Medicaid Report on Expansion of Access to Coverage for Health Act or Medicaid REACH Act
This bill reduces federal payment for Medicaid administrative expenses incurred by states that have not elected to participate in Medicaid expansion under the Patient Protection and Affordable Care Act (i.e., nonexpansion states) if the state does not comply with specified reporting requirements. The bill requires nonexpansion states to report, among other information, the number of uninsured individuals under the age of 65 and the estimated percentage of such individuals who would be eligible to receive coverage if the state expanded Medicaid.
[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6149 Introduced in House (IH)]
<DOC>
116th CONGRESS
2d Session
H. R. 6149
To amend title XIX of the Social Security Act to enhance reporting
requirements for nonexpansion States, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 9, 2020
Mr. Cunningham 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 enhance reporting
requirements for nonexpansion States, 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 Report on Expansion of
Access to Coverage for Health Act'' or ``Medicaid REACH Act''.
SEC. 2. ENHANCED REPORTING REQUIREMENTS FOR NONEXPANSION STATES.
Section 1903 of the Social Security Act (42 U.S.C. 1396b) is
amended--
(1) in subsection (a)(7), by inserting ``subsection (bb)
and'' before ``section 1919(g)(3)(B)''; and
(2) by adding at the end the following new subsection:
``(bb) Reduction of Federal Payments for Certain Administrative
Costs of Nonexpansion States That Do Not Satisfy Reporting
Requirements.--
``(1) In general.--
``(A) Reduction.--In the case of a nonexpansion
State, with respect to a fiscal year (beginning with
fiscal year 2022) that does not satisfy the reporting
requirement under paragraph (2) for such fiscal year,
the percentage specified in subsection (a)(7) for
amounts described in such subsection expended by such
State during a calendar quarter described in paragraph
(4) with respect to such fiscal year, subject to
subparagraph (B), shall be reduced by the number of
percentage points specified in paragraph (4) for the
respective calendar quarter.
``(B) Exception.--In the case of a nonexpansion
State that is subject to a reduction under subparagraph
(A) for the calendar quarter described in paragraph
(4)(A) with respect to a fiscal year, if the State
satisfies the criteria described in subparagraphs (A),
(B), and (C) of paragraph (2) (without regard to the
dates specified in such subparagraph (A) and (C))
before the beginning of a subsequent calendar quarter
described in paragraph (4) with respect to such fiscal
year, then such State shall not be subject to a
reduction under subparagraph (A) for such subsequent
calendar quarter.
``(2) Reporting requirement.--For purposes of paragraph
(1), a nonexpansion State satisfies the reporting requirement
under this paragraph for a fiscal year, if the nonexpansion
State--
``(A) by not later than January 1 of such year,
posts on the public website of the State agency
administering the State plan, the information described
in paragraph (3) with respect to such State for the
previous year;
``(B) provides for at least a 30-day period for
notice and comment on such information; and
``(C) by not later than March 1 of such year,
submits to the Secretary a complete report including
such information, comments submitted pursuant to
subparagraph (B), and a response by the State to each
such comment.
``(3) Information described.--The information described in
this paragraph, with respect to a State and year, is the
following:
``(A) The estimated number of individuals who were
uninsured for at least 6 months, shown by age-groups of
0 to 18 years of age and of 19 years of age to 64 years
of age, as well as a detailed description of the basis
for the estimates.
``(B) The estimated number of the individuals
estimated under subparagraph (A) in the State who would
be eligible for medical assistance under the State plan
if the State were to make medical assistance under the
State plan available in accordance with section
1902(k)(1) to all individuals described in section
1902(a)(10)(i)(VIII), and a detailed description of the
basis for the estimates.
``(C) A comprehensive listing of State income
eligibility criteria for all mandatory and optional
Medicaid eligibility groups for which the State plan
provides medical assistance (other than with respect to
individuals described in clause (i)(II), (ii)(VI), or
(ii)(XXII) of section 1902(a)(10)(A)).
``(D) The total amount of hospital uncompensated-
care costs and a breakdown of the source of such costs,
as well as a breakdown for rural and non-rural
hospitals.
``(4) Percentage described.--For purposes of paragraph (1),
a calendar quarter described in this paragraph, with respect to
a fiscal year, and the percentage points described in this
paragraph for such quarter, with respect to a State, are--
``(A) for the calendar quarter beginning on the
April 1 occurring during such fiscal year, 0.5
percentage points;
``(B) for the calendar quarter beginning on the
July 1 occurring during such fiscal year, 1.0
percentage point; and
``(C) for the calendar quarter beginning on the
October 1 occurring during the subsequent fiscal year,
1.5 percentage points.
``(5) Payment in case of reporting state.--The expenses
incurred by a non-expansion State, with respect to any calendar
quarter with respect to a fiscal year (beginning with 2021),
for carrying out subparagraphs (A) through (C) of paragraph (2)
shall, for purposes of section 1903(a)(7), be considered to be
expenses necessary for the proper and efficient administration
of the State plan under this title.
``(6) Nonexpanion state defined.--For purposes of this
subsection, the term `nonexpansion State' means, with respect
to a fiscal year, a State that as of the first quarter of such
fiscal year does not provide under the State plan of such State
(or waiver of such plan) for making medical assistance
available in accordance with section 1902(k)(1) to all
individuals described in section 1902(a)(10)(i)(VIII).''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
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