To prohibit payments for administrative expenses under the Medicaid program if more than 15 percent of applications for medical assistance, eligibility redeterminations, and change reports are processed by individuals who are not State employees meeting certain personnel standards.

1. Adds Sec. __. (a) In General.--None of the funds made available in this Act may used for Federal matching payments under section 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) for reimbursement of amounts expended for the proper and efficient administration of a State Medicaid plan under title XIX of such Act to a State agency if more than-- at the appropriate place in title II

   Adds a section

   Inserted: Sec. __. (a) In General.--None of the funds made available in this Act may used for Federal matching payments under section 1903(a)(7) of the Social Security Act (42 U.S.C. 1396b(a)(7)) for reimbursement of amounts expended for the proper and efficient administration of a State Medicaid plan under title XIX of such Act to a State agency if more than--

   Inserted: (1) 15 percent of the applications for medical assistance under the State Medicaid plan in any fiscal year quarter are received or initially processed;

   Inserted: (2) 15 percent of eligibility redeterminations for such medical assistance are initially processed; or

   Inserted: (3) 15 percent of change reports are received and initially processed, by individuals who are not State employees meeting the personnel standards required under section 1902(a)(4)(A) of the Social Security Act (42 U.S.C. 1396a(a)(4)(A)).

   Inserted: (b) Exclusion of Applications Received and Processed on an Outstation Basis.--The percentages described in subsection (a) shall be determined without regard to applications received and processed by the Health Resources Services Administration.

   The amendment doesn't say where this goes; the clerk decides.

   Original wording

   At the appropriate place in title II, insert the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed