I 
116TH CONGRESS 
2D SESSION 
H. R. 6149 
To amend title XIX of the Social Security Act to enhance reporting 
requirements for nonexpansion States, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 9, 2020 
Mr. CUNNINGHAM 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 enhance 
reporting requirements for nonexpansion States, and for 
other purposes. 
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 Report on 
Expansion of Access to Coverage for Health Act’’ or 
‘‘Medicaid REACH Act’’. 
SEC. 2. ENHANCED REPORTING REQUIREMENTS FOR NON-
EXPANSION STATES. 
Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended— 
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(1) in subsection (a)(7), by inserting ‘‘sub-
section (bb) and’’ before ‘‘section 1919(g)(3)(B)’’; 
and 
(2) by adding at the end the following new sub-
section: 
‘‘(bb) REDUCTION
OF FEDERAL PAYMENTS
FOR 
CERTAIN ADMINISTRATIVE COSTS
OF NONEXPANSION 
STATES THAT DO NOT SATISFY REPORTING REQUIRE-
MENTS.— 
‘‘(1) IN GENERAL.— 
‘‘(A) REDUCTION.—In the case of a non-
expansion State, with respect to a fiscal year 
(beginning with fiscal year 2022) that does not 
satisfy the reporting requirement under para-
graph (2) for such fiscal year, the percentage 
specified in subsection (a)(7) for amounts de-
scribed in such subsection expended by such 
State during a calendar quarter described in 
paragraph (4) with respect to such fiscal year, 
subject to subparagraph (B), shall be reduced 
by the number of percentage points specified in 
paragraph (4) for the respective calendar quar-
ter. 
‘‘(B) EXCEPTION.—In the case of a non-
expansion State that is subject to a reduction 
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under subparagraph (A) for the calendar quar-
ter described in paragraph (4)(A) with respect 
to a fiscal year, if the State satisfies the criteria 
described in subparagraphs (A), (B), and (C) of 
paragraph (2) (without regard to the dates 
specified in such subparagraph (A) and (C)) be-
fore the beginning of a subsequent calendar 
quarter described in paragraph (4) with respect 
to such fiscal year, then such State shall not be 
subject to a reduction under subparagraph (A) 
for such subsequent calendar quarter. 
‘‘(2) REPORTING
REQUIREMENT.—For pur-
poses of paragraph (1), a nonexpansion State satis-
fies the reporting requirement under this paragraph 
for a fiscal year, if the nonexpansion State— 
‘‘(A) by not later than January 1 of such 
year, posts on the public website of the State 
agency administering the State plan, the infor-
mation described in paragraph (3) with respect 
to such State for the previous year; 
‘‘(B) provides for at least a 30-day period 
for notice and comment on such information; 
and 
‘‘(C) by not later than March 1 of such 
year, submits to the Secretary a complete re-
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port including such information, comments sub-
mitted pursuant to subparagraph (B), and a re-
sponse by the State to each such comment. 
‘‘(3) INFORMATION DESCRIBED.—The informa-
tion described in this paragraph, with respect to a 
State and year, is the following: 
‘‘(A) The estimated number of individuals 
who were uninsured for at least 6 months, 
shown by age-groups of 0 to 18 years of age 
and of 19 years of age to 64 years of age, as 
well as a detailed description of the basis for 
the estimates. 
‘‘(B) The estimated number of the individ-
uals estimated under subparagraph (A) in the 
State who would be eligible for medical assist-
ance under the State plan if the State were to 
make medical assistance under the State plan 
available in accordance with section 1902(k)(1) 
to 
all 
individuals 
described 
in 
section 
1902(a)(10)(i)(VIII), and a detailed description 
of the basis for the estimates. 
‘‘(C) A comprehensive listing of State in-
come eligibility criteria for all mandatory and 
optional Medicaid eligibility groups for which 
the State plan provides medical assistance 
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