SAME Act of 2021

Bill: 117-s-245
Sponsor: full_name: Sen. Warner, Mark R. [D-VA]
Introduced: 2021-02-04
Policy area: Health
Subjects: Medicaid

State and local finance
Latest action: action_date: 2021-02-04
text: Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2021-02-04
action_desc: Introduced in Senate
text: <p><b>States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021</b></p> <p>This bill provides an enhanced federal matching rate to every state that expands Medicaid&nbsp;coverage for&nbsp;individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when&nbsp;such expansion takes place. </p> <p>Under current law, the enhanced Federal Medical Assistance Percentage (FMAP) is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates.</p> <p>The bill applies retroactively.</p>

tv_txt: II 117th CONGRESS 1st Session S. 245 IN THE SENATE OF THE UNITED STATES February 4, 2021 Mr. Warner (for himself, Mr. Warnock , Mr. Kaine , Mr. Carper , Ms. Stabenow , Mr. Casey , Ms. Baldwin , Mr. Peters , Mr. Coons , Mr. King , and Mr. Ossoff ) 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 provide the same level of Federal matching assistance for every State that chooses to expand Medicaid coverage to newly eligible individuals, regardless of when such expansion takes place, and for other purposes.

1. Short title This Act may be cited as the States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021 . 2. Increased FMAP for medical assistance to newly eligible individuals (a) In general Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— (1) in subsection (y)(1)— (A) in subparagraph (A), by striking 2014, 2015, and 2016 and inserting each of the first 3 consecutive 12-month periods in which the State provides medical assistance to newly eligible individuals ; (B) in subparagraph (B), by striking 2017 and inserting the fourth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals ; (C) in subparagraph (C), by striking 2018 and inserting the fifth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals ; (D) in subparagraph (D), by striking 2019 and inserting the sixth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals ; and (E) in subparagraph (E), by striking 2020 and each year thereafter and inserting the seventh consecutive 12-month period in which the State provides medical assistance to newly eligible individuals and each such period thereafter ; and (2) in subsection (z)(2)(B)(i)(II), by inserting (as in effect on the day before the enactment of the States Achieve Medicaid Expansion Act of 2021 ) after subsection (y)(1) . (b) Retroactive application The amendments made by subsection (a)(1) shall take effect as if included in the enactment of Public Law 111–148 and shall apply to amounts expended by any State for medical assistance for newly eligible individuals described in subclause (VIII) of section 1902(a)(10)(A)(i) of the Social Security Act under a State Medicaid plan (or a waiver of such plan) during the period before the date of enactment of this Act.