I 

114TH CONGRESS 

2D SESSION H. R. 6462 

To amend title XIX of the Social Security Act for purposes of prioritizing 

the most vulnerable Medicaid patients. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 7, 2016 

Mr. COLLINS of New York (for himself, Mr. GUTHRIE, Mrs. BLACKBURN, 

Mrs. BROOKS of Indiana, Mr. FLORES, and Mr. MULLIN) 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 for purposes 

of prioritizing the most vulnerable Medicaid patients. 

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 ‘‘Prioritizing the Most 

5 Vulnerable Americans Act’’. 


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1 SEC. 2. PRIORITIZING THE MOST VULNERABLE MEDICAID 

2 PATIENTS. 

3 (a) IN GENERAL.—Section 1115 of the Social Secu4 rity Act (42 U.S.C. 1315) is amended by adding at the 

5 end the following new subsection: 

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

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

8 treating costs that would not otherwise be included as ex9 penditures under section 1903 and which are not included 

10 as part of the costs of projects under section 1110 as ex11 penditures under the State plan or plans approved under 

12 title XIX) to approve an application or renewal of any ex13 perimental, pilot, or demonstration project undertaken 

14 under such subsection to promote the objectives of title 

15 XIX (referred to in this subsection as a ‘Medicaid dem16 onstration project’), the Secretary shall— 

17 ‘‘(1) give priority to Medicaid demonstration 

18 projects that have been proven to be effective in im19 proving the medical care and health outcomes of in20 dividuals who are uninsured, individuals eligible to 

21 receive medical assistance under a State plan under 

22 title XIX, or individuals whose household income 

23 does not exceed 150 percent of the poverty line (as 

24 defined in section 2110(c)(5)) applicable to a family 

25 of the size involved; 


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1 ‘‘(2) require that the State submitting such ap2 plication or renewal submit to the Secretary, and 

3 make publicly available, any available data or 

4 metrics regarding the health outcomes for the indi5 viduals to be served by such Medicaid demonstration 

6 project; 

7 ‘‘(3) ensure that such Medicaid demonstration 

8 project is not duplicative of any Federal program or 

9 funding opportunity; and 

10 ‘‘(4) require that the State submitting such ap11 plication or renewal submit to the Secretary, and 

12 make publicly available, an analysis of the degree to 

13 which such Medicaid demonstration project, if at all, 

14 precludes efforts undertaken by private sector and 

15 charitable sector entities to improve medical care 

16 and health outcomes for the individuals described in 

17 paragraph (1).’’. 

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

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

20 renewals submitted on or after January 1, 2018. 

Æ 


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