S.Amdt. 3052

1. Adds SEC. 117. REMOVING THE INCENTIVE TO COVER CHILDREN AT HIGHER INCOME LEVELS RATHER THAN LOWER INCOME LEVELS at the end of subtitle B of title I of the House amendment to the text

   Adds a section

   Inserted: SEC. 117. REMOVING THE INCENTIVE TO COVER CHILDREN AT HIGHER INCOME LEVELS RATHER THAN LOWER INCOME LEVELS.

   Inserted: (a) Elimination of Enhanced FMAP.--Section 2105 (42 U.S.C. 1397ee) is amended--

   Inserted: (1) in subsection (a)(1), in the matter preceding subparagraph (A), by striking "enhanced FMAP (or, in the case of expenditures described in subparagraph (B), the Federal medical assistance percentage (as defined in the first sentence of section 1905(b)))" and inserting "Federal medical assistance percentage";

   Inserted: (2) in subparagraph (A), by striking "on the basis of an enhanced FMAP";

   Inserted: (3) by striking subsection (b) and inserting the following:

   Inserted: "(b) Federal Medical Assistance Percentage.--The term 'Federal medical assistance percentage' has the meaning given such term in the first sentence of section 1905(b).";

   Inserted: (4) in subsection (d)(B)(ii), by striking "an enhanced FMAP" and inserting "payments"; and

   Inserted: (5) in subsection (g)(1)(B)(i), by striking "the additional amount" and all that follows through the period and inserting "the Federal medical assistance percentage with respect to expenditures described in clause (ii).".

   Inserted: (b) Conforming Amendments to Title XIX.--Section 1905 (42 U.S.C. 1396d)) is amended--

   Inserted: (1) in subsection (b)--

   Inserted: (A) in the first sentence by striking "and (4)" and all that follows up to the period;

   Inserted: (B) in the last sentence--

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   Inserted: (i) by inserting "the Federal medical assistance percentage shall apply only" after "Notwithstanding the first sentence of this subsection,"; and

   Inserted: (ii) by striking "section 2104" and all that follows through the period and inserting "section 2104."; and

   Inserted: (2) in subsection (u)(4), by striking "an enhanced FMAP described in section 2105(b)" and inserting "this subsection".

   Inserted: (c) Conforming Amendments to Title XXI and the Amendments Made by Other Provisions of This Act.--

   Inserted: (1) Subsections (a)(2) and (b)(1) of section 2111, as added by section 106(a), are each amended by striking subparagraph (C).

   Inserted: (2) Section 2111(b)(2)(B), as so added, is amended--

   Inserted: (A) in clause (ii), by striking "applicable percentage determined under clause (iii) or (iv) for" and inserting "Federal medical assistance percentage of";

   Inserted: (B) by striking clauses (iii) and (iv); and

   Inserted: (C) by redesignating clauses (v) and (vi) as clauses (iii) and (iv), respectively.

   Inserted: (3) This Act shall be applied without regard to the amendment to section 2105(c) made by section 110.

   Inserted: (4) Section 2105(g)(4)(A), as added by section 111, is amended by striking "the additional amount" and all that follows through the period and inserting "the Federal medical assistance percentage with respect to expenditures described in subparagraph (B).".

   Inserted: (5) The amendment made by paragraph (1) of section 201(b) of this Act is amended to read as follows:

   Inserted: "(1) in the matter preceding subparagraph (A) (as amended by section 112(a)(1)(A)), by inserting '(or, in the case of expenditures described in subparagraph (D)(iv), 75 percent )' after 'Federal medical assistance percentage'; and".

   Inserted: (6) Section 2105(c)(9), as added by section 301(c)(1), is amended by striking "enhanced FMAP" and inserting "Federal medical assistance percentage".

   Inserted: (7) Section 601(a)(2) of this Act is amended by striking ", rather than on the basis of an enhanced FMAP (as defined in section 2105(b) of such Act)".

   Inserted: (8) Section 2105(c)(11), as added by section 602(a)(1), is amended by striking "enhanced FMAP" and inserting "Federal medical assistance percentage".

   Original wording

   At the end of subtitle B of title I of the House amendment to the text, add the following:

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As printed