Keep America Healthy Act of 2005 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to make a new optional Medicaid eligibility group for individuals between ages 21 and 65 whose family income does not exceed a State-specified percentage up to 200 percent of the applicable poverty line. Authorizes the State also to require the individual's resources not to exceed whatever level the State may establish, so long as it is not more restrictive than the requirements of SSA title XVI (Supplemental Security Income). Provides for the application to such new group of the enhanced Federal medical assistance percentage dtermined under SSA title XXI (State Children's Health Insurance Program) (SCHIP).
Amends SSA title XI to provide for an increase in the Medicaid payment limit for territories to accommodate expanded coverage for residents of Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 160 Introduced in House (IH)]
109th CONGRESS
1st Session
H. R. 160
To amend title XIX of the Social Security Act to permit States to
expand Medicaid eligibility to uninsured, poor adults.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 4, 2005
Ms. Millender-McDonald 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 States to
expand Medicaid eligibility to uninsured, poor adults.
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 ``Keep America Healthy Act of 2005''.
SEC. 2. OPTIONAL MEDICAID COVERAGE OF UNINSURED, POOR ADULTS.
(a) Availability of Medicaid Coverage for Uninsured, Poor Adults.--
(1) Addition of optional coverage group.--Section
1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C.
1396a(a)(10)(A)(ii)) is amended--
(A) by striking ``or'' at the end of subclause
(XVII);
(B) by striking the semicolon at the end of
subclause (XVIII) and inserting ``, or''; and
(C) by adding at the end the following new
subclause:
``(XIX) described in subsection
(cc);''.
(2) Eligibility standards for new eligibility group.--
Section 1902 of such Act is further amended by adding at the
end the following new subsection:
``(cc) Coverage of Uninsured, Poor Adults.--For purposes of
subsection (a)(10)(A)(ii)(XIX), individuals described in this
subsection are individuals who meet the following requirements:
``(1) Age.--The individual is at least 21 years of age but
is under 65 years of age.
``(2) Income.--The income of the individual's family does
not exceed a percentage (not to exceed 200 percent) specified
by the State of the poverty line (as defined in section
2110(c)(5)) applicable to a family of the size involved and, at
the option of a State, the individual's resources do not exceed
such resource level as the State may establish, so long as such
resource level is not more restrictive than the resources an
individual may have and obtain benefits under the supplemental
security income program under title XVI.''.
(b) Provision of Enhanced Federal Medical Assistance as Incentive
for States to Increase Coverage.--
(1) Application of enhanced federal medical assistance
percentage.--Section 1905(b)(4) of such Act (42 U.S.C.
1396d(b)(4)) is amended by inserting ``or section
1902(a)(10)(A)(ii)(XIX)'' after ``section
1902(a)(10)(A)(ii)(XVIII)''.
(2) Increase in medicaid payment limit for territories to
accommodate expanded coverage for residents of puerto rico, the
virgin islands, guam, american samoa, and the northern mariana
islands.--Section 1108 of such Act (42 U.S.C. 1308) is
amended--
(A) in subsection (f), by striking ``subsection
(g)'' and inserting ``subsections (g) and (h)''; and
(B) by adding at the end the following new
subsection:
``(h) Increase in Medicaid Payment Limit to Accommodate Expanded
Coverage Under the Keep America Healthy Act.--
``(1) Fiscal year 2006 and thereafter.--With respect to
fiscal year 2006 and each succeeding fiscal year, if Puerto
Rico, the Virgin Islands, Guam, the Northern Mariana Islands,
or American Samoa provides for coverage of individuals under
section 1902(a)(10)(A)(ii)(XIX) in a fiscal year, the amounts
otherwise determined for the respective territory under
subsections (f) and (g) for such fiscal year shall be increased
by a percentage (estimated by the Secretary) equal to 120
percent of the State average Keep America Healthy percentage,
estimated by the Secretary under paragraph (2) for the fiscal
year involved.
``(2) Annual estimation of state average keep america
healthy percentage.--For each such fiscal year the Secretary
shall estimate a State average Keep America Healthy percentage
equal to (A) the total Federal payments under title XIX for the
fiscal year for the 50 States and the District of Columbia that
are attributable to individuals made eligible for benefits
under section 1902(a)(10)(A)(ii)(XIX), divided by (B) the total
Federal payments under such title the fiscal year for such
States and District.''.
(c) Conforming and Technical Amendments.--(1) Section 1903(f)(4) of
such Act (42 U.S.C. 1396b(f)(4)) is amended by inserting
``1902(a)(10)(A)(ii)(XIX),'' after ``1902(a)(10)(A)(ii)(XVIII),''.
(2) Section 1905(a) of such Act (42 U.S.C. 1396d(a)) is amended, in
the matter before paragraph (1)--
(A) by striking ``or'' at the end of clause (xii);
(B) by adding ``or'' at the end of clause (xiii); and
(C) by inserting after clause (xiii) the following new
clause:
``(xiv) individuals described in section
1902(cc),''.
(3) Section 1905(u)(4) of such Act (42 U.S.C. 1396d(u)(4)) is
amended by inserting before the period at the end the following: ``for
individuals not covered under section 1902(a)(10)(A)(ii)(XIX)''.
(d) Effective Date.--The amendments made by this section shall take
effect on October 1, 2005.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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