I 
117TH CONGRESS 
1ST SESSION 
H. R. 871 
To amend title XIX of the Social Security Act to provide a temporary 
increase in FMAP for medical assistance under State Medicaid plans 
which begin to expend amounts for newly eligible mandatory individuals. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 5, 2021 
Mrs. FLETCHER 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 provide 
a temporary increase in FMAP for medical assistance 
under State Medicaid plans which begin to expend 
amounts for newly eligible mandatory individuals. 
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 ‘‘Expand Medicaid Now 
Act’’. 
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SEC. 2. TEMPORARY INCREASE IN FMAP FOR MEDICAL AS-
SISTANCE UNDER STATE MEDICAID PLANS 
WHICH BEGIN TO EXPEND AMOUNTS FOR 
NEWLY ELIGIBLE MANDATORY INDIVIDUALS. 
Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended— 
(1) in subsection (b), in the first sentence, by 
striking ‘‘and (ff)’’ and inserting ‘‘(ff), and (hh)’’; 
and 
(2) by adding at the end the following new sub-
section: 
‘‘(hh) TEMPORARY INCREASE IN FMAP FOR MED-
ICAL
ASSISTANCE
UNDER
STATE
MEDICAID
PLANS 
WHICH BEGIN TO EXPEND AMOUNTS FOR ALL NEWLY 
ELIGIBLE MANDATORY INDIVIDUALS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
for the 8-quarter period beginning with the first cal-
endar quarter during which a qualifying State (as 
defined in paragraph (4)) expends amounts for all 
newly eligible individuals described in section 
1902(a)(10)(A)(i)(VIII) under the State plan (or 
waiver of such plan), the Federal medical assistance 
percentage determined under subsection (b) for such 
State shall be increased by 5 percentage points. 
‘‘(2) EXCEPTION.—In the case of a State that 
ceases to provide medical assistance to any newly eli-
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gible individual under the State plan (or waiver of 
such plan) during a quarter occurring during the pe-
riod described in paragraph (1), the increase de-
scribed in such paragraph shall not apply with re-
spect to such State and such quarter (or any suc-
ceeding quarter). 
‘‘(3) SPECIAL
APPLICATION
RULES.—Any in-
crease described in paragraph (1)— 
‘‘(A) shall not apply with respect to dis-
proportionate share hospital payments described 
in section 1923; 
‘‘(B) shall not be taken into account in cal-
culating the enhanced FMAP of a State under 
section 2105; and 
‘‘(C) shall not be taken into account for 
purposes of part A, D, or E of title IV. 
‘‘(4) DEFINITION.—For purposes of this sub-
section, the term ‘qualifying State’ means a State 
which has not expended amounts for all newly eligi-
ble 
individuals 
described 
in 
section 
1902(a)(10)(A)(i)(VIII) before the date of the enact-
ment of this subsection.’’. 
Æ 
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