II 

117TH CONGRESS 

1ST SESSION S. 245 

To amend title XIX of the Social Security Act to provide the same level 

of Federal matching assistance for every State that chooses to expand 

Medicaid coverage to newly eligible individuals, regardless of when such 

expansion takes place, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 4, 2021 

Mr. WARNER (for himself, Mr. WARNOCK, Mr. KAINE, Mr. CARPER, Ms. STABENOW, Mr. CASEY, Ms. BALDWIN, Mr. PETERS, Mr. COONS, Mr. KING, 

and Mr. OSSOFF) introduced the following bill; which was read twice and 

referred to the Committee on Finance 

A BILL 

To amend title XIX of the Social Security Act to provide 

the same level of Federal matching assistance for every 

State that chooses to expand Medicaid coverage to newly 

eligible individuals, regardless of when such expansion 

takes place, and for other purposes. 

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 ‘‘States Achieve Med5 icaid Expansion Act of 2021’’ or the ‘‘SAME Act of 

6 2021’’. 


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•S 245 IS

1 SEC. 2. INCREASED FMAP FOR MEDICAL ASSISTANCE TO 

2 NEWLY ELIGIBLE INDIVIDUALS. 

3 (a) IN GENERAL.—Section 1905 of the Social Secu4 rity Act (42 U.S.C. 1396d) is amended— 

5 (1) in subsection (y)(1)— 

6 (A) in subparagraph (A), by striking 

7 ‘‘2014, 2015, and 2016’’ and inserting ‘‘each of 

8 the first 3 consecutive 12-month periods in 

9 which the State provides medical assistance to 

10 newly eligible individuals’’; 

11 (B) in subparagraph (B), by striking 

12 ‘‘2017’’ and inserting ‘‘the fourth consecutive 

13 12-month period in which the State provides 

14 medical assistance to newly eligible individuals’’; 

15 (C) in subparagraph (C), by striking 

16 ‘‘2018’’ and inserting ‘‘the fifth consecutive 12- 

17 month period in which the State provides med18 ical assistance to newly eligible individuals’’; 

19 (D) in subparagraph (D), by striking 

20 ‘‘2019’’ and inserting ‘‘the sixth consecutive 12- 

21 month period in which the State provides med22 ical assistance to newly eligible individuals’’; 

23 and 

24 (E) in subparagraph (E), by striking 

25 ‘‘2020 and each year thereafter’’ and inserting 

26 ‘‘the seventh consecutive 12-month period in 


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•S 245 IS

1 which the State provides medical assistance to 

2 newly eligible individuals and each such period 

3 thereafter’’; and 

4 (2) in subsection (z)(2)(B)(i)(II), by inserting 

5 ‘‘(as in effect on the day before the enactment of the 

6 States Achieve Medicaid Expansion Act of 2021)’’ 

7 after ‘‘subsection (y)(1)’’. 

8 (b) RETROACTIVE APPLICATION.—The amendments 

9 made by subsection (a)(1) shall take effect as if included 

10 in the enactment of Public Law 111–148 and shall apply 

11 to amounts expended by any State for medical assistance 

12 for newly eligible individuals described in subclause (VIII) 

13 of section 1902(a)(10)(A)(i) of the Social Security Act 

14 under a State Medicaid plan (or a waiver of such plan) 

15 during the period before the date of enactment of this Act. 

Æ 


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