Medicaid Expansion Repeal and State Flexibility Act

Medicaid Expansion Repeal and State Flexibility Act - Amends title XIX (Medicaid) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act (PPACA), to eliminate: (1) the increased federal medical assistance percentage (FMAP) for medical assistance for newly eligible mandatory individuals, (2) related equitable Medicaid support for certain states, (3) maintenance of effort requirements pending full operation of a state healthcare insurance exchange, and (4) minimum essential coverage according to PPACA for Medicaid benchmark benefits.

[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1404 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 1404

    To amend title XIX of the Social Security Act to eliminate the 
 increased Federal medical assistance percentage under the State plan 
with respect to newly eligible mandatory individuals under Medicaid, to 
 provide States with greater flexibility under Medicaid, and for other 
                               purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 25, 2013

  Mr. Salmon (for himself, Mr. LaMalfa, Mr. Schweikert, Mr. Franks of 
  Arizona, Mrs. Black, and Mr. Hunter) 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 eliminate the 
 increased Federal medical assistance percentage under the State plan 
with respect to newly eligible mandatory individuals under Medicaid, to 
 provide States with greater flexibility under Medicaid, 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 Expansion Repeal and State 
Flexibility Act''.

SEC. 2. ELIMINATING INCREASED FMAP UNDER STATE PLAN WITH RESPECT TO 
              NEWLY ELIGIBLE MANDATORY INDIVIDUALS AND RELATED 
              EQUITABLE SUPPORT FOR CERTAIN STATES.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended by striking subsections (y) and (z).
    (b) Conforming Amendments.--Section 1905 of the Social Security Act 
(42 U.S.C. 1396d), as amended by subsection (a), is further amended--
            (1) in subsection (b), by striking ``subsections (y), (z), 
        and (aa)'' and inserting ``subsection (aa)'';
            (2) in subsection (aa), by striking ``, subsections (y) and 
        (z),'' each place it appears; and
            (3) in the first sentence of subsection (cc)--
                    (A) by striking ``subsections (y), (z), and (aa)'' 
                and inserting ``subsection (aa)''; and
                    (B) by striking ``such subsections'' and inserting 
                ``such subsection''.
    (c) Effective Date.--The amendments made by this section shall 
apply with respect to payments to States for items and services 
furnished on or after the first day of the first State fiscal year that 
begins after the date of the enactment of this Act.

SEC. 3. PROVIDING GREATER FLEXIBILITY TO STATES BY ELIMINATING CERTAIN 
              REQUIREMENTS IMPOSED BY PATIENT PROTECTION AND AFFORDABLE 
              CARE ACT.

    (a) Repeal of Maintenance of Effort Requirement.--Section 1902 of 
the Social Security Act (42 U.S.C. 1396a) is amended by striking 
subsection (gg).
    (b) Repeal of Minimum Essential Coverage Requirement for Medicaid 
Benchmark Benefits.--Section 1937(b) of the Social Security Act (42 
U.S.C. 1396u-7(b)) is amended by striking paragraph (5).
    (c) Conforming Amendments.--
            (1) State plan requirements.--Section 1902(a) of the Social 
        Security Act (42 U.S.C. 1396a(a)) is amended by striking 
        paragraph (74).
            (2) Modified adjusted gross income.--Paragraph (14)(A) 
        (related to modified adjusted gross income) of section 1902(e) 
        of the Social Security Act (42 U.S.C. 1396a(e)), as added by 
        section 2002(a) of the Patient Protection and Affordable Care 
        Act (Public Law 111-148), is amended by striking the third 
        sentence.
            (3) Benchmark benefit packages.--Section 1937(b) of the 
        Social Security Act (42 U.S.C. 1396u-7(b)) is amended--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``paragraphs (5) and 
                (6)'' and inserting ``paragraph (6)''; and
                    (B) in paragraph (2), in the matter preceding 
                subparagraph (A), by striking ``paragraphs (5) and 
                (6)'' and inserting ``paragraph (6)''.
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