United States HR 6149: Medicaid REACH Act

Bill Text

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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 Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Medicaid Report on 4
Expansion of Access to Coverage for Health Act’’ or 5
‘‘Medicaid REACH Act’’. 6
SEC. 2. ENHANCED REPORTING REQUIREMENTS FOR NON-7
EXPANSION STATES. 8
Section 1903 of the Social Security Act (42 U.S.C. 9
1396b) is amended— 10
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(1) in subsection (a)(7), by inserting ‘‘sub-1
section (bb) and’’ before ‘‘section 1919(g)(3)(B)’’; 2
and 3
(2) by adding at the end the following new sub-4
section: 5
‘‘(bb) REDUCTION OF FEDERAL PAYMENTS FOR 6
CERTAIN ADMINISTRATIVE COSTS OF NONEXPANSION 7
STATES THAT DO NOT SATISFY REPORTING REQUIRE-8
MENTS.— 9
‘‘(1) IN GENERAL.— 10
‘‘(A) REDUCTION.—In the case of a non-11
expansion State, with respect to a fiscal year 12
(beginning with fiscal year 2022) that does not 13
satisfy the reporting requirement under para-14
graph (2) for such fiscal year, the percentage 15
specified in subsection (a)(7) for amounts de-16
scribed in such subsection expended by such 17
State during a calendar quarter described in 18
paragraph (4) with respect to such fiscal year, 19
subject to subparagraph (B), shall be reduced 20
by the number of percentage points specified in 21
paragraph (4) for the respective calendar quar-22
ter. 23
‘‘(B) EXCEPTION.—In the case of a non-24
expansion State that is subject to a reduction 25
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under subparagraph (A) for the calendar quar-1
ter described in paragraph (4)(A) with respect 2
to a fiscal year, if the State satisfies the criteria 3
described in subparagraphs (A), (B), and (C) of 4
paragraph (2) (without regard to the dates 5
specified in such subparagraph (A) and (C)) be-6
fore the beginning of a subsequent calendar 7
quarter described in paragraph (4) with respect 8
to such fiscal year, then such State shall not be 9
subject to a reduction under subparagraph (A) 10
for such subsequent calendar quarter. 11
‘‘(2) REPORTING REQUIREMENT.—For pur-12
poses of paragraph (1), a nonexpansion State satis-13
fies the reporting requirement under this paragraph 14
for a fiscal year, if the nonexpansion State— 15
‘‘(A) by not later than January 1 of such 16
year, posts on the public website of the State 17
agency administering the State plan, the infor-18
mation described in paragraph (3) with respect 19
to such State for the previous year; 20
‘‘(B) provides for at least a 30-day period 21
for notice and comment on such information; 22
and 23
‘‘(C) by not later than March 1 of such 24
year, submits to the Secretary a complete re-25
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port including such information, comments sub-1
mitted pursuant to subparagraph (B), and a re-2
sponse by the State to each such comment. 3
‘‘(3) INFORMATION DESCRIBED.—The informa-4
tion described in this paragraph, with respect to a 5
State and year, is the following: 6
‘‘(A) The estimated number of individuals 7
who were uninsured for at least 6 months, 8
shown by age-groups of 0 to 18 years of age 9
and of 19 years of age to 64 years of age, as 10
well as a detailed description of the basis for 11
the estimates. 12
‘‘(B) The estimated number of the individ-13
uals estimated under subparagraph (A) in the 14
State who would be eligible for medical assist-15
ance under the State plan if the State were to 16
make medical assistance under the State plan 17
available in accordance with section 1902(k)(1) 18
to all individuals described in section 19
1902(a)(10)(i)(VIII), and a detailed description 20
of the basis for the estimates. 21
‘‘(C) A comprehensive listing of State in-22
come eligibility criteria for all mandatory and 23
optional Medicaid eligibility groups for which 24
the State plan provides medical assistance 25
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(other than with respect to individuals described 1
in clause (i)(II), (ii)(VI), or (ii)(XXII) of sec-2
tion 1902(a)(10)(A)). 3
‘‘(D) The total amount of hosp