S.Amdt. 2554

SA 2554. Mr. SCOTT of Florida (for himself, Mr. Crapo, Mr. Johnson,
Mr. Lee, and Ms. Lummis) 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. __. GRANDFATHERING OF MEDICAID EXPANSION AND UNIFYING
FMAP FOR EXPANSION STATES.

(a) In General.--Title XIX of the Social Security Act (42
U.S.C. 1396 et seq.), as amended by section 71121(a), 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, 2030,'' after ``2014,'';
(ii) in clause (ii)(XX), by inserting ``and ending December
31, 2030,'' after ``2014,''; and
(iii) in clause (ii), by adding at the end the following
new subclause:
``(XXIV) beginning January 1, 2031--

``(aa) who are expansion enrollees (as defined in
subsection (yy)(1)); or
``(bb) who are grandfathered expansion enrollees (as
defined in subsection (yy)(2));''; and

(B) by adding at the end the following new subsection:
``(yy) Expansion Enrollees.--For purposes of this
subsection:
``(1) Expansion enrollee.--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) Grandfathered expansion enrollees.--The term
`grandfathered expansion enrollee' means an expansion
enrollee who--
``(A) was enrolled under the State plan under this title
(or under a waiver of such plan) as of December 31, 2030; and
``(B) does not have a break in eligibility for medical
assistance under such State plan (or waiver) for more than
one month after such date.
``(3) 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 (including grandfathered expansion
enrollees).''; and
(2) in section 1905(y)(1) (42 U.S.C. 1396d(y)(1)), in the
matter preceding subparagraph (A)--
(A) by inserting ``and that has elected to cover newly
eligible individuals before January 1, 2031'' after ``that is
one of the 50 States or the District of Columbia''; and
(B) by inserting after ``subclause (VIII) of section
1902(a)(10)(A)(i)'' the following: ``who, for periods after
December 31, 2030, are grandfathered expansion enrollees (as
defined in section 1902(yy)(2))''.
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