I 
115TH CONGRESS 
2D SESSION 
H. R. 7101 
To amend titles II and XIX of the Social Security Act remove the age 
limit on the Medicaid buy-program, to remove work restrictions on dis-
abled adult children who have reached retirement age, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 26, 2018 
Mr. WELCH introduced the following bill; which was referred to the Committee 
on Ways and Means, and in addition to the Committee on Energy and 
Commerce, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend titles II and XIX of the Social Security Act 
remove the age limit on the Medicaid buy-program, to 
remove work restrictions on disabled adult children who 
have reached retirement age, 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. REMOVING THE AGE LIMIT ON THE MEDICAID 
BUY-IN PROGRAM. 
Title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.) is amended— 
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(1) in section 1902(a)(10)(A)(ii)(XV), by strik-
ing ‘‘, but less than 65,’’; and 
(2) in section 1905(v)(1)(A), by striking ‘‘, but 
less than 65,’’. 
SEC. 2. REMOVING WORK RESTRICTIONS ON DISABLED 
ADULT CHILDREN AFTER RETIREMENT AGE. 
Section 223(e) of the Social Security Act (42 U.S.C. 
423(e)) is amended— 
(1) in paragraph (1), by striking ‘‘No benefit’’ 
and inserting ‘‘Subject to paragraph (3), no ben-
efit’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(3) Paragraph (1) shall not apply in the case of a 
child’s insurance benefit under section 202(d)(1)(B)(ii) 
that is payable to an individual who has attained retire-
ment age (as defined in section 216(l)).’’. 
SEC. 3. REENTITLEMENT TO DAC BENEFIT FOR CERTAIN 
FORMER DISABLED ADULT CHILDREN. 
Section 202(d) of the Social Security Act (42 U.S.C. 
402(d)) is amended by adding at the end the following 
new paragraph: 
‘‘(11)(A) A child whose entitlement to child’s insur-
ance benefits on the basis of paragraph (1)(B)(ii) termi-
nated with the termination month (as defined for purposes 
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of paragraph (1)(G)) may again become entitled to such 
benefits (provided no event specified in paragraph (1)(D) 
has occurred) beginning with the first month thereafter 
in which the child attains retirement age (as defined in 
section 216(l)(1)), but only if— 
‘‘(i) the child had attained early retirement age 
(as defined in section 216(l)(2)) but had not at-
tained retirement age (as defined in section 
216(l)(1)) when such benefits were terminated; 
‘‘(ii) the child engaged in substantial gainful ac-
tivity during the period after the child attained early 
retirement age (as so defined), but did not experi-
ence medical improvement that could have, by itself, 
served as the basis for terminating the individual’s 
child’s insurance benefits; 
‘‘(iii) the child is under a disability (as defined 
in section 223(d)) at the time the child attains re-
tirement age (as so defined); and 
‘‘(iv) the child has filed application for such re-
entitlement. 
‘‘(B) Reentitlement to child’s insurance benefits 
under this paragraph shall end with the month preceding 
the first month in which an event specified in paragraph 
(1)(D) occurs.’’. 
Æ 
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