603 
being enrolled through affirmation in writing, 
by telephone, orally, through electronic signa-
ture, or through any other means specified by 
the Secretary. 
‘‘(E) ELIGIBLE
INDIVIDUAL
DEFINED.— 
For purposes of this paragraph, the term ‘eligi-
ble individual’ means an individual who is an 
inmate of a public institution (except as a pa-
tient in a medical institution)— 
‘‘(i) who was enrolled under the State 
plan for medical assistance immediately be-
fore becoming an inmate of such an insti-
tution; or 
‘‘(ii) is diagnosed with human im-
munodeficiency virus.’’. 
(b) SUPPLEMENTAL FUNDING FOR STATE IMPLE-
MENTATION OF AUTOMATIC REINSTATEMENT OF MED-
ICAID BENEFITS.— 
(1) IN GENERAL.—Subject to paragraph (6), 
for each State for which the Secretary of Health and 
Human Services has approved an application under 
paragraph (3), the Federal matching payments (in-
cluding payments based on the Federal medical as-
sistance percentage) made to such State under sec-
tion 1903 of the Social Security Act (42 U.S.C. 
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604 
1396b) shall be increased by 5.0 percentage points 
for payments to the State for the activities per-
mitted under paragraph (2) or a period of one year. 
(2) USE OF FUNDS.—A State may only use in-
creased matching payments authorized under para-
graph (1)— 
(A) to strengthen the State’s enrollment 
and administrative resources for the purpose of 
improving processes for enrolling (or reinstating 
the enrollment of) eligible individuals (as such 
term is defined in subparagraph (E) of para-
graph (15) of section 1902(e) of the Social Se-
curity Act (as amended by subsection (a))); and 
(B) for medical assistance (as such term is 
defined in section 1905(a) of the Social Secu-
rity Act) provided to such eligible individuals. 
(3) APPLICATION AND AGREEMENT.—The Sec-
retary may only make payments to a State in the in-
creased amount if— 
(A) the State has amended the State plan 
under section 1902(e) of the Social Security 
Act to incorporate the requirements of para-
graph (15) of such section (as added by sub-
section (a)); 
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605 
(B) the State has submitted an application 
to the Secretary that includes a plan for imple-
menting 
the 
requirements 
of 
section 
1902(e)(15) of the Social Security Act under 
the State’s amended State plan before the end 
of the 90-day period beginning on the date that 
the State receives increased matching payments 
under paragraph (1); 
(C) the State’s application meets the satis-
faction of the Secretary; and 
(D) the State enters an agreement with 
the Secretary that states that— 
(i) the State will only use the in-
creased matching funds for the uses per-
mitted under paragraph (2); and 
(ii) at the end of the period under 
paragraph (1), the State will submit to the 
Secretary, and make publicly available, a 
report that contains the information re-
quired under paragraph (4). 
(4) REQUIRED REPORT INFORMATION.—The in-
formation that is required in the report under para-
graph (3)(D)(ii) includes— 
(A) the results of an evaluation of the im-
pact of the implementation of the requirements 
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606 
of section 1902(e)(15) of the Social Security 
Act on improving the State’s processes for en-
rolling of individuals who are released from 
public institutions into the Medicaid program; 
(B) the number of individuals who were 
automatically enrolled (or whose enrollment is 
reinstated) under such section 1902(e)(15) dur-
ing the period under paragraph (1); and 
(C) any other information that is required 
by the Secretary. 
(5) INCREASE IN CAP ON MEDICAID PAYMENTS 
TO
TERRITORIES.—Subject to paragraph (6), the 
amounts otherwise determined for Puerto Rico, the 
United States Virgin Islands, Guam, the Northern 
Mariana Islands, and American Samoa under sub-
sections (f) and (g) of section 1108 of the Social Se-
curity Act (42 U.S.C. 1308) shall each be increased 
by the necessary amount to allow for the increase in 
the Federal matching payments under paragraph 
(1), but only for the period under such paragraph 
for such State. In the case of such an increase for 
a territory, subsection (a)(1) of such section 1108 
shall be applied without regard to any increase in 
payment made to the territory under part E of title 
IV of such Act that is attributable to the increase 
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607 
in Federal medical assistance percentage effected 
under paragraph (1) for the territory. 
(6) LIMITATIONS.— 
(A) TIMING.—With respect to a State, at 
the end of the period under paragraph (1), no 
increased matching payments may be made to 
such State under this subsection. 
(B) MAINTENANCE OF ELIGIBILITY.— 
(i) IN
GENERAL.—Subject to clause 
(ii), a State is not eligible for an increase 
in its Federal matching payments under 
paragraph (1), or an increase in a cap 
amount under paragraph (5), if eligibility 
standards, methodologies, or procedures 
under its State plan under title XIX of the 
Social Security Act (including any waiver 
under such title or under section 1115 of 
such Act (42 U.S.C. 1315)) are more re-
strictive than the eligibility standards, 
methodologies, or procedures, respectively, 
under such plan (or waiver) as in effect on 
the date of enactment of this Act. 
(ii) STATE REINSTATEMENT OF ELIGI-
BILITY PERMITTED.—A State that has re-
stricted eligibility standards, methodolo-
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608 
gies, or procedures under its State plan 
under title XIX of the Social Security Act 
(including any waiver under such title or 
under section 1115 of such Act (42 U.S.C. 
1315)) after the date of enactment of this 
Act, is no longer ineligible under subpara-
graph (A) beginning with the first calendar 
quarter in which the State has reinstated 
eligibility standards, methodologies, or pro-
cedures that are no more restrictive than 
the eligibility standards, methodologies, or 
procedures, respectively, under such plan 
(or waiver) as in effect on such date. 
(C) NO
WAIVER
AUTHORITY.—The Sec-
retary may not waive the application of this 
subsection under section 1115 of the Social Se-
curity Act or otherwise. 
(D) LIMITATION OF MATCHING PAYMENTS 
TO 100 PERCENT.—In no case shall an increase 
in Federal matching payments under this sub-
section result in Federal matching payments 
that exceed 100 percent. 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by subsection (a) 
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