Title: Affordable Health Care for Children with Disabilities Act
Policy area: Health

Summary:
Affordable Health Care for Children with Disabilities Act
This bill establishes an enhanced Federal Medical Assistance Percentage (i.e., federal matching rate) for services provided under state Medicaid programs to individuals 18 years of age or younger who have disabilities and whose income and resources do not exceed certain thresholds, regardless of parental income and resources.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2067 Introduced in Senate (IS)]

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116th CONGRESS
  1st Session
                                S. 2067

 To amend title XIX of the Social Security Act to encourage States to 
    disregard parental income and assets when determining Medicaid 
                   eligibility for disabled children.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 10, 2019

   Mr. Casey introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to encourage States to 
    disregard parental income and assets when determining Medicaid 
                   eligibility for disabled children.

    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 ``Affordable Health Care for Children 
with Disabilities Act''.

SEC. 2. ENCOURAGING STATES TO DISREGARD PARENTAL INCOME AND ASSETS WHEN 
              DETERMINING MEDICAID ELIGIBILITY FOR DISABLED CHILDREN.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended--
            (1) in subsection (b), by striking ``and (aa)'' and 
        inserting ``(aa), and (ff)''; and
            (2) by adding at the end the following new subsection:
    ``(ff) Increased FMAP for Medical Assistance for Certain Disabled 
Children.--
            ``(1) In general.--Notwithstanding subsection (b), if a 
        State elects to make medical assistance available to all 
        individuals described in paragraph (2), the Federal medical 
        assistance percentage for the State with respect to amounts 
        expended by such State for medical assistance furnished to such 
        individuals on or after January 1, 2020, shall be equal to 90 
        percent.
            ``(2) Individuals described.--An individual described in 
        this paragraph is an individual who--
                    ``(A) is 18 years of age or younger;
                    ``(B) who would be eligible for benefits under the 
                supplemental security income program under title XVI on 
                the basis of being blind (as determined under section 
                1614(a)(2)) or disabled (as determined under section 
                1614(a)(3)(C)) but for the fact that the individual's 
                income or resources do not meet the requirements of 
                such program;
                    ``(C) whose income (as determined under section 
                1612, except as provided in paragraph (3)) does not 
                exceed an income level established by the State 
                consistent with section 1902(m)(2)(A); and
                    ``(D) whose resources (as determined under section 
                1613, except as provided in paragraph (3)) do not 
                exceed the maximum amount of resources that an 
                individual may have and obtain benefits under that 
                program.
            ``(3) Income and resource eligibility determination 
        methodology.--In determining whether an individual's income or 
        resources do not exceed the income level established by the 
        State under subparagraph (C) of paragraph (2) or the maximum 
        amount of resources described in subparagraph (D) of such 
        paragraph, the State shall disregard the income and resources 
        of any parent or guardian of the individual and shall treat the 
        individual as a family of one.
            ``(4) No waiting lists.--The increased Federal medical 
        assistance percentage available under paragraph (1) shall not 
        apply to a State if the State limits the acceptance of 
        applications from individuals described in paragraph (2) or 
        imposes any numerical limitation, waiting list, or similar 
        limitation on the eligibility of such individuals for medical 
        assistance.''.
    (b) Disregard of Limits on Payments to Territories.--Section 
1108(g)(4) of the Social Security Act (42 U.S.C. 1308(g)(4)) is 
amended--
            (1) by striking ``With respect to fiscal years beginning 
        with fiscal year 2009,'' and inserting the following:
                    ``(A) In general.--With respect to fiscal years 
                beginning with fiscal year 2009,''; and
            (2) by adding at the end the following:
                    ``(B) Other expenditures.--The amounts received by 
                a commonwealth or territory for a calendar quarter of a 
                fiscal year that are attributable to the application of 
                section 1905(ff) shall not be taken into account in 
                applying subsection (f) (as increased in accordance 
                with paragraphs (1), (2), (3), and (5) of this 
                subsection) to such commonwealth or territory for such 
                fiscal year.''.
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