S.Amdt. 2401

SA 2401. Mrs. BLACKBURN submitted an amendment intended to be
proposed to amendment SA 2360 proposed by Mr. Thune (for Mr. Graham) to
the bill H.R. 1, to provide for reconciliation pursuant to title II of
H. Con. Res. 14; which was ordered to lie on the table; as follows:

At the appropriate place, insert the following:

SEC. ___. PROHIBITING FEDERAL FINANCIAL PARTICIPATION UNDER
MEDICAID AND CHIP FOR INDIVIDUALS WITHOUT
VERIFIED CITIZENSHIP, NATIONALITY, OR
SATISFACTORY IMMIGRATION STATUS.

(a) In General.--
(1) Medicaid.--Section 1903(i)(22) of the Social Security
Act (42 U.S.C. 1396b(i)(22)) is amended--
(A) by adding ``and'' at the end;
(B) by striking ``to amounts'' and inserting "to-- ``
``(A) amounts''; and
(C) by adding at the end the following new subparagraph:
``(B) in the case that the State elects under section
1902(a)(46)(C) to provide for making medical assistance
available to an individual during--
``(i) the period in which the individual is provided the
reasonable opportunity to present satisfactory documentary
evidence of citizenship or nationality under section
1902(ee)(2)(C) or subsection (x)(4);
``(ii) the 90-day period described in section
1902(ee)(1)(B)(ii)(II); or
``(iii) the period in which the individual is provided the
reasonable opportunity to submit evidence indicating a
satisfactory immigration status under section 1137(d)(4),
amounts expended for such medical assistance, unless the
citizenship or nationality of such individual or the
satisfactory immigration status of such individual (as
applicable) is verified by the end of such period;''.
(2) CHIP.--Section 2107(e)(1)(O) of the Social Security Act
(42 U.S.C. 1397gg(e)(1)(O)), as redesignated by section
71103(b)(1)(A), is amended by striking ``and (17)'' and
inserting ``(17), and (22)''.
(b) Eliminating State Requirement to Provide Medical
Assistance During Reasonable Opportunity Period.--
(1) Documentary evidence of citizenship or nationality.--
Section 1903(x)(4) of the Social Security Act (42 U.S.C.
1396b(x)) is amended--
(A) by striking ``under clauses (i) and (ii) of section
1137(d)(4)(A)'' and inserting ``under section 1137(d)(4)'';
and
(B) by inserting ``, except that the State shall not be
required to make medical assistance available to such
individual during the period in which such individual is
provided such reasonable opportunity if the State has not
elected the option under section 1902(a)(46)(C)'' before the
period at the end.
(2) Social security data match.--Section 1902(ee) of the
Social Security Act (42 U.S.C. 1396a(ee)) is amended--
(A) in paragraph (1)(B)(ii)--
(i) in subclause (II), by striking ``(and continues to
provide the individual with medical assistance during such
90-day period)'' and inserting ``and, if the State has
elected the option under subsection (a)(46)(C), continues to
provide the individual with medical assistance during such
90-day period''; and
(ii) in subclause (III), by inserting ``, or denies
eligibility for medical assistance under this title for such
individual, as applicable'' after ``under this title''; and
(B) in paragraph (2)(C)--
(i) by striking ``under clauses (i) and (ii) of section
1137(d)(4)(A)'' and inserting ``under section 1137(d)(4)'';
and
(ii) by inserting ``, except that the State shall not be
required to make medical assistance available to such
individual during the period in which such individual is
provided such reasonable opportunity if the State has not
elected the option under section 1902(a)(46)(C)'' before the
period at the end.
(3) Individuals with satisfactory immigration status.--
Section 1137(d)(4) of the Social Security Act (42 U.S.C.
1320b-7(d)(4)) is amended--
(A) in subparagraph (A)(ii), by inserting ``(except that
such prohibition on delay, denial, reduction, or termination
of eligibility for benefits under the Medicaid program under
title XIX shall apply only if the State has elected the
option under section 1902(a)(46)(C))'' after ``has been
provided''; and
(B) in subparagraph (B)(ii), by inserting ``(except that
such prohibition on delay, denial, reduction, or termination
of eligibility for benefits under the Medicaid program under
title XIX shall apply only if the State has elected the
option under section 1902(a)(46)(C))'' after ``status''.
(c) Option to Continue Providing Medical Assistance During
Reasonable Opportunity Period.--
(1) Medicaid.--Section 1902(a)(46) of the Social Security
Act (42 U.S.C. 1396a(a)(46)) is amended--
(A) in subparagraph (A), by striking ``and'' at the end;
(B) in subparagraph (B)(ii), by adding ``and'' at the end;
and
(C) by inserting after subparagraph (B)(ii) the following
new subparagraph:
``(C) provide, at the option of the State, for making
medical assistance available--
``(i) to an individual described in subparagraph (B) during
the period in which such individual is provided the
reasonable opportunity to present satisfactory documentary
evidence of citizenship or nationality under subsection
(ee)(2)(C) or section 1903(x)(4), or during the 90-day period
described in subsection (ee)(1)(B)(ii)(II); or
``(ii) to an individual who is not a citizen or national of
the United States during the period in which such individual
is provided the reasonable opportunity to submit evidence
indicating a satisfactory immigration status under section
1137(d)(4);''.
(2) CHIP.--Section 2105(c)(9) of the Social Security Act
(42 U.S.C. 1397ee(c)(9)) is amended by adding at the end the
following new subparagraph:
``(C) Option to continue providing child health assistance
during reasonable opportunity period.--Section 1902(a)(46)(C)
shall apply to States under this title in the same manner as
it applies to a State under title XIX.''.
(d) Effective Date.--The amendments made by this section
shall apply beginning on October 1, 2026.
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