I 
114TH CONGRESS 
1ST SESSION H. R. 2348 
To amend titles XI and XIX of the Social Security Act to promote program 
integrity with respect to the enrollment of certain immigrants in State 
plans under Medicaid, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 15, 2015 
Mr. FLORES introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend titles XI and XIX of the Social Security Act 
to promote program integrity with respect to the enroll-
ment of certain immigrants in State plans under Med-
icaid, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. PROMOTING PROGRAM INTEGRITY IN ENROLL-
ING CERTAIN IMMIGRANTS UNDER MED-
ICAID. 
(a) IN GENERAL.—Section 1137(f) of the Social Se-
curity Act (42 U.S.C. 1320b–7(f)) is amended— 
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(1) by striking ‘‘Subsections (a)(1) and (d)’’ 
and inserting ‘‘(1) Subsections (a)(1) and (d)’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) Subparagraphs (A) and (B)(ii) of sub-
section (d)(4) shall not apply in the case of an initial 
determination made on or after the date that is 6 
months after the date of the enactment of this para-
graph with respect to the eligibility of an individual 
declaring to be a citizen or national of the United 
States with respect to whom a State requires, pursu-
ant to 1902(ee) the submission of a social security 
number or pursuant to 1903(x) the presentation of 
satisfactory documentary evidence of citizenship or 
nationality, under section 1902(a)(46)(B) for bene-
fits under the program listed in subsection (b)(2).’’. 
(b) NO PAYMENTS FOR MEDICAL ASSISTANCE PRO-
VIDED BEFORE PRESENTATION OF EVIDENCE.—Section 
1903(i)(22) of the Social Security Act (42 U.S.C. 
1396b(i)(22)) is amended— 
(1) by striking ‘‘with respect to amounts ex-
pended’’ and inserting ‘‘(A) with respect to amounts 
expended’’; 
(2) by inserting ‘‘and’’ at the end; and 
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(3) by adding at the end the following new sub-
paragraph: 
‘‘(B) in the case of a State that elects to pro-
vide a reasonable period to present satisfactory doc-
umentary evidence of such citizenship or nationality 
pursuant to paragraph (2)(C) of section 1902(ee) or 
paragraph (4) of subsection (x) of this section, for 
amounts expended for medical assistance for such an 
individual (other than an individual described in 
paragraph (2) of such subsection (x)) during such 
period;’’. 
(c) 
CONFORMING
AMENDMENTS.—Section 
1137(d)(4) of the Social Security Act (42 U.S.C. 1320b– 
7(d)(4)) is amended— 
(1) in subparagraph (A), in the matter pre-
ceding clause (i), by inserting ‘‘subject to subsection 
(f)(2)’’ before ‘‘the State’’; and 
(2) in subparagraph (B)(ii), by inserting ‘‘sub-
ject to subsection (f)(2)’’ before ‘‘pending such 
verification’’. 
Æ 
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