Title: Smart Choices Act
Policy area: Health

Summary:
Smart Choices Act
This bill requires the Medicaid and Children's Health Insurance Program (CHIP) Payment and Access Commission to publish annually a report regarding the effects of Medicaid expansion under the Patient Protection and Affordable Care Act. The report must include funding and coverage information for states participating in Medicaid expansion, as well as information on the potential effects of expansion for states that have not elected to do so.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 68 Introduced in Senate (IS)]

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116th CONGRESS
  1st Session
                                 S. 68

   To require the Medicaid and CHIP Payment and Access Commission to 
 publish an annual report on the estimated impact in each State of the 
Medicaid expansion added by the Patient Protection and Affordable Care 
Act, including the estimated impact that adopting such expansion would 
     have in States that have not expanded their Medicaid coverage.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            January 9, 2019

Mr. Jones (for himself, Mr. Kaine, Mr. King, Ms. Klobuchar, Ms. Smith, 
and Mrs. Feinstein) introduced the following bill; which was read twice 
                and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
   To require the Medicaid and CHIP Payment and Access Commission to 
 publish an annual report on the estimated impact in each State of the 
Medicaid expansion added by the Patient Protection and Affordable Care 
Act, including the estimated impact that adopting such expansion would 
     have in States that have not expanded their Medicaid coverage.

    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 ``Smart Choices Act''.

SEC. 2. ANNUAL REPORT ESTIMATING IMPACT OF EXPANDING MEDICAID COVERAGE.

    For each fiscal year beginning with fiscal year 2020, the Medicaid 
and CHIP Payment and Access Commission shall publish an annual report 
estimating--
            (1) for each State that has elected to provide Medicaid 
        coverage to individuals described in section 
        1902(a)(10)(A)(i)(VIII) of the Social Security Act (42 U.S.C. 
        1396a(a)(10)(A)(i)(VIII)) for the fiscal year--
                    (A) the amount of Federal funds under title XIX of 
                the Social Security Act (42 U.S.C. 1396 et seq.) that 
                the State will receive for the fiscal year for medical 
                assistance provided to such individuals; and
                    (B) the number of such individuals who are expected 
                to receive coverage under the State Medicaid plan under 
                such title in the fiscal year; and
            (2) for each State that has not elected to provide Medicaid 
        coverage to individuals described in section 
        1902(a)(10)(A)(i)(VIII) of such Act for the fiscal year--
                    (A) the amount of additional Federal funds under 
                title XIX of such Act that the State would receive for 
                the fiscal year if the State expanded coverage to such 
                individuals; and
                    (B) the number of additional individuals who would 
                receive access to affordable, comprehensive coverage 
                under the State Medicaid plan under such title in the 
                fiscal year if the State expanded coverage to 
                individuals described in section 
                1902(a)(10)(A)(i)(VIII) of such Act.
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