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Code · BILL · 114th Congress · H.R. 5717 (Introduced in House) — To amend title XIX of the Social Security Act to improve collection of Medicaid data and to expand coverage of tobacc... · Sec. 2

Sec. 2. Improving Medicaid data

313 words·~1 min read·/bill/114/hr/5717/ih/section-2

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Section 1903(d) of the Social Security Act ( 42 U.S.C. 1396b(d) ) is amended by adding at the end the following new paragraph: In each CMS–64 or other quarterly expense report required to be submitted (for each quarter beginning on or after the date that is 2 years after the date that the form for such reports is revised, and guidance is issued, under subparagraph (B)) by a State for purposes of reconciling amounts paid to such State based on estimates under this subsection with amounts to be paid under subsection (a), such State shall include data on expenditures for medical assistance within each category of service disaggregated by each category of individuals (as specified by the Secretary in accordance with subparagraph (C)) used in determining the eligibility of individuals for medical assistance under the State plan or under a waiver of the plan.
Not later than 12 months after the date of the enactment of this paragraph, the Secretary shall revise the form for the CMS–64, or such other quarterly expense report, and issue necessary guidance for the use of such revised form, to enable States to comply with the requirement under subparagraph (A). In specifying eligibility categories for purposes of subparagraph (A), the Secretary shall include as a separate eligibility category each of the following: Pregnant women. With respect to individuals described in section 1902(a)(10)(A)(i)(VIII), each of the following categories of such individuals:
Newly eligible individuals (as defined in section 1905(y)(2)(A)) for whom the Federal medical assistance percentage for amounts expended for medical assistance is specified under section 1905(y)(1). Individuals described in subparagraph
(A)of section 1905(z)(2) for whom the Federal medical assistance percentage is specified under such section. Individuals who are not described in subclause
(I)or (II). Each of the populations, not otherwise described in clause
(i)or (ii), by which a report under section 1902(a)(75)(A) is disaggregated. .
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Sec. 2
Improving Medicaid data
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