I 
115TH CONGRESS 
1ST SESSION H. R. 4054 
To amend title XIX of the Social Security Act to require States to submit 
an annual report on sources of funds used to finance the non-Federal 
share of expenditures under such title, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 12, 2017 
Mr. GUTHRIE 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 require 
States to submit an annual report on sources of funds 
used to finance the non-Federal share of expenditures 
under such title, 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 Requiring 
Expenditures for Public Objectives to be Reflective of 
Total Spending Act’’ or the ‘‘Medicaid REPORTS Act’’. 
VerDate Sep 11 2014 
23:41 Oct 13, 2017
Jkt 079200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H4054.IH
H4054
lotter on DSKBCFDHB2PROD with BILLS
SEC. 2. REQUIREMENT FOR STATES TO SUBMIT REPORTS 
ON SOURCES OF FUNDS USED TO FINANCE 
THE NON-FEDERAL SHARE OF MEDICAID. 
(a) IN GENERAL.—Section 1903(w)(6) of the Social 
Security Act (42 U.S.C. 1396b(w)(6)) is amended by add-
ing at the end the following new subparagraphs: 
‘‘(C) The Secretary shall require each State to submit 
a report, at least once during 2019 and each subsequent 
year, using formats and standards established and up-
dated as necessary by the Secretary, that identifies each 
source of funds specified in subparagraph (D) (and the 
amount of funds from each such source) used by the State 
to finance the non-Federal share of expenditures under 
this title for such year. Such report also shall— 
‘‘(i) identify each entity providing the funds 
used by the State to finance the non-Federal share 
of expenditures under this title; and 
‘‘(ii) provide such additional information as the 
Secretary determines is sufficient to ensure the 
State’s compliance with the requirements of this title 
applicable to financing such non-Federal share. 
‘‘(D) A source of funds specified in this subparagraph 
includes each of the following: 
‘‘(i) A State appropriation or transfer to the 
State agency administering the State plan under this 
title, or to any other State agency or government en-
VerDate Sep 11 2014 
23:41 Oct 13, 2017
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4054.IH
H4054
lotter on DSKBCFDHB2PROD with BILLS
tity that is used to finance such non-Federal share 
of expenditures under this title. 
‘‘(ii) A bona fide provider-related donation (as 
defined in paragraph (2)(B)) and donation revenue 
(as described in paragraph (2)(C)). 
‘‘(iii) A broad-based health care related tax (as 
defined in paragraph (3)(B)). 
‘‘(iv) An intergovernmental transfer from a unit 
of local government within the State. 
‘‘(v) A certified public expenditure from a unit 
of local government within the State. 
‘‘(vi) The general revenue of the State. 
‘‘(vii) Any other source as determined necessary 
by the Secretary. 
‘‘(E) Not later than 12 months after the date on 
which a report required under subparagraph (C) is sub-
mitted, the Secretary shall make the information included 
in such report publicly available on the website of the Cen-
ters for Medicare & Medicaid Services.’’. 
(b) 
CONFORMING
AMENDMENT.—Section 
1903(w)(6)(A) of such Act (42 U.S.C. 1396b(w)(6)(A)) 
is amended by inserting before the period at the end the 
following: ‘‘or the transferred funds are not reported as 
required under subparagraph (C)’’. 
VerDate Sep 11 2014 
23:41 Oct 13, 2017
Jkt 079200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4054.IH
H4054
lotter on DSKBCFDHB2PROD with BILLS