I 
110TH CONGRESS 
1ST SESSION H. R. 1480 
To impose a 2-year moratorium on implementation of a proposed rule relating 
to the Federal-State financial partnerships under Medicaid and the State 
Children’s Health Insurance Program. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 12, 2007 
Mr. KLEIN of Florida (for himself and Ms. ROS-LEHTINEN) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To impose a 2-year moratorium on implementation of a 
proposed rule relating to the Federal-State financial 
partnerships under Medicaid and the State Children’s 
Health Insurance Program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. MORATORIUM ON IMPLEMENTATION OF PRO-
POSED RULE RELATING TO THE FEDERAL- 
STATE FINANCIAL PARTNERSHIPS UNDER 
MEDICAID AND SCHIP. 
(a) FINDINGS.—Congress makes the following find-
ings: 
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(1) The proposed rule published on January 18, 
2007, on pages 2236 through 2258 of volume 72, 
Federal Register (relating to parts 433, 447, and 
457 of title 42, Code of Federal Regulations) would 
significantly change the Federal-State financial part-
nership under the Medicaid and the State Children’s 
Health Insurance Programs by— 
(A) imposing a cost limit on payments 
made under such programs to governmentally- 
operated providers; 
(B) limiting the permissible sources of the 
non-Federal shares required under such pro-
grams and the types of entities permitted to 
contribute to such shares; and 
(C) imposing new requirements on partici-
pating providers under such programs. 
(2) More time is needed to determine the how 
the proposed rule would impact States, particularly 
with respect to those States with Medicaid or State 
Children’s Health Insurance Programs that are op-
erating under financing arrangements that have 
been approved by the Secretary of Health and 
Human Services through the waiver process estab-
lished under section 1115 of the Social Security Act 
and have been properly following the intent and pur-
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pose for which such funding arrangements were es-
tablished. 
(3) Permitting the proposed rule to take effect 
without allowing sufficient time for further study of 
the effect of the implementation of the rule could 
have a negative impact for States, particularly 
States with Medicaid or State Children’s Health In-
surance Programs operating under financing ar-
rangements that would be affected by such rule and 
that have been approved by the Secretary of Health 
and Human Services through the section 1115 waiv-
er process. 
(b) MORATORIUM ON IMPLEMENTATION.—Notwith-
standing any other provision of law, the proposed rule 
published on January 18, 2007, on pages 2236 through 
2258 of volume 72, Federal Register (relating to parts 
433, 447, and 457 of title 42, Code of Federal Regula-
tions), shall not take effect before September 1, 2009. 
Æ 
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