I 

113TH CONGRESS 

1ST SESSION H. R. 1703 

To amend title XIX of the Social Security Act to permit States to reduce 

the amount of home equity that is exempted for purposes of determining 

eligibility for long-term care assistance under Medicaid and to eliminate 

the State Medicaid maintenance of effort requirement established under 

Public Law 111–148 with respect to eligibility standards to obtain Medicaid assistance for long-term care services. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 24, 2013 

Mr. BOUSTANY (for himself, Mrs. BLACKBURN, Mr. GINGREY of Georgia, and 

Mr. TIBERI) 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 reduce the amount of home equity that is 

exempted for purposes of determining eligibility for longterm care assistance under Medicaid and to eliminate 

the State Medicaid maintenance of effort requirement 

established under Public Law 111–148 with respect to 

eligibility standards to obtain Medicaid assistance for 

long-term care services. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Medicaid Program In3 tegrity Act of 2013’’. 

4 SEC. 2. STATE OPTION TO REDUCE MEDICAID HOME EQ5 UITY EXEMPTION AMOUNT. 

6 (a) IN GENERAL.—Section 1917(f)(1) of the Social 

7 Security Act (42 U.S.C. 1396p(f)(1)) is amended— 

8 (1) in subparagraph (B), by striking 

9 ‘‘ ‘$500,000’, an amount that exceeds such amount, 

10 but does not exceed $750,000’’ and by inserting the 

11 following: ‘‘$500,000— 

12 ‘‘(i) an amount that exceeds such 

13 amount, but does not exceed $750,000; or 

14 ‘‘(ii) an amount that is less than such 

15 amount, but is not less than $50,000.’’; 

16 and 

17 (2) in subparagraph (C)— 

18 (A) by inserting ‘‘(or beginning in 2014 in 

19 the case of subparagraph (B)(ii))’’ after ‘‘begin20 ning with 2011’’; and 

21 (B) by inserting ‘‘(or nearest $100 in the 

22 case of subparagraph (B)(ii))’’ after ‘‘nearest 

23 $1,000’’. 

24 (b) EFFECTIVE DATE.—The amendment made by 

25 subsection (a) shall apply to individuals who are deter26 mined eligible for medical assistance with respect to nursVerDate Mar 15 2010 01:52 Apr 30, 2013 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1703.IH H1703

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1 ing facility services or other long-term care services based 

2 on an application filed on or after the date of the enact3 ment of this Act. 

4 SEC. 3. ELIMINATION OF ACA MAINTENANCE OF EFFORT 

5 REQUIREMENTS WITH RESPECT TO MED6 ICAID ELIGIBILITY FOR LONG-TERM CARE 

7 SERVICES. 

8 (a) IN GENERAL.—Section 1902(gg) of the Social Se9 curity Act (42 U.S.C. 1396a(gg)) is amended by adding 

10 at the end the following new paragraph: 

11 ‘‘(5) NONAPPLICATION IN CASE OF ELIGIBILITY

12 FOR MEDICAL ASSISTANCE FOR LONG-TERM CARE

13 SERVICES.—The requirement under paragraph (1) 

14 shall not apply to changes in standards (such as 

15 counting the value of life estates as a resource, 

16 counting the value of savings bonds in the year of 

17 their purchase, and not excluding the unpaid balance 

18 of an annuity as a resource) established for eligi19 bility for medical assistance for long-term care serv20 ices described in section 1917(c)(1)(C) so long as 

21 such changes would have been permitted under the 

22 law as in effect before the date of the enactment of 

23 Public Law 111–148.’’. 

24 (b) EFFECTIVE DATE.—The amendment made by 

25 subsection (a) shall apply to standards for eligibility deterVerDate Mar 15 2010 01:52 Apr 30, 2013 Jkt 029200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1703.IH H1703

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1 minations made on or after the date of the enactment of 

2 this Act. 

Æ 


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