119-hr936

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 936 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 936

 To amend title XI of the Social Security Act to provide for State 
 approval and implementation of specified waivers under the Medicaid 
 program.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 February 4, 2025

 Mr. Green of Tennessee (for himself and Mr. Brecheen) introduced the 
 following bill; which was referred to the Committee on Energy and 
 Commerce

_______________________________________________________________________

 A BILL

 To amend title XI of the Social Security Act to provide for State 
 approval and implementation of specified waivers under the Medicaid 
 program.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Medicaid Improvement and State 
Flexibility Act of 2025''.

SEC. 2. PROVIDING FOR STATE APPROVAL AND IMPLEMENTATION OF SPECIFIED 
 WAIVERS UNDER THE MEDICAID PROGRAM.

 

Section 1115 of the Social Security Act (42 U.S.C. 1315) is 
amended--

    (1) in subsection
            (d) --
        (A) in paragraph

    (1) , by striking ``An 
 application'' and inserting ``Subject to paragraph

    (4) , 
 an application''; and
        (B) by adding at the end the following new 
 paragraph:
 ``

    (4)
        (A) An experimental, pilot, or demonstration project 
undertaken under subsection

    (a) may be approved or renewed by a State 
if such project is described in subparagraph
        (B) .
 ``
        (B) An experimental, pilot, or demonstration project is described 
in this subparagraph if such project provides for a waiver of 
requirements with respect to a State plan (or a waiver of such plan) 
under title XIX such that--
 ``
            (i) individuals enrolled under such plan (or such waiver) 
 may elect to participate in such project with respect to a 
 year;
 ``
            (ii) such individuals who elect to so participate--
 ``
            (I) are furnished with an electronic benefits 
 transfer card in an amount determined appropriate by 
 the State for purposes of purchasing primary care 
 services and medications during such year;
 ``
            (II) are furnished a cash payment by the State 
 equal to the amount of funds remaining on the 
 individual's electronic benefits transfer card at the 
 end of such year; and
 ``
            (III) are enrolled in a catastrophic insurance 
 program determined appropriate by the State for 
 purposes of covering services not described in 
 subclause
            (I) and covering services that are described 
 in such subclause if such individual exceeds the amount 
 of funds provided to such individual on such card for 
 such year; and
 ``
            (iii) Federal expenditures under such title for the 
 period during which such project is in effect are equal to or 
 lesser than what such expenditures would have been during such 
 period if such project were not in effect.
 ``
            (C) 
            (i) In no case may a project described in subparagraph
        (B) result in an expenditure to pay for any abortion or to assist in the 
purchase, in whole or in part, of health benefit coverage that includes 
coverage of abortion.
 ``
            (ii) Clause
            (i) shall not apply to an abortion only if necessary 
to save the life of the mother or if the pregnancy is the result of an 
act of rape or incest.
 ``
            (D) For purposes of a State's approval or renewal of an 
experimental, pilot, or demonstration project under subparagraph
        (A) , 
each reference to `the Secretary' in subsection

    (a) shall be deemed to 
be a reference to `the State'.''; and

    (2) in subsection

    (e) , by inserting ``(other than such a 
 project that is described in paragraph

    (4)
        (B) )'' before the 
 period at the end.
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