[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1143 Introduced in House (IH)]
108th CONGRESS
1st Session
H. R. 1143
To amend title XIX of the Social Security Act to permit States to
expand Medicaid eligibility to uninsured, poor adults.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 6, 2003
Ms. Millender-McDonald (for herself, Mrs. Christensen, Mr. Frank of
Massachusetts, Mr. McNulty, Ms. Woolsey, Mr. McDermott, and Mr. Owens)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to permit States to
expand Medicaid eligibility to uninsured, poor adults.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Keep America Healthy Act of 2003''.
SEC. 2. OPTIONAL MEDICAID COVERAGE OF UNINSURED, POOR ADULTS.
(a) Availability of Medicaid Coverage for Uninsured, Poor Adults.--
(1) Addition of optional coverage group.--Section
1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C.
1396a(a)(10)(A)(ii)) is amended--
(A) by striking ``or'' at the end of subclause
(XVII);
(B) by striking the semicolon at the end of
subclause (XVIII) and inserting ``, or''; and
(C) by adding at the end the following new
subclause:
``(XIX) described in subsection
(cc);''.
(2) Eligibility standards for new eligibility group.--
Section 1902 of such Act is further amended by adding at the
end the following new subsection:
``(cc) Coverage of Uninsured, Poor Adults.--For purposes of
subsection (a)(10)(A)(ii)(XIX), individuals described in this
subsection are individuals who meet the following requirements:
``(1) Age.--The individual is at least 21 years of age but
is under 65 years of age.
``(2) Income.--The income of the individual's family does
not exceed a percentage (not to exceed 200 percent) specified
by the State of the poverty line (as defined in section
2110(c)(5)) applicable to a family of the size involved and, at
the option of a State, the individual's resources do not exceed
such resource level as the State may establish, so long as such
resource level is not more restrictive than the resources an
individual may have and obtain benefits under the supplemental
security income program under title XVI.''.
(b) Provision of Enhanced Federal Medical Assistance as Incentive
for States To Increase Coverage.--
(1) Application of enhanced federal medical assistance
percentage.--Section 1905(b)(4) of such Act (42 U.S.C.
1396d(b)(4)) is amended by inserting ``or section
1902(a)(10)(A)(ii)(XIX)'' after ``section
1902(a)(10)(A)(ii)(XVIII)''.
(2) Increase in medicaid payment limit for territories to
accommodate expanded coverage for residents of puerto rico, the
virgin islands, guam, american samoa, and the northern mariana
islands.--Section 1108 of such Act (42 U.S.C. 1308) is
amended--
(A) in subsection (f), by striking ``subsection
(g)'' and inserting ``subsections (g) and (h)''; and
(B) by adding at the end the following new
subsection:
``(h) Increase in Medicaid Payment Limit To Accommodate Expanded
Coverage Under the Keep America Healthy Act.--
``(1) Fiscal year 2004 and thereafter.--With respect to
fiscal year 2004 and each succeeding fiscal year, if Puerto
Rico, the Virgin Islands, Guam, the Northern Mariana Islands,
or American Samoa provides for coverage of individuals under
section 1902(a)(10)(A)(ii)(XIX) in a fiscal year, the amounts
otherwise determined for the respective territory under
subsections (f) and (g) for such fiscal year shall be increased
by a percentage (estimated by the Secretary) equal to 120
percent of the State average Keep America Healthy percentage,
estimated by the Secretary under paragraph (2) for the fiscal
year involved.
``(2) Annual estimation of state average keep america
healthy percentage.--For each such fiscal year the Secretary
shall estimate a State average Keep America Healthy percentage
equal to (A) the total Federal payments under title XIX for the
fiscal year for the 50 States and the District of Columbia that
are attributable to individuals made eligible for benefits
under section 1902(a)(10)(A)(ii)(XIX), divided by (B) the total
Federal payments under such title the fiscal year for such
States and District.''.
(c) Conforming and Technical Amendments.--(1) Section 1903(f)(4) of
such Act (42 U.S.C. 1396b(f)(4)) is amended by inserting
``1902(a)(10)(A)(ii)(XIX),'' after ``1902(a)(10)(A)(ii)(XVIII),''.
(2) Section 1905(a) of such Act (42 U.S.C. 1396d(a)) is amended, in
the matter before paragraph (1)--
(A) by striking ``or'' at the end of clause (xii);
(B) by adding ``or'' at the end of clause (xiii); and
(C) by inserting after clause (xiii) the following new
clause:
``(xiv) individuals described in section 1902(cc),''.
(3) Section 1905(u)(4) of such Act (42 U.S.C. 1396d(u)(4)) is
amended by inserting before the period at the end the following: ``for
individuals not covered under section 1902(a)(10)(A)(ii)(XIX)''.
(d) Effective Date.--The amendments made by this section shall take
effect on October 1, 2003.
<all>