Expand Medicaid Now Act
Bill: H.R.871 | Sponsor: Rep. Fletcher, Lizzie (D-TX)
Policy area: Health

Summary:
Expand Medicaid Now Act
This bill temporarily increases the Federal Medical Assistance Percentage (i.e., federal matching rate) for states that elect to participate in Medicaid expansion (pursuant to the Patient Protection and Affordable Care Act) if they have not already done so.

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 Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Expand Medicaid Now Act''.

SEC. 2. TEMPORARY INCREASE IN FMAP FOR MEDICAL ASSISTANCE 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 subsection:
    ``(hh) Temporary Increase in FMAP for Medical 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 calendar 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 eligible individual 
        under the State plan (or waiver of such plan) during a quarter 
        occurring during the period described in paragraph (1), the 
        increase described in such paragraph shall not apply with 
        respect to such State and such quarter (or any succeeding 
        quarter).
            ``(3) Special application rules.--Any increase described in 
        paragraph (1)--
                    ``(A) shall not apply with respect to 
                disproportionate share hospital payments described in 
                section 1923;
                    ``(B) shall not be taken into account in 
                calculating 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 subsection, the 
        term `qualifying State' means a State which has not expended 
        amounts for all newly eligible individuals described in section 
        1902(a)(10)(A)(i)(VIII) before the date of the enactment of 
        this subsection.''.
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