II 

116TH CONGRESS 

1ST SESSION S. 2067 

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

disregard parental income and assets when determining Medicaid eligibility for disabled children. 

IN THE SENATE OF THE UNITED STATES 

JULY 10, 2019 

Mr. CASEY 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 encourage 

States to disregard parental income and assets when 

determining Medicaid eligibility for disabled children. 

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 ‘‘Affordable Health Care 

5 for Children with Disabilities Act’’. 


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1 SEC. 2. ENCOURAGING STATES TO DISREGARD PARENTAL 

2 INCOME AND ASSETS WHEN DETERMINING 

3 MEDICAID ELIGIBILITY FOR DISABLED CHIL4 DREN. 

5 (a) IN GENERAL.—Section 1905 of the Social Secu6 rity Act (42 U.S.C. 1396d) is amended— 

7 (1) in subsection (b), by striking ‘‘and (aa)’’ 

8 and inserting ‘‘(aa), and (ff)’’; and 

9 (2) by adding at the end the following new sub10 section: 

11 ‘‘(ff) INCREASED FMAP FOR MEDICAL ASSISTANCE

12 FOR CERTAIN DISABLED CHILDREN.— 

13 ‘‘(1) IN GENERAL.—Notwithstanding subsection 

14 (b), if a State elects to make medical assistance 

15 available to all individuals described in paragraph 

16 (2), the Federal medical assistance percentage for 

17 the State with respect to amounts expended by such 

18 State for medical assistance furnished to such indi19 viduals on or after January 1, 2020, shall be equal 

20 to 90 percent. 

21 ‘‘(2) INDIVIDUALS DESCRIBED.—An individual 

22 described in this paragraph is an individual who— 

23 ‘‘(A) is 18 years of age or younger; 

24 ‘‘(B) who would be eligible for benefits 

25 under the supplemental security income pro26 gram under title XVI on the basis of being 


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1 blind (as determined under section 1614(a)(2)) 

2 or disabled (as determined under section 

3 1614(a)(3)(C)) but for the fact that the individ4 ual’s income or resources do not meet the re5 quirements of such program; 

6 ‘‘(C) whose income (as determined under 

7 section 1612, except as provided in paragraph 

8 (3)) does not exceed an income level established 

9 by the State consistent with section 

10 1902(m)(2)(A); and 

11 ‘‘(D) whose resources (as determined 

12 under section 1613, except as provided in para13 graph (3)) do not exceed the maximum amount 

14 of resources that an individual may have and 

15 obtain benefits under that program. 

16 ‘‘(3) INCOME AND RESOURCE ELIGIBILITY DE17 TERMINATION METHODOLOGY.—In determining 

18 whether an individual’s income or resources do not 

19 exceed the income level established by the State 

20 under subparagraph (C) of paragraph (2) or the 

21 maximum amount of resources described in subpara22 graph (D) of such paragraph, the State shall dis23 regard the income and resources of any parent or 

24 guardian of the individual and shall treat the indi25 vidual as a family of one. 


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1 ‘‘(4) NO WAITING LISTS.—The increased Fed2 eral medical assistance percentage available under 

3 paragraph (1) shall not apply to a State if the State 

4 limits the acceptance of applications from individuals 

5 described in paragraph (2) or imposes any numerical 

6 limitation, waiting list, or similar limitation on the 

7 eligibility of such individuals for medical assist8 ance.’’. 

9 (b) DISREGARD OF LIMITS ON PAYMENTS TO TERRI10 TORIES.—Section 1108(g)(4) of the Social Security Act 

11 (42 U.S.C. 1308(g)(4)) is amended— 

12 (1) by striking ‘‘With respect to fiscal years be13 ginning with fiscal year 2009,’’ and inserting the fol14 lowing: 

15 ‘‘(A) IN GENERAL.—With respect to fiscal 

16 years beginning with fiscal year 2009,’’; and 

17 (2) by adding at the end the following: 

18 ‘‘(B) OTHER EXPENDITURES.—The 

19 amounts received by a commonwealth or terri20 tory for a calendar quarter of a fiscal year that 

21 are attributable to the application of section 

22 1905(ff) shall not be taken into account in ap23 plying subsection (f) (as increased in accord24 ance with paragraphs (1), (2), (3), and (5) of 


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1 this subsection) to such commonwealth or terri2 tory for such fiscal year.’’. 

Æ 


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