(1) IN
GENERAL.—Section 1903(m)(2)(A) of 
the Social Security Act (42 U.S.C. 1396b(m)(2)(A)) 
is amended— 
(A) in clause (xii), by striking ‘‘and’’ after 
the semicolon; 
(B) by realigning the left margin of clause 
(xiii) so as to align with the left margin of 
clause (xii) and by striking the period at the 
end of clause (xiii) and inserting ‘‘; and’’; and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) such contract provides that (I) payments 
to providers specified in section 1902(a)(13)(C) for 
primary care services defined in section 1902(jj) 
that are furnished during a year or period specified 
in section 1902(a)(13)(C) and section 1905(dd) are 
at least equal to the amounts set forth and required 
by the Secretary by regulation, (II) the entity shall, 
upon request, provide documentation to the State, 
sufficient to enable the State and the Secretary to 
ensure compliance with subclause (I), and (III) the 
Secretary shall approve payments described in sub-
clause (I) that are furnished through an agreed 
upon capitation, partial capitation, or other value- 
based payment arrangement if the capitation, partial 
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capitation, or other value-based payment arrange-
ment is based on a reasonable methodology and the 
entity provides documentation to the State sufficient 
to enable the State and the Secretary to ensure com-
pliance with subclause (I).’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1932(f) of the Social Security Act (42 U.S.C. 
1396u–2(f)) is amended by inserting ‘‘and clause 
(xiv) of section 1903(m)(2)(A)’’ before the period. 
SEC. 5. INCREASED FMAP FOR MEDICAL ASSISTANCE TO 
NEWLY ELIGIBLE INDIVIDUALS. 
(a) IN GENERAL.—Section 1905(y)(1) of the Social 
Security Act (42 U.S.C. 1396d(y)(1)) is amended— 
(1) in subparagraph (A), by striking ‘‘2014, 
2015, and 2016’’ and inserting ‘‘each of the first 3 
consecutive 12-month periods in which the State 
provides medical assistance to newly eligible individ-
uals’’; 
(2) in subparagraph (B), by striking ‘‘2017’’ 
and inserting ‘‘the fourth consecutive 12-month pe-
riod in which the State provides medical assistance 
to newly eligible individuals’’; 
(3) in subparagraph (C), by striking ‘‘2018’’ 
and inserting ‘‘the fifth consecutive 12-month period 
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in which the State provides medical assistance to 
newly eligible individuals’’; 
(4) in subparagraph (D), by striking ‘‘2019’’ 
and inserting ‘‘the sixth consecutive 12-month period 
in which the State provides medical assistance to 
newly eligible individuals’’; and 
(5) in subparagraph (E), by striking ‘‘2020 and 
each year thereafter’’ and inserting ‘‘the seventh 
consecutive 12-month period in which the State pro-
vides medical assistance to newly eligible individuals 
and each such period thereafter’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect as if included in the enact-
ment of Public Law 111–148. 
SEC. 6. MEDICAID COVERAGE OF COMPREHENSIVE REPRO-
DUCTIVE HEALTH CARE SERVICES. 
(a) INCLUSION OF COMPREHENSIVE REPRODUCTIVE 
HEALTH CARE SERVICES AS MEDICAL ASSISTANCE.— 
Section 1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)), as amended by section 2(h), is further amend-
ed— 
(1) in paragraph (29), by striking ‘‘and’’ at the 
end; 
(2) by redesignating paragraph (30) as para-
graph (31); and 
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(3) by inserting after paragraph (29) the fol-
lowing new paragraph: 
‘‘(30) comprehensive reproductive health care 
services, including abortion services; and’’. 
(b) REQUIRING COVERAGE OF COMPREHENSIVE RE-
PRODUCTIVE HEALTH CARE SERVICES AS CONDITION OF 
STATE PLAN APPROVAL.—Section 1902(a)(10)(A) of the 
Social Security Act (42 U.S.C. 1396a(a)(10)(A)), as 
amended by subsections (a) and (h) of section 2, is further 
amended, in the matter preceding clause (i), by striking 
‘‘and (29)’’ and inserting ‘‘(29), and (30)’’. 
(c) 
CONFORMING
AMENDMENT.—Section 
1932(e)(1)(B) of the Social Security Act (42 U.S.C. 
1396u–2(e)(1)(B)) is amended by striking ‘‘Clause (i)’’ 
and inserting ‘‘With respect to the period beginning before 
January 1, 2021, clause (i)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to medical assistance 
furnished on or after January 1, 2021. 
Æ 
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