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S. 2315, Medicaid Saves Lives Act

Summary

Senate bill 2315, the Medicaid Saves Lives Act, is a bill to require the Secretary of Health and Human Services to establish a program to provide health care coverage to low-income adults in States that have not expanded Medicaid. Warnock introduced it on July 12, 2021, with Baldwin and Ossoff, and it was read twice and referred to the Committee on Health, Education, Labor, and Pensions. Section 2, titled Medicaid Fallback Coverage Program for Low-Income Adults in Non-Expansion States, directs the Secretary, as soon as possible after the date of enactment, to establish directly or by contract a program that offers eligible individuals the opportunity to enroll in health benefits coverage.

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Issuer
Congressional materials
Document type
Bills Bills 117S2315Is Bills 117S2315Is
Case
Bills Bills 117S2315Is Bills 117S2315Is

Cite this document

“S. 2315, Medicaid Saves Lives Act.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-117s2315is-bills-117s2315is/, SHA-256 43f9a38d6b7d827049281f9176f1ac33f56f1b85f8024cd58dd4468cbaeaaef5.

Full text

                                                                                                                                                                         II




                                                                     117TH CONGRESS
                                                                        1ST SESSION
                                                                                                              S. 2315
                                                                     To require the Secretary of Health and Human Services to establish a
                                                                         program to provide health care coverage to low-income adults in States
                                                                         that have not expanded Medicaid.




                                                                                 IN THE SENATE OF THE UNITED STATES
                                                                                                   JULY 12, 2021
                                                                     Mr. WARNOCK (for himself, Ms. BALDWIN, and Mr. OSSOFF) introduced the
                                                                         following bill; which was read twice and referred to the Committee on
                                                                         Health, Education, Labor, and Pensions




                                                                                                                 A BILL
                                                                     To require the Secretary of Health and Human Services
                                                                        to establish a program to provide health care coverage
                                                                        to low-income adults in States that have not expanded
                                                                        Medicaid.

                                                                        1               Be it enacted by the Senate and House of Representa-
                                                                        2 tives of the United States of America in Congress assembled,
                                                                        3        SECTION 1. SHORT TITLE.

                                                                        4               This Act may be cited as the ‘‘Medicaid Saves Lives
                                                                        5 Act’’.




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                                                                                                                                 2
                                                                        1        SEC. 2. MEDICAID FALLBACK COVERAGE PROGRAM FOR

                                                                        2                                LOW-INCOME                  ADULTS          IN     NON-EXPANSION

                                                                        3                                STATES.

                                                                        4              (a) IN GENERAL.—As soon as possible after the date
                                                                        5 of enactment of this Act the Secretary of Health and
                                                                        6 Human Services (in this section referred to as the ‘‘Sec-
                                                                        7 retary’’) shall—
                                                                        8                       (1) directly or by contract, establish a program
                                                                        9              that offers eligible individuals the opportunity to en-
                                                                     10                roll in health benefits coverage that meets the re-
                                                                     11                quirements described in subsection (c) and any re-
                                                                     12                quirements applicable to such coverage pursuant to
                                                                     13                subsection (d); and
                                                                     14                         (2) ensure that such program is administered
                                                                     15                consistent             with          the        requirements                   of   section
                                                                     16                431.10(c)(2) of title 42, Code of Federal Regula-
                                                                     17                tions.
                                                                     18                (b) DEFINITION OF ELIGIBLE INDIVIDUAL.—In this
                                                                     19 section, the term ‘‘eligible individual’’ means an individual
                                                                     20 who—
                                                                     21                         (1)              is              described                       in        section
                                                                     22                1902(a)(10)(A)(i)(VIII) of the Social Security Act
                                                                     23                (42 U.S.C. 1396a(a)(10)(A)(i)(VIII));
                                                                     24                         (2) resides in a State that—




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                                                                     25                                   (A) does not expend amounts for medical
                                                                     26                         assistance under title XIX of the Social Secu-
                                                                                  •S 2315 IS

