
     does not exceed 133 percent of the poverty line (as defined 
     in section 2110(c)(5)) applicable to a family of the size 
     involved.
       ``(2) Grandfathered expansion enrollees.--The term 
     `grandfathered expansion enrollee' means an expansion 
     enrollee who--
       ``(A) was enrolled under the State plan under this title 
     (or under a waiver of such plan) as of December 31, 2030; and
       ``(B) does not have a break in eligibility for medical 
     assistance under such State plan (or waiver) for more than 
     one month after such date.
       ``(3) Application of related provisions.--Any reference in 
     subsection (a)(10)(G), (k), or (gg) of this section or in 
     section 1903, 1905(a), 1920(e), or 1937(a)(1)(B) to 
     individuals described in subclause (VIII) of subsection 
     (a)(10)(A)(i) shall be deemed to include a reference to 
     expansion enrollees (including grandfathered expansion 
     enrollees).''; and
       (2) in section 1905(y)(1) (42 U.S.C. 1396d(y)(1)), in the 
     matter preceding subparagraph (A)--
       (A) by inserting ``and that has elected to cover newly 
     eligible individuals before January 1, 2031'' after ``that is 
     one of the 50 States or the District of Columbia''; and
       (B) by inserting after ``subclause (VIII) of section 
     1902(a)(10)(A)(i)'' the following: ``who, for periods after 
     December 31, 2030, are grandfathered expansion enrollees (as 
     defined in section 1902(yy)(2))''.
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