I
106TH CONGRESS
1ST SESSION
H. R. 1591
To amend title XIX of the Social Security Act to permit States the option
to provide Medicaid coverage for low-income individuals infected with HIV.
IN THE HOUSE OF REPRESENTATIVES
APRIL 28, 1999
Ms. PELOSI (for herself, Mr. GEPHARDT, Mr. ABERCROMBIE, Mr. ACKERMAN,
Mr. BONIOR, Mr. BRADY of Pennsylvania, Mr. BENTSEN, Mr. BROWN of
California, Mrs. CAPPS, Mr. CAPUANO, Mrs. CHRISTENSEN, Mr. CROW-
LEY, Ms. DEGETTE, Mr. DELAHUNT, Ms. DELAURO, Mr. DIXON, Ms.
ESHOO, Mr. FALEOMAVAEGA, Mr. FARR of California, Mr. FILNER, Mr.
FORD, Mr. FRANK of Massachusetts, Mr. FROST, Mr. GUTIERREZ, Mr.
HASTINGS of Florida, Mr. HINCHEY, Mr. HORN, Mr. INSLEE, Ms. JACK-
SON-LEE of Texas, Mrs. JONES of Ohio, Ms. KILPATRICK, Mr. LANTOS,
Ms. LEE, Ms. LOFGREN, Mr. MCDERMOTT, Mrs. MALONEY of New York,
Mr. MATSUI, Mr. MEEHAN, Mrs. MEEK of Florida, Ms. MILLENDER-
MCDONALD, Mr. GEORGE MILLER of California, Mrs. MINK of Hawaii,
Mrs. MORELLA, Mr. NADLER, Mr. PAYNE, Ms. RIVERS, Mr. ROMERO-
BARCELO´, Mr. RUSH, Ms. SANCHEZ, Mr. SANDERS, Ms. SCHAKOWSKY,
Mr. SERRANO, Mr. SHERMAN, Mr. STARK, Mrs. TAUSCHER, Mrs. THUR-
MAN, Mr. TOWNS, Ms. WATERS, Mr. WAXMAN, Mr. WEINER, and Ms.
WOOLSEY) introduced the following bill; which was referred to the Com-
mittee on Commerce
A BILL
To amend title XIX of the Social Security Act to permit
States the option to provide Medicaid coverage for low-
income individuals infected with HIV.
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 ‘‘Early Treatment for
HIV Act of 1999’’.
SEC. 2. OPTIONAL MEDICAID COVERAGE OF LOW-INCOME
HIV-INFECTED INDIVIDUALS.
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended—
(1) in subsection (a)(10)(A)(ii)—
(A) by striking ‘‘or’’ at the end of sub-
clause (XIII);
(B) by adding ‘‘or’’ at the end of subclause
(XIV); and
(C) by adding at the end the following new
subclause:
‘‘(XV) who are described in sub-
section (aa) (relating to HIV-infected
individuals);’’;
and
(2) by adding at the end the following new sub-
section:
‘‘(aa) HIV-infected individuals described in this sub-
section are individuals not described in subsection
(a)(10)(A)(i)—
‘‘(1) who have HIV infection;
‘‘(2) whose income (as determined under the
State plan under this title with respect to disabled
individuals) does not exceed the maximum amount
of income a disabled individual described in sub-
section (a)(10)(A)(i) may have and obtain medical
assistance under the plan; and
‘‘(3) whose resources (as determined under the
State plan under this title with respect to disabled
individuals) do not exceed the maximum amount of
resources a disabled individual described in sub-
section (a)(10)(A)(i) may have and obtain medical
assistance under the plan.’’.
(b) CONFORMING AMENDMENTS.—Section 1905(a)
of such Act (42 U.S.C. 1396d(a)) is amended, in the mat-
ter before paragraph (1)—
(1) by striking ‘‘or’’ at the end of clause (x),
(2) by adding ‘‘or’’ at the end of clause (xi),
and
(3) by inserting after clause (xii) the following
new clause:
‘‘(xii) 
individuals 
described 
in 
section
1902(aa);’’.
(c) EXEMPTION FROM FUNDING LIMITATION FOR
TERRITORIES.—Section 1108(g) of such Act (42 U.S.C.
1308(g)) is amended by adding at the end the following
new paragraph:
‘‘(3) DISREGARDING MEDICAL ASSISTANCE FOR
OPTIONAL
LOW-INCOME
HIV-INFECTED
INDIVID-
UALS.—The limitations under subsection (f) and the
previous provisions of this subsection shall not apply
to amounts expended for medical assistance for indi-
viduals described in section 1902(aa) who are only
eligible for such assistance on the basis of section
1902(a)(10)(A)(ii)(XV).’’.
(d) EFFECTIVE DATE.—The amendments made by
subsections (a) and (b) shall apply to calendar quarters
beginning on or after the date of the enactment of this
Act, without regard to whether or not final regulations to
carry out such amendments have been promulgated by
such date.
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