S.Amdt. 211

SA 211. Mr. CORNYN (for himself, Mr. Hatch, Mr. Grassley, Mr. Coburn,
and Mr. Martinez) submitted an amendment intended to be proposed to
amendment SA 98 proposed by Mr. Inouye (for himself and Mr. Baucus) to
the bill H.R. 1, making supplemental appropriations for job
preservation and creation, infrastructure investment, energy efficiency
and science, assistance to the unemployed, and State and local fiscal
stabilization, for fiscal year ending September 30, 2009, and for other
purposes; which was ordered to lie on the table; as follows:

On page 723, between lines 7 and 8, insert the following:
(3) Long-term medicaid fiscal outlook and sustainability
plan; annual gao report.--
(A) In general.--A State is not eligible for an increase in
its FMAP under subsection (a), (b), or (c), or an increase in
a cap amount under subsection (d), for any fiscal year
quarter occurring during the recessionary adjustment period
that begins on or after October 1, 2009, and before the date
on which the State submits a report to the Secretary
detailing the State's fiscal situation with respect to the
State Medicaid program and the State's plan to ensure the
long-term sustainability of its State Medicaid program that
contains the information described in subparagraph (B). The
Secretary shall make the reports submitted under this
subparagraph publicly available.
(B) Required information.--
(i) Fiscal outlook requirements.--The report required under
subparagraph (A), shall include the following with respect to
the fiscal outlook for the State:

(I) A 10 year and 25 year expenditure forecast.
(II) A 10 year and 25 year forecast as a percentage of the
State's budget.
(III) Recommendations for State actions in the next 5 years
to ensure adequate State funding over the 10 and 25 year
periods.

[[Page S1556]]

(ii) Long-term sustainability plan.--The report required
under subparagraph (A), shall include plans for reforms
specified by the State with respect to each of the following:

(I) Program integrity.
(II) Payment reform.
(III) Capacity reform.
(IV) Market reform.

(C) GAO report.--Beginning with fiscal year 2012, and every
third fiscal year thereafter, the Comptroller General of the
United States shall submit a report to Congress regarding the
fiscal situation with respect to each State Medicaid program
relative to the fiscal situation of such each such program on
October 1, 2009. Subsection (i) of this section shall not
apply to this subparagraph.
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