Medicaid Saves Lives Act

To require the Secretary of Health and Human Services to establish a program to provide health care coverage to low-income adults in States that have not expanded Medicaid. 1. Short title This Act may be cited as the Medicaid Saves Lives Act 2. Medicaid fallback coverage program for low-income adults in non-expansion States (a) In general As soon as possible after the date of enactment of this Act the Secretary of Health and Human Services (in this section referred to as the Secretary (1) directly or by contract, establish a program that offers eligible individuals the opportunity to enroll in health benefits coverage that meets the requirements described in subsection (c) and any requirements applicable to such coverage pursuant to subsection (d); and (2) ensure that such program is administered consistent with the requirements of section 431.10(c)(2) of title 42, Code of Federal Regulations. (b) Definition of eligible individual In this section, the term eligible individual (1) is described in section 1902(a)(10)(A)(i)(VIII) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) (2) resides in a State that— (A) does not expend amounts for medical assistance under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. (B) did not expend amounts for medical assistance under such title for all such individuals as of the date of enactment of this Act; and (3) would not be eligible for medical assistance under such State's plan for medical assistance under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. (c) Health benefits coverage requirements The requirements described in this subsection with respect to health benefits coverage are the following: (1) Essential health benefits At a minimum, the coverage meets the minimum standards required under paragraph (5) of section 1937(b) of the Social Security Act ( 42 U.S.C. 1396u–7(b) (2) Premiums and cost sharing No premiums are imposed for the coverage, and de­duct­i­bles, cost sharing, or similar charges may only be imposed in accordance with the requirements imposed on State Medicaid plans under section 1916 of the Social Security Act ( 42 U.S.C. 1396o (d) Application of requirements and provisions of title XIX of the Social Security Act The Secretary shall specify that— (1) any requirement applicable to the furnishing of medical assistance under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) (2) other provisions of such title apply to such program. (e) No State mandate Nothing in this section shall be construed as requiring a State to make expenditures related to the program established under this section and the Secretary shall not impose any such requirement. (f) Funding There are appropriated to the Secretary for each fiscal year beginning with fiscal year 2021 from any funds in the Treasury not otherwise appropriated, such sums as are necessary to carry out this section. 3. Increase and extension of temporary enhanced FMAP for States which begin to expend amounts for certain mandatory individuals (a) In general Section 1905(ii)(1) of the Social Security Act ( 42 U.S.C. 1396d(ii)(1) (1) by striking 8-quarter period 40-quarter period (2) by striking 5 percentage points 10 percentage points (b) Effective date The amendments made by this section shall take effect as if included in the enactment of section 9814 of the American Rescue Plan Act of 2021 ( Public Law 117–2

Summary: Medicaid Saves Lives Act This bill requires and provides funds for the Department of Health and Human Services to establish a program that provides health benefits to the Medicaid expansion population in states that have not expanded Medicaid. Specifically, the program must provide coverage for individuals who are newly eligible for Medicaid under the Patient Protection and Affordable Care Act (i.e., the Medicaid expansion population) without premiums and in accordance with Medicaid cost-sharing and other requirements. The bill also extends and increases the temporarily enhanced Federal Medical Assistance Percentage (i.e., federal matching rate) for states that elect to participate in Medicaid expansion if they have not already done so.