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Code · BILL · 119th Congress · H.R. 1 (Reported in House) — To provide for reconciliation pursuant to title II of H. Con. Res. 14. · Sec. 44107

Sec. 44107. Removing good faith waiver for payment reduction related to certain erroneous excess payments under Medicaid

218 words·~1 min read·/bill/119/hr/1/rh/section-44107·

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Section 1903(u)(1) of the Social Security Act ( 42 U.S.C. 1396b(u)(1) ) is amended— in subparagraph (B)— by striking The Secretary and inserting Subject to clause (ii), the Secretary ; and by adding at the end the following new clause: The amount waived under clause
(i)for a fiscal year may not exceed an amount equal to the difference between— the amount of the reduction required under subparagraph
(A)for such fiscal year (without application of this subparagraph); and the sum of the erroneous excess payments for medical assistance described in subclauses
(I)and
(III)of subparagraph (D)(i) made for such fiscal year. ; in subparagraph (C), by striking he in each place it appears and inserting the Secretary in each such place; and in subparagraph (D)(i)— in subclause (I), by striking and at the end; in subclause (II), by striking the period at the end and inserting , and ; and by adding at the end the following new subclause: payments (other than payments described in subclause (I)) for items and services furnished to an eligible individual who is not eligible for medical assistance under the State plan (or a waiver of such plan) with respect to such items and services. . The amendments made by subsection
(a)shall apply beginning with respect to fiscal year 2030.
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Sec. 44107
Removing good faith waiver for payment reduction related to certain erroneous excess payments under Medicaid
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