I 

115TH CONGRESS 

1ST SESSION H. R. 1151 

To amend title XIX of the Social Security Act to encourage the prioritization 

of the most vulnerable individuals under the Medicaid program. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 16, 2017 

Mr. HUDSON 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 encourage 

the prioritization of the most vulnerable individuals 

under the Medicaid program. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Encouraging the 

5 Prioritization of the Most Vulnerable Act’’. 


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1 SEC. 2. ENCOURAGING MEDICAID DEMONSTRATION 

2 PROJECTS TO FOCUS ON THE MOST VULNER3 ABLE PATIENTS. 

4 (a) IN GENERAL.—Section 1115 of the Social Secu5 rity Act (42 U.S.C. 1315) is amended by adding at the 

6 end the following new subsection: 

7 ‘‘(g) In making a determination using the authority 

8 under paragraph (2)(A) of subsection (a) (relating to 

9 treating costs that would not otherwise be included as ex10 penditures under section 1903 and which are not included 

11 as part of the costs of projects under section 1110 as ex12 penditures under the State plan or plans approved under 

13 title XIX) to approve an application or renewal of any ex14 perimental, pilot, or demonstration project undertaken 

15 under such subsection to promote the objectives of title 

16 XIX (referred to in this subsection as a ‘Medicaid dem17 onstration project’), the Secretary shall— 

18 ‘‘(1) post on the website of the Centers for 

19 Medicare & Medicaid Services information regarding 

20 how any such approval prioritizes projects or pro21 grams have proven to be effective in improving the 

22 care or health outcomes of individuals who are unin23 sured, individuals eligible to receive medical assist24 ance under a State plan under title XIX, or individ25 uals whose household income does not exceed 150 

26 percent of the poverty line (as defined in section 


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1 2110(c)(5)) applicable to a family of the size in2 volved; 

3 ‘‘(2) collect from the State submitting such ap4 plication or renewal, to the extent practicable, avail5 able data regarding the quality of care or health out6 comes for the individuals served by such Medicaid 

7 demonstration project; 

8 ‘‘(3) post on the website of the Centers for 

9 Medicare & Medicaid Services information regarding 

10 how such Medicaid demonstration project does not 

11 duplicate other Federal programs or Federal funding 

12 opportunities; and 

13 ‘‘(4) collect from the State submitting such ap14 plication or renewal, to the extent practicable, an 

15 analysis of the degree to which such Medicaid dem16 onstration project, if at all, displaces efforts under17 taken by private sector and charitable sector entities 

18 in such State to improve care and health outcomes 

19 for the individuals described in paragraph (1).’’. 

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

21 subsection (a) shall apply with respect to applications or 

22 renewals submitted on or after January 1, 2021. 

Æ 


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