115TH CONGRESS 
2D SESSION 
H. R. 4005 
AN ACT 
To promote State innovations to ease transitions to the com-
munity for individuals who are inmates of a public insti-
tution and eligible for medical assistance under the Med-
icaid 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 Reentry 
Act’’. 
SEC. 2. PROMOTING STATE INNOVATIONS TO EASE TRANSI-
TIONS INTEGRATION TO THE COMMUNITY 
FOR CERTAIN INDIVIDUALS. 
(a) STAKEHOLDER GROUP DEVELOPMENT OF BEST 
PRACTICES; MEDICAID INNOVATION ACCELERATOR PRO-
GRAM.— 
(1) STAKEHOLDER GROUP BEST PRACTICES.— 
Not later than 6 months after the date of the enact-
ment of this Act, the Secretary of Health and 
Human Services shall convene a stakeholder group 
of representatives of managed care organizations, 
Medicaid beneficiaries, health care providers, the 
National Association of Medicaid Directors, and 
other relevant representatives from local, State, and 
Federal jail and prison systems to develop best prac-
tices (and submit to the Secretary and Congress a 
report on such best practices) for States— 
(A) to ease the health care-related transi-
tion of an individual who is an inmate of a pub-
lic institution from the public institution to the 
community, including best practices for ensur-
ing continuity of health insurance coverage or 
coverage under the State Medicaid plan under
title XIX of the Social Security Act, as applica-
ble, and relevant social services; and 
(B) to carry out, with respect to such an 
individual, such health care-related transition 
not later than 30 days after such individual is 
released from the public institution. 
(2) STATE MEDICAID PROGRAM INNOVATION.— 
The Secretary of Health and Human Services shall 
work with States on innovative strategies to help in-
dividuals who are inmates of public institutions and 
otherwise eligible for medical assistance under the 
Medicaid program under title XIX of the Social Se-
curity Act transition, with respect to enrollment for 
medical assistance under such program, seamlessly 
to the community. 
(b) GUIDANCE ON INNOVATIVE SERVICE DELIVERY 
SYSTEMS DEMONSTRATION PROJECT OPPORTUNITIES.— 
Not later than 1 year after the date of the enactment of 
this Act, the Secretary of Health and Human Services, 
through the Administrator of the Centers for Medicare & 
Medicaid Services, shall issue a State Medicaid Director 
letter, based on best practices developed under subsection 
(a)(1), regarding opportunities to design demonstration 
projects under section 1115 of the Social Security Act (42 
U.S.C. 1315) to improve care transitions for certain indi-
viduals who are soon-to-be former inmates of a public in-
stitution and who are otherwise eligible to receive medical 
assistance under title XIX of such Act, including systems 
for, with respect to a period (not to exceed 30 days) imme-
diately prior to the day on which such individuals are ex-
pected to be released from such institution— 
(1) providing assistance and education for en-
rollment under a State plan under the Medicaid pro-
gram under title XIX of such Act for such individ-
uals during such period; and 
(2) providing health care services for such indi-
viduals during such period. 
(c) RULE OF CONSTRUCTION.—Nothing under title 
XIX of the Social Security Act or any other provision of 
law precludes a State from reclassifying or suspending 
(rather than terminating) eligibility of an individual for 
medical assistance under title XIX of the Social Security 
Act while such individual is an inmate of a public institu-
tion. 
Passed the House of Representatives June 19, 2018. 
Attest: 
Clerk.
115TH CONGRESS 
2D SESSION 
H. R. 4005 
AN ACT 
To promote State innovations to ease transitions to 
the community for individuals who are inmates of 
a public institution and eligible for medical as-
sistance under the Medicaid program.