Title: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services furnished without an electronic visit verification system, and for other purposes.
Policy area: Health

Summary:
This bill delays by one year (to January 1, 2020) the Medicaid federal matching rate reduction that is scheduled to take effect for states that fail to require an electronic visit verification system for personal care services. The bill also excludes specified services from such verification system requirements, including inpatient hospital services and 24-hour residential group home services.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6042 Introduced in House (IH)]

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115th CONGRESS
  2d Session
                                H. R. 6042

To amend title XIX of the Social Security Act to delay the reduction in 
   Federal medical assistance percentage for Medicaid personal care 
services furnished without an electronic visit verification system, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 7, 2018

 Mr. Guthrie 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 delay the reduction in 
   Federal medical assistance percentage for Medicaid personal care 
services furnished without an electronic visit verification system, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. DELAY IN REDUCTION OF FMAP FOR MEDICAID PERSONAL CARE 
              SERVICES FURNISHED WITHOUT AN ELECTRONIC VISIT 
              VERIFICATION SYSTEM.

    (a) In General.--Section 1903(l) of the Social Security Act (42 
U.S.C. 1396b(l)) is amended--
            (1) in paragraph (1)--
                    (A) by striking ``January 1, 2019'' and inserting 
                ``January 1, 2020''; and
                    (B) in subparagraph (A)(i), by striking ``2019 
                and''; and
            (2) in paragraph (4)(A)(i), by striking ``calendar quarters 
        in 2019'' and inserting ``calendar quarters in 2020''.
    (b) Definition of Personal Care Services.--Section 1903(l)(5)(C) of 
the Social Security Act (42 U.S.C. 1396b(l)(5)(C)) is amended--
            (1) by striking ``The term `personal care services' means'' 
        and inserting the following: ``The term `personal care 
        services'--
                    ``(i) means'';
            (2) by striking the period and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(ii) does not include personal care services--
                            ``(I) provided to individuals who are 
                        inpatients or residents of a hospital, a 
                        nursing facility, an intermediate care facility 
                        for individuals with intellectual disabilities, 
                        or an institution for mental diseases; or
                            ``(II) provided in congregate residential 
                        programs such as group homes, assisted living 
                        facilities, or other congregate residential 
                        settings in which 24-hour service is 
                        available.''.
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