I 
114TH CONGRESS 
2D SESSION 
H. R. 5717 
To amend title XIX of the Social Security Act to improve collection of 
Medicaid data and to expand coverage of tobacco cessation services 
to mothers of newborns. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 11, 2016 
Mr. LANCE 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 improve 
collection of Medicaid data and to expand coverage of 
tobacco cessation services to mothers of newborns. 
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 Data and 
Benefit Improvement Act of 2016’’. 
SEC. 2. IMPROVING MEDICAID DATA. 
Section 1903(d) of the Social Security Act (42 U.S.C. 
1396b(d)) is amended by adding at the end the following 
new paragraph: 
VerDate Sep 11 2014 
06:19 Jul 14, 2016
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H5717.IH
H5717
SSpencer on DSK4SPTVN1PROD with BILLS
‘‘(7)(A) In each CMS–64 or other quarterly expense 
report required to be submitted (for each quarter begin-
ning on or after the date that is 2 years after the date 
that the form for such reports is revised, and guidance 
is issued, under subparagraph (B)) by a State for pur-
poses of reconciling amounts paid to such State based on 
estimates under this subsection with amounts to be paid 
under subsection (a), such State shall include data on ex-
penditures for medical assistance within each category of 
service disaggregated by each category of individuals (as 
specified by the Secretary in accordance with subpara-
graph (C)) used in determining the eligibility of individ-
uals for medical assistance under the State plan or under 
a waiver of the plan. 
‘‘(B) Not later than 12 months after the date of the 
enactment of this paragraph, the Secretary shall revise the 
form for the CMS–64, or such other quarterly expense re-
port, and issue necessary guidance for the use of such re-
vised form, to enable States to comply with the require-
ment under subparagraph (A). 
‘‘(C) In specifying eligibility categories for purposes 
of subparagraph (A), the Secretary shall include as a sepa-
rate eligibility category each of the following: 
‘‘(i) Pregnant women. 
VerDate Sep 11 2014 
06:19 Jul 14, 2016
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H5717.IH
H5717
SSpencer on DSK4SPTVN1PROD with BILLS
‘‘(ii) With respect to individuals described in 
section 1902(a)(10)(A)(i)(VIII), each of the fol-
lowing categories of such individuals: 
‘‘(I) Newly eligible individuals (as defined 
in section 1905(y)(2)(A)) for whom the Federal 
medical assistance percentage for amounts ex-
pended for medical assistance is specified under 
section 1905(y)(1). 
‘‘(II) Individuals described in subpara-
graph (A) of section 1905(z)(2) for whom the 
Federal medical assistance percentage is speci-
fied under such section. 
‘‘(III) Individuals who are not described in 
subclause (I) or (II). 
‘‘(iii) Each of the populations, not otherwise de-
scribed in clause (i) or (ii), by which a report under 
section 1902(a)(75)(A) is disaggregated.’’. 
SEC. 3. MEDICAID COVERAGE OF TOBACCO CESSATION 
SERVICES FOR MOTHERS OF NEWBORNS. 
(a) IN GENERAL.—Section 1905(bb) of the Social Se-
curity Act (42 U.S.C. 1396d(bb)) is amended by adding 
at the end the following new paragraph: 
‘‘(4) A woman shall continue to be treated as de-
scribed in this subsection as a pregnant woman through 
VerDate Sep 11 2014 
06:19 Jul 14, 2016
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H5717.IH
H5717
SSpencer on DSK4SPTVN1PROD with BILLS
the end of the 1-year period beginning on the date of the 
birth of a child of the woman.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Subsections (a)(2)(B) and (b)(2)(B) of sec-
tion 1916 of the Social Security Act (42 U.S.C. 
1396o) are each amended by inserting ‘‘(and women 
described in section 1905(bb) as pregnant women 
pursuant to paragraph (4) of such section)’’ after 
‘‘tobacco cessation by pregnant women’’. 
(2) Section 1927(d)(2)(F) of the Social Secu-
rity Act (42 U.S.C. 1396r–8(d)(2)(F)) is amended 
by inserting ‘‘(and women described in section 
1905(bb) as pregnant women pursuant to paragraph 
(4) of such section)’’ after ‘‘pregnant women’’. 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the amendments made by this section shall apply 
with respect to items and services furnished on or 
after the date that is one year after the date of the 
enactment of this Act. 
(2) EXCEPTION FOR STATE LEGISLATION.—In 
the case of a State plan under title XIX of the So-
cial Security Act, which the Secretary of Health and 
Human Services determines requires State legisla-
tion in order for the plan to meet any requirement 
VerDate Sep 11 2014 
06:19 Jul 14, 2016
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H5717.IH
H5717
SSpencer on DSK4SPTVN1PROD with BILLS