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                                                                                                                                 3
                                                                        1                        rity Act (42 U.S.C. 1396 et seq.) for all individ-
                                                                        2                        uals described in such section; and
                                                                        3                                 (B) did not expend amounts for medical
                                                                        4                        assistance under such title for all such individ-
                                                                        5                        uals as of the date of enactment of this Act;
                                                                        6                        and
                                                                        7                        (3) would not be eligible for medical assistance
                                                                        8               under such State’s plan for medical assistance under
                                                                        9               title XIX of the Social Security Act (42 U.S.C. 1396
                                                                     10                 et seq.), or a waiver of such plan, as such plan or
                                                                     11                 waiver was in effect on such date.
                                                                     12                 (c)       HEALTH               BENEFITS                COVERAGE                  REQUIRE-
                                                                     13          MENTS.—The requirements described in this subsection

                                                                     14 with respect to health benefits coverage are the following:
                                                                     15                          (1) ESSENTIAL HEALTH BENEFITS.—At a min-
                                                                     16                 imum, the coverage meets the minimum standards
                                                                     17                 required under paragraph (5) of section 1937(b) of
                                                                     18                 the Social Security Act (42 U.S.C. 1396u–7(b)) for
                                                                     19                 benchmark coverage described in paragraph (1) of
                                                                     20                 such section or benchmark equivalent coverage de-
                                                                     21                 scribed in paragraph (2) of such section.
                                                                     22                          (2) PREMIUMS AND COST SHARING.—No pre-
                                                                     23                 miums are imposed for the coverage, and deducti-
                                                                     24                 bles, cost sharing, or similar charges may only be



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                                                                     25                 imposed in accordance with the requirements im-


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                                                                                                                                4
                                                                        1              posed on State Medicaid plans under section 1916 of
                                                                        2              the Social Security Act (42 U.S.C. 1396o).
                                                                        3              (d) APPLICATION OF REQUIREMENTS AND PROVI-
                                                                        4        SIONS OF TITLE XIX OF THE SOCIAL SECURITY ACT.—

                                                                        5 The Secretary shall specify that—
                                                                        6                       (1) any requirement applicable to the furnishing
                                                                        7              of medical assistance under title XIX of the Social
                                                                        8              Security Act (42 U.S.C. 1396 et seq.) by States that
                                                                        9              have elected to make medical assistance available to
                                                                     10                individuals                       described                        in            section
                                                                     11                1902(a)(10)(A)(i)(VIII) of such title (42 U.S.C.
                                                                     12                1396a(a)(10)(A)(i)(VIII)) that does not conflict with
                                                                     13                the requirements specified in subsection (c) applies
                                                                     14                to the program established under this section; and
                                                                     15                         (2) other provisions of such title apply to such
                                                                     16                program.
                                                                     17                (e) NO STATE MANDATE.—Nothing in this section
                                                                     18 shall be construed as requiring a State to make expendi-
                                                                     19 tures related to the program established under this section
                                                                     20 and the Secretary shall not impose any such requirement.
                                                                     21                (f) FUNDING.—There are appropriated to the Sec-
                                                                     22 retary for each fiscal year beginning with fiscal year 2021
                                                                     23 from any funds in the Treasury not otherwise appro-
                                                                     24 priated, such sums as are necessary to carry out this sec-



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                                                                     25 tion.


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                                                                                                                                5
                                                                        1        SEC. 3. INCREASE AND EXTENSION OF TEMPORARY EN-

                                                                        2                                HANCED FMAP FOR STATES WHICH BEGIN TO

                                                                        3                                EXPEND AMOUNTS FOR CERTAIN MANDA-

                                                                        4                                TORY INDIVIDUALS.

                                                                        5              (a) IN GENERAL.—Section 1905(ii)(1) of the Social
                                                                        6 Security Act (42 U.S.C. 1396d(ii)(1)) is amended—
                                                                        7                       (1) by striking ‘‘8-quarter period’’ and inserting
                                                                        8              ‘‘40-quarter period’’; and
                                                                        9                       (2) by striking ‘‘5 percentage points’’ and in-
                                                                     10                serting ‘‘10 percentage points’’.
                                                                     11                (b) EFFECTIVE DATE.—The amendments made by
                                                                     12 this section shall take effect as if included in the enact-
                                                                     13 ment of section 9814 of the American Rescue Plan Act
                                                                     14 of 2021 (Public Law 117–2).
                                                                                                                                Æ




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