I
104TH CONGRESS
1ST SESSION
H. R. 180
To amend title XIX of the Social Security Act to reduce infant mortality
through improvement of coverage of services to pregnant women and
infants under the medicaid program.
IN THE HOUSE OF REPRESENTATIVES
JANUARY 4, 1995
Mrs. COLLINS of Illinois introduced the following bill; which was referred to
the Committee on Commerce
A BILL
To amend title XIX of the Social Security Act to reduce
infant mortality through improvement of coverage of
services to pregnant women and infants under the medic-
aid program.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Medicaid Infant Mor-
tality Amendments of 1995’’.
SEC. 2. PHASED-IN COVERAGE OF PREGNANT WOMEN AND
INFANTS UP TO 185 PERCENT OF POVERTY
LEVEL.
(a) IN GENERAL.—Section 1902(l)(2)(A) of the So-
cial Security Act (42 U.S.C. 1396a(l)(2)(A)) is amend-
ed—
(1) in clause (ii)—
(A) in subclause (I), by striking ‘‘and’’ at
the end,
(B) by striking the period at the end of
subclause (II) and inserting a comma, and
(C) by adding at the end the following new
subclauses:
‘‘(III) July 1, 1996, 150 percent, or, if greater,
the percentage provided under clause (v), and
‘‘(IV) July 1, 1997, 185 percent.’’; and
(2) by adding at the end the following new
clause:
‘‘(v) In the case of a State which, as of the date of
the enactment of this clause, has established under clause
(i), or has enacted legislation authorizing, or appropriat-
ing funds, to provide for, a percentage (of the income offi-
cial poverty line) that is greater than 150 percent, the per-
centage provided under clause (ii) for medical assistance
on or after July 1, 1996, shall not be less than—
plan to meet the additional requirements imposed by
the amendments made by this section, the State
plan shall not be regarded as failing to comply with
the requirements of such title solely on the basis of
its failure to meet these additional requirements be-
fore the first day of the first calendar quarter begin-
ning after the close of the first regular session of the
State legislature that begins after the date of the en-
actment of this Act. For purposes of the previous
sentence, in the case of a State that has a 2-year
legislative session, each year of such session shall be
deemed to be a separate regular session of the State
legislature.
SEC. 3. OPTIONAL COVERAGE OF PRENATAL AND POST
PARTUM HOME VISITATION SERVICES.
(a) IN GENERAL.—Section 1905(a) of the Social
Security Act (42 U.S.C. 1396d(a)) is amended—
(1) by striking ‘‘and’’ at the end of paragraph
(24),
(2) by redesignating paragraph (25) as para-
graph (26), and
(3) by inserting after paragraph (24) the fol-
lowing new paragraph:
‘‘(25) prenatal home visitation services for high-
risk pregnant women, post partum home visitation
services with respect to high-risk infants under 1
year of age, or both (as specified by the State), as
prescribed by a physician; and’’.
(b) CONFORMING AMENDMENTS.—Section 1902 of
such Act (42 U.S.C. 1396a) is amended—
(1) in subsection (a)(10)(C)(iv), by striking
‘‘(24)’’ and inserting ‘‘(25)’’, and
(2) in subsection (j), by striking ‘‘(25)’’ and in-
serting ‘‘(26)’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to services furnished on or after
July 1, 1996, without regard to whether or not final regu-
lations to carry out such amendments have been promul-
gated by such date.
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