To reduce the FMAP for the Medicaid expansion to 80 percent in expansion States that provide State-funded coverage to aliens who are not qualified aliens and who are have been charged with or convicted of certain acts.

SA 2705. Mr. CORNYN proposed an amendment 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; as follows:

At the appropriate place, insert the following:

SEC. ___. EXPANSION FMAP FOR CERTAIN STATES PROVIDING
PAYMENTS FOR HEALTH CARE FURNISHED TO CERTAIN
INDIVIDUALS.

(a) In General.--Section 1905 of the Social Security Act
(42 U.S.C. 1396d) is amended--
(1) in subsection (y)--
(A) in paragraph (1)(E), by inserting ``(or, for calendar
quarters beginning on or after October 1, 2027, in the case
such State is a specified State with respect to such calendar
quarter, 80 percent)'' after ``thereafter''; and
(B) in paragraph (2), by adding at the end the following
new subparagraph:
``(C) Specified state.--The term `specified State' means,
with respect to a quarter, a State that--
``(i) provides any form of financial assistance from a
State general fund during such quarter, in whole or in part,
whether or not made under a State plan (or waiver of such
plan) under this title or under another program established
by the State, to or on behalf of an alien who is not a
qualified alien and has been charged with, or convicted of,
an act described in subparagraph (D), for the purchasing of
health insurance coverage (as defined in section 2791(b)(1)
of the Public Health Service Act) for any such alien; or
``(ii) provides any form of comprehensive health benefits
coverage, except such coverage required by Federal law,
during such quarter, whether or not under a State plan (or
waiver of such plan) under this title or under another
program established by the State, and regardless of the
source of funding for such coverage, to any such alien.
``(D) Acts described.--For purposes of subparagraph (C)(i),
an act described in this subparagraph is any of the
following:
``(i) A sex offense (as defined in section 111 of the Sex
Offender Registration and Notification Act (34 U.S.C.
20911)).
``(ii) A crime involving severe forms of trafficking in
persons (as defined in section 103 of the Trafficking Victims
Protection Act of 2000 (22 U.S.C. 7102)).
``(iii) A crime of domestic violence (as defined in section
40002(a) of the Violence Against Women Act of 1994 (34 U.S.C.
12291(a))).
``(iv) A crime of child abuse and neglect (as defined in
section 3 of the Child Abuse Prevention and Treatment Act
(Public Law 93-247; 42 U.S.C. 5101 note)).
``(v) Murder, manslaughter, or an attempt to commit murder
or manslaughter (within the meanings of such terms in
sections 1111, 1112, and 1113 of title 18, United States
Code).
``(vi) A crime involving receipt, distribution, or
possession of a visual depiction of a minor engaging in
sexually explicit conduct (within the meanings of such terms
in section 2252 of title 18, United States Code).
``(E) Immigration terms.--
``(i) Alien.--The term `alien' has the meaning given such
term in section 101(a) of the Immigration and Nationality
Act.
``(ii) Qualified alien.--The term `qualified alien' has the
meaning given such term in section 431 of the Personal
Responsibility and Work Opportunity Reconciliation Act of
1996, except that the references to `(in the opinion of the
agency providing such benefits)' in subsection (c) of such
section 431 shall be treated as references to `(in the
opinion of the State in which such comprehensive health
benefits coverage or such financial assistance is provided,
as applicable)'.''; and
(2) in subsection (z)(2)--
(A) in subparagraph (A), by striking ``for such year'' and
inserting ``for such quarter''; and
(B) in subparagraph (B)(i)--
(i) in the matter preceding subclause (I), by striking
``for a year'' and inserting ``for a calendar quarter in a
year''; and
(ii) in subclause (II), by striking ``for the year'' and
inserting ``for the quarter for the State''.
(b) Repeal.--Section 71110 of this Act is repealed, and the
Social Security Act shall be applied as if the amendments
made by such section had not been enacted.
______