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103D CONGRESS

1ST SESSION H. R. 1389

To amend title XVI of the Social Security Act to make a State ineligible

for medicaid reimbursement payments under title XIX of such Act,

unless the State maintains the level at which the State supplements

Federal supplemental security income benefits or passes along increases

in such benefits.

IN THE HOUSE OF REPRESENTATIVES

MARCH 17, 1993

Mr. STARK (for himself, Mr. EVANS, Mr. JEFFERSON, Mrs. MEEK, Mr. MILLER of California, Mr. MINETA, and Mr. TOWNS) introduced the following bill; which was referred jointly to the Committees on Ways and Means

and Energy and Commerce

A BILL

To amend title XVI of the Social Security Act to make

a State ineligible for medicaid reimbursement payments

under title XIX of such Act, unless the State maintains

the level at which the State supplements Federal supplemental security income benefits or passes along increases

in such benefits.

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. STATE MADE INELIGIBLE FOR MEDICAID PRO2 GRAM PAYMENTS UNLESS STATE MAINTAINS

3 LEVEL OF STATE SUPPLEMENTARY PAY4 MENTS OR PASSES ALONG INCREASES IN SSI

5 BENEFITS.

6 Section 1618 of the Social Security Act (42 U.S.C.

7 1382g) is amended to read as follows:

8 ‘‘SEC. 1618. STATE SUPPLEMENTATION PROGRAM BENEFIT

9 RULES.

10 ‘‘(a) IN GENERAL.—A State shall not be eligible for

11 payments pursuant to title XIX with respect to expendi12 tures for any calendar quarter that begins after the later

13 of the first month for which the State makes qualified pay14 ments or December 31, 1992, unless—

15 ‘‘(1) the aggregate amount of the expenditures

16 of the State for such qualified payments during the

17 measuring year equals or exceeds—

18 ‘‘(A) the aggregate amount of such ex19 penditures for the base year, multiplied by

20 ‘‘(B) the multiplier for the measuring year;

21 or

22 ‘‘(2) the combined level of such qualified pay23 ments to recipients of the type involved, and of the

24 amounts payable to or on behalf of such recipients

25 under section 1611 of this Act and section

26 211(a)(1)(A) of Public Law 93–66, for any particu-
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1 lar month in the calendar quarter equals or exceeds

2 the sum of—

3 ‘‘(A) such combined level for the month

4 that immediately precedes such particular

5 month;

6 ‘‘(B) the amount of any cost-of-living ad7 justment under section 1617 that took effect

8 during such particular month; and

9 ‘‘(C) the amount of any other benefit in10 crease under this title which occurred during

11 such particular month.

12 ‘‘(b) DEFINITIONS.—As used in subsection (a):

13 ‘‘(1) QUALIFIED PAYMENTS.—The term ‘quali14 fied payments’ means—

15 ‘‘(A) supplementary payments of the type

16 described in section 1616(a); and

17 ‘‘(B) payments pursuant to an agreement

18 entered into under section 212(a) of Public

19 Law 93–66.

20 ‘‘(2) MULTIPLIER FOR THE MEASURING

21 YEAR.—The term ‘multiplier for the measuring year’

22 means—

23 ‘‘(A) in the case of a measuring year dur24 ing which there took effect an increase in bene25 fits under this title (including any cost-of-living
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1 adjustment under section 1617), the number

2 obtained by—

3 ‘‘(i) adding 1.00 to the decimal rep4 resentation of each such increase in bene5 fits; and

6 ‘‘(ii) multiplying the sums obtained

7 pursuant to clause (i); or

8 ‘‘(B) in the case of any other year, 1.00.

9 ‘‘(3) DECIMAL REPRESENTATION OF INCREASE

10 IN BENEFITS.—The term ‘decimal representation’

11 means, with respect to an increase in benefits—

12 ‘‘(A) if benefits are increased by a uniform

13 percentage, the decimal representation of the

14 percentage; or

15 ‘‘(B) if benefits are increased by a uniform

16 amount, the decimal representation of—

17 ‘‘(i) the aggregate amount expended

18 solely for the increase in benefits; divided

19 by

20 ‘‘(ii) the aggregate amount expended

21 for such benefits for the month imme22 diately preceding the month in which the

23 increase took effect.

24 ‘‘(4) MEASURING YEAR.—The term ‘measuring

25 year’ means, with respect to a calendar quarter, the
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1 calendar year that immediately precedes the cal2 endar year in which the calendar quarter occurs.

3 ‘‘(5) BASE YEAR.—The term ‘base year’ means,

4 with respect to a measuring year, the calendar year

5 that immediately precedes the measuring year.’’.

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