Medicaid Program Integrity Act of 2013

Medicaid Program Integrity Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to the option a state has, when determining an individual's Medicaid eligibility for long-term care assistance, to change the $500,000 maximum allowable equity interest of the individual in his or her home. Gives states the further option to reduce the maximum allowable home equity interest below $500,000 but not below $50,000. Requires indexed inflation adjustments to the state-selected alternative maximum beginning in 2014.

Revises the general maintenance of effort requirement that a state maintain Medicaid eligibility standards no stricter than those in effect when the Patient Protection and Affordable Care Act (PPACA) was enacted until the state health insurance exchange required by such Act is operational. Declares that such maintenance of effort requirement shall not apply to changes in eligibility standards for medical assistance for long-term care services, so long as such changes would have been permitted under the law as in effect before the enactment of PPACA.

[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1703 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 1703

   To amend title XIX of the Social Security Act to permit States to 
   reduce the amount of home equity that is exempted for purposes of 
 determining eligibility for long-term care assistance under Medicaid 
 and to eliminate the State Medicaid maintenance of effort requirement 
   established under Public Law 111-148 with respect to eligibility 
  standards to obtain Medicaid assistance for long-term care services.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 24, 2013

Mr. Boustany (for himself, Mrs. Blackburn, Mr. Gingrey of Georgia, and 
 Mr. Tiberi) 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 
   reduce the amount of home equity that is exempted for purposes of 
 determining eligibility for long-term care assistance under Medicaid 
 and to eliminate the State Medicaid maintenance of effort requirement 
   established under Public Law 111-148 with respect to eligibility 
  standards to obtain Medicaid assistance for long-term care services.

    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 Program Integrity Act of 
2013''.

SEC. 2. STATE OPTION TO REDUCE MEDICAID HOME EQUITY EXEMPTION AMOUNT.

    (a) In General.--Section 1917(f)(1) of the Social Security Act (42 
U.S.C. 1396p(f)(1)) is amended--
            (1) in subparagraph (B), by striking ```$500,000', an 
        amount that exceeds such amount, but does not exceed $750,000'' 
        and by inserting the following: ``$500,000--
                            ``(i) an amount that exceeds such amount, 
                        but does not exceed $750,000; or
                            ``(ii) an amount that is less than such 
                        amount, but is not less than $50,000.''; and
            (2) in subparagraph (C)--
                    (A) by inserting ``(or beginning in 2014 in the 
                case of subparagraph (B)(ii))'' after ``beginning with 
                2011''; and
                    (B) by inserting ``(or nearest $100 in the case of 
                subparagraph (B)(ii))'' after ``nearest $1,000''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to individuals who are determined eligible for medical assistance 
with respect to nursing facility services or other long-term care 
services based on an application filed on or after the date of the 
enactment of this Act.

SEC. 3. ELIMINATION OF ACA MAINTENANCE OF EFFORT REQUIREMENTS WITH 
              RESPECT TO MEDICAID ELIGIBILITY FOR LONG-TERM CARE 
              SERVICES.

    (a) In General.--Section 1902(gg) of the Social Security Act (42 
U.S.C. 1396a(gg)) is amended by adding at the end the following new 
paragraph:
            ``(5) Nonapplication in case of eligibility for medical 
        assistance for long-term care services.--The requirement under 
        paragraph (1) shall not apply to changes in standards (such as 
        counting the value of life estates as a resource, counting the 
        value of savings bonds in the year of their purchase, and not 
        excluding the unpaid balance of an annuity as a resource) 
        established for eligibility for medical assistance for long-
        term care services described in section 1917(c)(1)(C) so long 
        as such changes would have been permitted under the law as in 
        effect before the date of the enactment of Public Law 111-
        148.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to standards for eligibility determinations made on or after the 
date of the enactment of this Act.
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