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Code · BILL · 113th Congress · H.R. 5294 (Introduced in House) — To improve the health of minority individuals, and for other purposes. · Sec. 414

Sec. 414. Medicaid payment parity for the territories

542 words·~2 min read·/bill/113/hr/5294/ih/section-414

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Section 1108 of the Social Security Act ( 42 U.S.C. 1308 ) is amended— in subsection (f), in the matter preceding paragraph (1), by striking subsection
(g)and inserting subsections
(g)and
(h); in subsection (g)(2), in the matter preceding subparagraph (A)— by striking Notwithstanding subsection
(f)and subject to and and inserting Notwithstanding subsection
(f)and subject to ; and by striking paragraphs
(3)and
(5)and inserting , paragraphs
(3)and
(5)of this subsection, and subsection
(h). by adding at the end the following new subsection: Subsections
(f)and
(g)shall not apply to Puerto Rico, the United States Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa for any fiscal year after fiscal year 2015. . Section 1903(u) of such Act ( 42 U.S.C. 1396c(u) ) is amended by striking paragraph (4). The amendments made by this subsection shall apply beginning with fiscal year 2016. Section 1905(b) of such Act ( 42 U.S.C. 1396d(b) ) is amended by inserting after and American Samoa shall be 55 percent, the following: (except that, beginning with fiscal year 2018, the Federal medical assistance percentage for Puerto Rico, the United States Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa shall be the Federal medical assistance percentage determined by the Secretary in consultation (for the United States Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa) with the Secretary of the Interior) . Notwithstanding any other provision of law, during fiscal years 2016 and 2017, the Federal medical assistance percentage established under section 1905(b) of the Social Security Act ( 42 U.S.C. 1396d(b) ) for Puerto Rico, the United States Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa shall be the highest such Federal medical assistance percentage applicable to any of the 50 States or the District of Columbia for the fiscal year involved. Not later than October 1, 2016, the Secretary of Health and Human Services shall submit to Congress a report that describes the per capita income data used to promulgate the Federal medical assistance percentage in the territories and how such data differ from the per capita income data used to promulgate Federal medical assistance percentages for the 50 States and the District of Columbia. The report should include recommendations on how the Federal medical assistance percentages can be calculated for the territories to ensure parity with the 50 States and the District of Columbia. Section 1101(a)(8)(B) of the Social Security Act ( 42 U.S.C. 1308(a)(8)(B) ) is amended— by striking (other than Puerto Rico, the United States Virgin Islands, and Guam) and inserting (including Puerto Rico, the United States Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa) ; and by inserting (or, if such satisfactory data are not available in the case of the United States Virgin Islands, Guam, the Northern Mariana Islands, or American Samoa, satisfactory data available from the Department of the Interior for the same period, or if such satisfactory data are not available in the case of Puerto Rico, satisfactory data available from the government of the Commonwealth of Puerto Rico for the same period) after Department of Commerce .
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Sec. 414
Medicaid payment parity for the territories
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