I 

108TH CONGRESS 

2D SESSION H. R. 3859 

To amend title XIX of the Social Security Act to permit States the option 

to provide Medicaid coverage for low-income individuals infected with HIV. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 26, 2004 

Ms. PELOSI (for herself, Mr. GEPHARDT, Mr. LEACH, Ms. ROS-LEHTINEN, 

Mr. HOYER, Mr. ABERCROMBIE, Mr. ACKERMAN, Mr. ALLEN, Ms. BALDWIN, Ms. BERKLEY, Mr. BOEHLERT, Mr. BONNER, Mrs. BONO, Mr. 

BRADY of Pennsylvania, Mrs. CHRISTENSEN, Mr. CUMMINGS, Mr. DAVIS

of Illinois, Mrs. DAVIS of California, Ms. DELAURO, Mr. DEUTSCH, Mr. 

DOGGETT, Mr. EMANUEL, Mr. FERGUSON, Mr. FILNER, Mr. FOLEY, Mr. 

FRANK of Massachusetts, Mr. FRELINGHUYSEN, Mr. FROST, Mr. GARRETT of New Jersey, Mr. GRIJALVA, Mr. HASTINGS of Florida, Mr. HINCHEY, Mr. HOEFFEL, Mr. HOUGHTON, Ms. JACKSON-LEE of Texas, Mr. 

JEFFERSON, Mrs. KELLY, Mr. KIRK, Mr. KLECZKA, Mr. LANTOS, Mr. 

LARSEN of Washington, Ms. LEE, Ms. LOFGREN, Mr. LYNCH, Ms. 

MCCOLLUM, Mr. MCDERMOTT, Mr. MCNULTY, Mr. MICHAUD, Ms. 

MILLENDER-MCDONALD, Mr. GEORGE MILLER of California, Mr. 

NETHERCUTT, Mr. PAYNE, Mr. PRICE of North Carolina, Mr. QUINN, 

Mr. RODRIGUEZ, Mr. ROTHMAN, Ms. SCHAKOWSKY, Mr. SCHIFF, Mr. 

SERRANO, Mr. SHAYS, Mr. SHIMKUS, Mr. SIMMONS, Ms. SLAUGHTER, 

Mr. SMITH of New Jersey, Ms. SOLIS, Mr. STARK, Mr. SWEENEY, Mr. 

UDALL of Colorado, Mr. VAN HOLLEN, Mr. WALSH, Ms. WATERS, Mr. 

WAXMAN, and Mr. WEXLER) 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 permit 

States the option to provide Medicaid coverage for lowincome individuals infected with HIV. 
2 

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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 ‘‘Early Treatment for 

5 HIV Act of 2004’’. 

6 SEC. 2. OPTIONAL MEDICAID COVERAGE OF LOW-INCOME 

7 HIV-INFECTED INDIVIDUALS. 

8 (a) IN GENERAL.—Section 1902 of the Social Secu9 rity Act (42 U.S.C. 1396a) is amended— 

10 (1) in subsection (a)(10)(A)(ii)— 

11 (A) by striking ‘‘or’’ at the end of sub12 clause (XVII); 

13 (B) by adding ‘‘or’’ at the end of subclause 

14 (XVIII); and 

15 (C) by adding at the end the following: 

16 ‘‘(XIX) who are described in sub17 section (cc) (relating to HIV-infected 

18 individuals);’’; and 

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

20 ‘‘(cc) HIV-infected individuals described in this sub21 section are individuals not described in subsection 

22 (a)(10)(A)(i)— 

23 ‘‘(1) who have HIV infection; 

24 ‘‘(2) whose income (as determined under the 

25 State plan under this title with respect to disabled 
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1 individuals) does not exceed the maximum amount 

2 of income a disabled individual described in sub3 section (a)(10)(A)(i) may have and obtain medical 

4 assistance under the plan; and 

5 ‘‘(3) whose resources (as determined under the 

6 State plan under this title with respect to disabled 

7 individuals) do not exceed the maximum amount of 

8 resources a disabled individual described in sub9 section (a)(10)(A)(i) may have and obtain medical 

10 assistance under the plan.’’. 

11 (b) ENHANCED MATCH.—The first sentence of sec12 tion 1905(b) of the Social Security Act (42 U.S.C. 

13 1396d(b)) is amended by striking ‘‘section 

14 1902(a)(10)(A)(ii)(XVIII)’’ and inserting ‘‘subclause 

15 (XVIII) or (XIX) of section 1902(a)(10)(A)(ii)’’. 

16 (c) CONFORMING AMENDMENTS.—Section 1905(a) of 

17 the Social Security Act (42 U.S.C. 1396d(a)) is amended 

18 in the matter preceding paragraph (1)— 

19 (1) by striking ‘‘or’’ at the end of clause (xii); 

20 (2) by adding ‘‘or’’ at the end of clause (xiii); 

21 and 

22 (3) by inserting after clause (xiii) the following: 

23 ‘‘(xiv) individuals described in section 

24 1902(cc);’’. 
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1 (d) EXEMPTION FROM FUNDING LIMITATION FOR

2 TERRITORIES.—Section 1108(g) of the Social Security 

3 Act (42 U.S.C. 1308(g)) is amended by adding at the end 

4 the following: 

5 ‘‘(3) DISREGARDING MEDICAL ASSISTANCE FOR

6 OPTIONAL LOW-INCOME HIV-INFECTED INDIVID7 UALS.—The limitations under subsection (f) and the 

8 previous provisions of this subsection shall not apply 

9 to amounts expended for medical assistance for indi10 viduals described in section 1902(cc) who are only 

11 eligible for such assistance on the basis of section 

12 1902(a)(10)(A)(ii)(XIX).’’. 

13 (e) EFFECTIVE DATE.—The amendments made by 

14 this section shall apply to calendar quarters beginning on 

15 or after the date of the enactment of this Act, without 

16 regard to whether or not final regulations to carry out 

17 such amendments have been promulgated by such date. 

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