S.Amdt. 403

SA 403. Mr. McCAIN submitted an amendment intended to be proposed by
him to the bill H.R. 1628, to provide for reconciliation pursuant to
title II of the concurrent resolution on the budget for fiscal year
2017; which was ordered to lie on the table; as follows:

Strike section 112 and insert the following:

SEC. 112. MEDICAID EXPANSION.

(a) In General.--Title XIX of the Social Security Act (42
U.S.C. 1396 et seq.) is amended--
(1) in section 1902 (42 U.S.C. 1396a)--
(A) in subsection (a)(10)(A)--
(i) in clause (i)(VIII), by inserting ``and ending December
31, 2019,'' after ``2014,''; and
(ii) in clause (ii), in subclause (XX), by inserting ``and
ending December 31, 2017,'' after ``2014,'', and by adding at
the end the following new subclause:
``(XXIII) beginning January 1, 2020, who are expansion
enrollees (as defined in subsection (nn)(1));''; and
(B) by adding at the end the following new subsection:
``(nn) Expansion Enrollees.--
``(1) In general.--In this title, the term `expansion
enrollee' means an individual--
``(A) who is under 65 years of age;
``(B) who is not pregnant;
``(C) who is not entitled to, or enrolled for, benefits
under part A of title XVIII, or enrolled for benefits under
part B of title XVIII;
``(D) who is not described in any of subclauses (I) through
(VII) of subsection (a)(10)(A)(i); and
``(E) whose income (as determined under subsection (e)(14))
does not exceed 133 percent of the poverty line (as defined
in section 2110(c)(5)) applicable to a family of the size
involved.
``(2) Application of related provisions.--Any reference in
subsection (a)(10)(G), (k), or (gg) of this section or in
section 1903, 1905(a), 1920(e), or 1937(a)(1)(B) to
individuals described in subclause (VIII) of subsection
(a)(10)(A)(i) shall be deemed to include a reference to
expansion enrollees.''; and
(2) in section 1905 (42 U.S.C. 1396d)--
(A) in subsection (y)(1)--
(i) in the matter preceding subparagraph (A), by striking
``, with respect to'' and all that follows through ``shall be
equal to'' and inserting ``and that has elected to cover
newly eligible individuals before March 1, 2017, with respect
to amounts expended by such State before January 1, 2020, for
medical assistance for newly eligible individuals

[[Page S4443]]

described in subclause (VIII) of section 1902(a)(10)(A)(i),
and, with respect to amounts expended by such State after
December 31, 2019, and before January 1, 2030, for medical
assistance for expansion enrollees (as defined in section
1902(nn)(1)), shall be equal to the higher of the percentage
otherwise determined for the State and year under subsection
(b) (without regard to this subsection) and'';
(ii) in subparagraph (D), by striking ``and'' after the
semicolon;
(iii) by striking subparagraph (E) and inserting the
following new subparagraphs:
``(E) 90 percent for calendar quarters in 2020;
``(F) 88 percent for calendar quarters in 2021;
``(G) 86 percent for calendar quarters in 2022;
``(H) 84 percent for calendar quarters in 2023;
``(I) 82 percent for calendar quarters in 2024;
``(J) 80 percent for calendar quarters in 2025;
``(K) 78 percent for calendar quarters in 2026;
``(L) 76 percent for calendar quarters in 2027;
``(M) 74 percent for calendar quarters in 2028; and
``(N) 72 percent for calendar quarters in 2029.''; and
(iv) by adding after and below subparagraph (H) (as added
by clause (iii)), the following flush sentence:
``The Federal medical assistance percentage determined for a
State and year under subsection (b) shall apply to
expenditures for medical assistance to newly eligible
individuals (as so described) and expansion enrollees (as so
defined), in the case of a State that has elected to cover
newly eligible individuals before March 1, 2017, for calendar
quarters after 2029, and, in the case of any other State, for
calendar quarters (or portions of calendar quarters) after
February 28, 2017.''; and
(B) in subsection (z)(2)--
(i) in subparagraph (A)--

(I) by inserting ``through 2023'' after ``each year
thereafter''; and
(II) by striking ``shall be equal to'' and inserting ``and,
for periods after December 31, 2019 and before January 1,
2024, who are expansion enrollees (as defined in section
1902(nn)(1)) shall be equal to the higher of the percentage
otherwise determined for the State and year under subsection
(b) (without regard to this subsection) and''; and

(ii) in subparagraph (B)(ii)--

(I) in subclause (IV), by striking the semicolon and
inserting ``; and'';
(II) in subclause (V), by striking ``2018 is 90 percent;
and'' and inserting ``2018 and each subsequent year through
2029 is 90 percent.''; and
(III) by striking subclause (VI).

(b) Sunset of Medicaid Essential Health Benefits
Requirement.--Section 1937(b)(5) of the Social Security Act
(42 U.S.C. 1396u-7(b)(5)) is amended by adding at the end the
following: ``This paragraph shall not apply after December
31, 2019.''.
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