‘‘(A) eligible for medical assistance for items or 
services under this title and enrolled under the State 
plan (or a waiver of such plan) under this title for 
the month; 
‘‘(B) not under 19 years of age; 
‘‘(C) not 65 years of age or older; and 
‘‘(D) not eligible for medical assistance under 
this title on the basis of being blind or disabled.’’. 
(c) APPLICATION TO CHIP.— 
(1) IN
GENERAL.—Section 2107(e)(1) of the 
Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended— 
(A) by redesignating subparagraphs (B) 
through (R) as subparagraphs (C) through (S), 
respectively; and 
(B) by inserting after subparagraph (A) 
the following new subparagraph: 
‘‘(B) Section 1902(a)(25) (relating to third 
party liability).’’. 
(2) 
MANDATORY
REPORTING.—Section 
1902(a)(25)(I)(i) of the Social Security Act (42 
U.S.C. 1396a(a)(25)(I)(i)), as amended by sub-
section (a)(5), is further amended— 
(A) by striking ‘‘(and, at State option, 
child’’ and inserting ‘‘and child’’; and 
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(B) by striking ‘‘title XXI)’’ and inserting 
‘‘title XXI’’. 
(d) TRAINING ON THIRD PARTY LIABILITY.—Section 
1936 of the Social Security Act (42 U.S.C. 1396u–6) is 
amended— 
(1) in subsection (b)(4), by striking ‘‘and qual-
ity of care’’ and inserting ‘‘, quality of care, and the 
liability of responsible third parties (as defined in 
section 1902(nn))’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(f) THIRD PARTY LIABILITY TRAINING.—With re-
spect to education or training activities carried out pursu-
ant to subsection (b)(4) with respect to the liability of re-
sponsible third parties (as defined in section 1902(nn) for 
payment for items and services furnished under State 
plans (or under waivers of such plans)) under this title, 
the Secretary shall— 
‘‘(1) publish (and update on an annual basis) 
on the public Internet website of the Centers for 
Medicare & Medicaid Services a dedicated Internet 
page containing best practices to be used in assess-
ing such liability; 
‘‘(2) monitor efforts to assess such liability and 
analyze the challenges posed by that assessment; 
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‘‘(3) distribute to State agencies administering 
the State plan under this title information related to 
such efforts and challenges; and 
‘‘(4) provide guidance to such State agencies 
with respect to State oversight of efforts under a 
medicaid managed care plan under section 1903(m) 
or 1932 to assess such liability.’’. 
(e) DEVELOPMENT
OF MODEL UNIFORM FIELDS 
FOR STATES TO REPORT THIRD PARTY INFORMATION.— 
Not later than January 1, 2019, the Secretary of Health 
and Human Services shall, in consultation with the States, 
develop and make available to the States a model uniform 
reporting field that States may use for purposes of report-
ing to the Secretary through the Transformed Medicaid 
Statistical Information System (T–MSIS) (or a successor 
system), or within CMS Form 64 (or any successor form), 
information identifying responsible third parties (as de-
fined in subsection (nn) of section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a), as added by subsection 
(a)(2)(A)) and other relevant information for ascertaining 
the legal responsibility of such third parties to pay for care 
and services available under the State plan (or under a 
waiver of the plan) under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.). 
(f) EFFECTIVE DATE.— 
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(1) IN GENERAL.—Except as provided in para-
graph (2), this section and the amendments made by 
this section (other than as specified in the preceding 
provisions of this section) shall take effect on Octo-
ber 1, 2019, and shall apply to medical assistance or 
child health assistance provided on or after such 
date. 
(2) EXCEPTION
IF
STATE
LEGISLATION
RE-
QUIRED.—In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.), or a State child health 
plan for child health assistance under title XXI of 
such Act (42 U.S.C. 1397aa et seq.), that the Sec-
retary of Health and Human Services determines re-
quires State legislation (other than legislation appro-
priating funds) in order for the plan to meet the ad-
ditional requirement imposed by the amendments 
made under this section, such plan shall not be re-
garded as failing to comply with the requirements of 
such title solely on the basis of its failure to meet 
this additional requirement before the first day of 
the first calendar quarter beginning after the close 
of the first regular session of the State legislature 
that begins after the date of the enactment of this 
Act. For purposes of the previous sentence, in the 
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case of a State that has a 2-year legislative session, 
each year of such session shall be deemed to be a 
separate regular session of the State legislature. 
SEC. 202. TREATMENT OF LOTTERY WINNINGS AND OTHER 
LUMP-SUM INCOME FOR PURPOSES OF IN-
COME ELIGIBILITY UNDER MEDICAID. 
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended— 
(1) in subsection (a)(17), by striking ‘‘(e)(14), 
(e)(14)’’ and inserting ‘‘(e)(14), (e)(15)’’; and 
(2) in subsection (e)— 
(A) in paragraph (14) (relating to modified 
adjusted gross income), by adding at the end 
the following new subparagraph: 
‘‘(J) TREATMENT
OF
CERTAIN
LOTTERY 
WINNINGS AND INCOME RECEIVED AS A LUMP 
SUM.— 
‘‘(i) IN GENERAL.—In the case of an 
individual who is the recipient of qualified 
lottery winnings (pursuant to lotteries oc-
curring on or after January 1, 2018) or 
qualified lump sum income (received on or 
after such date) and whose eligibility for 
medical assistance is determined based on 
the application of modified adjusted gross 
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