IB 
Union Calendar No. 568 
115TH CONGRESS 
2D SESSION 
H. R. 4005 
[Report No. 115–733] 
To amend title XIX of the Social Security Act to allow for medical assistance 
under Medicaid for inmates during the 30-day period preceding release 
from a public institution. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 10, 2017 
Mr. TONKO introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
JUNE 12, 2018 
Additional sponsors: Mr. TURNER, Mr. WALDEN, and Mr. MITCHELL 
JUNE 12, 2018 
Reported with amendments, committed to the Committee of the Whole House 
on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on October 10, 2017] 
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A BILL 
To amend title XIX of the Social Security Act to allow 
for medical assistance under Medicaid for inmates during 
the 30-day period preceding release from a public institu-
tion. 
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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 Reentry Act’’. 
SEC. 2. PROMOTING STATE INNOVATIONS TO EASE TRANSI-
TIONS INTEGRATION TO THE COMMUNITY 
FOR CERTAIN INDIVIDUALS. 
(a) STAKEHOLDER GROUP DEVELOPMENT OF BEST 
PRACTICES; MEDICAID INNOVATION ACCELERATOR PRO-
GRAM.— 
(1) STAKEHOLDER GROUP BEST PRACTICES.— 
Not later than 6 months after the date of the enact-
ment of this Act, the Secretary of Health and Human 
Services shall convene a stakeholder group of rep-
resentatives of managed care organizations, Medicaid 
beneficiaries, health care providers, the National Asso-
ciation of Medicaid Directors, and other relevant rep-
resentatives from local, State, and Federal jail and 
prison systems to develop best practices (and submit 
to the Secretary and Congress a report on such best 
practices) for States— 
(A) to ease the health care-related transition 
of an individual who is an inmate of a public 
institution from the public institution to the 
community, including best practices for ensuring 
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continuity of health insurance coverage or cov-
erage under the State Medicaid plan under title 
XIX of the Social Security Act, as applicable, 
and relevant social services; and 
(B) to carry out, with respect to such an in-
dividual, such health care-related transition not 
later than 30 days after such individual is re-
leased from the public institution. 
(2) STATE MEDICAID PROGRAM INNOVATION.— 
The Secretary of Health and Human Services shall 
work with States on innovative strategies to help in-
dividuals who are inmates of public institutions and 
otherwise eligible for medical assistance under the 
Medicaid program under title XIX of the Social Secu-
rity Act transition, with respect to enrollment for 
medical assistance under such program, seamlessly to 
the community. 
(b) GUIDANCE
ON INNOVATIVE SERVICE DELIVERY 
SYSTEMS DEMONSTRATION PROJECT OPPORTUNITIES.— 
Not later than one year after the date of the enactment of 
this Act, the Secretary of Health and Human Services, 
through the Administrator of the Centers for Medicare & 
Medicaid Services, shall issue a State Medicaid Director let-
ter, based on best practices developed under subsection 
(a)(1), regarding opportunities to design demonstration 
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projects under section 1115 of the Social Security Act (42 
U.S.C. 1315) to improve care transitions for certain indi-
viduals who are soon-to-be former inmates of a public insti-
tution and who are otherwise eligible to receive medical as-
sistance under title XIX of such Act, including systems for, 
with respect to a period (not to exceed 30 days) immediately 
prior to the day on which such individuals are expected 
to be released from such institution— 
(1) providing assistance and education for en-
rollment under a State plan under the Medicaid pro-
gram under title XIX of such Act for such individuals 
during such period; and 
(2) providing health care services for such indi-
viduals during such period. 
(c) RULE OF CONSTRUCTION.—Nothing under title 
XIX of the Social Security Act or any other provision of 
law precludes a State from reclassifying or suspending 
(rather than terminating) eligibility of an individual for 
medical assistance under title XIX of the Social Security 
Act while such individual is an inmate of a public institu-
tion. 
Amend the title so as to read: ‘‘A bill to promote 
State innovations to ease transitions to the community 
for individuals who are inmates of a public institution 
and eligible for medical assistance under the Medicaid 
program.’’. 
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Union Calendar No. 568 
115TH CONGRESS 
2D SESSION 
H. R. 4005 
[Report No. 115–733] 
A BILL 
To amend title XIX of the Social Security Act to 
allow for medical assistance under Medicaid for 
inmates during the 30-day period preceding re-
lease from a public institution. 
JUNE 12, 2018 
Reported with amendments, committed to the Committee 
of the Whole House on the State of the Union, and or-
dered to be printed 
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