Subtitle A—Improved Access to Medicaid
SEC. 2001. MEDICAID COVERAGE FOR THE LOWEST INCOME POPULATIONS. (a) Coverage for Individuals With Income at or Below 133 Percent of the Poverty Line- (1) BEGINNING 2014- Section 1902(a)(10)(A)(i) of the Social Security Act (42 U.S.C. 1396a) is amended-- (A) by striking `or' at the end of subclause (VI); (B) by adding `or' at the end of subclause (VII); and (C) by inserting after subclause (VII) the following:
`(VIII) beginning January 1, 2014, who are under 65 years of age, not pregnant, not entitled to, or enrolled for, benefits under part A of title XVIII, or enrolled for benefits under part B of title XVIII, and are not described in a previous subclause of this clause, and whose income (as determined under subsection (e)(14)) does not exceed 133 percent of the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved, subject to subsection (k);'.
(2) PROVISION OF AT LEAST MINIMUM ESSENTIAL COVERAGE-
(A) IN GENERAL- Section 1902 of such Act (42 U.S.C. 1396a) is amended by inserting after subsection (j) the following:
`(k)(1) The medical assistance provided to an individual described in subclause (VIII) of subsection (a)(10)(A)(i) shall consist of benchmark coverage described in section 1937(b)(1) or benchmark equivalent coverage described in section 1937(b)(2). Such medical assistance shall be provided subject to the requirements of section 1937, without regard to whether a State otherwise has elected the option to provide medical assistance through coverage under that section, unless an individual described in subclause (VIII) of subsection (a)(10)(A)(i) is also an individual for whom, under subparagraph (B) of section 1937(a)(2), the State may not require enrollment in benchmark coverage described in subsection (b)(1) of section 1937 or benchmark equivalent coverage described in subsection (b)(2) of that section.'.
(B) CONFORMING AMENDMENT- Section 1903(i) of the Social Security Act, as amended by section 6402(c), is amended-- (i) in paragraph (24), by striking `or' at the end; (ii) in paragraph (25), by striking the period and inserting `; or'; and (iii) by adding at the end the following:
`(26) with respect to any amounts expended for medical assistance for individuals described in subclause (VIII) of subsection (a)(10)(A)(i) other than medical assistance provided through benchmark coverage described in section 1937(b)(1) or benchmark equivalent coverage described in section 1937(b)(2).'.
(3) FEDERAL FUNDING FOR COST OF COVERING NEWLY ELIGIBLE INDIVIDUALS- Section 1905 of the Social Security Act (42 U.S.C. 1396d), is amended-- (A) in subsection (b), in the first sentence, by inserting `subsection (y) and' before `section 1933(d)'; and (B) by adding at the end the following new subsection:
`(y) Increased FMAP for Medical Assistance for Newly Eligible Mandatory Individuals- `(1) AMOUNT OF INCREASE- `(A) 100 PERCENT FMAP- During the period that begins on January 1, 2014, and ends on December 31, 2016, notwithstanding subsection (b), the Federal medical assistance percentage determined for a State that is one of the 50 States or the District of Columbia for each fiscal year occurring during that period with respect to amounts expended for medical assistance for newly eligible individuals described in subclause (VIII) of section 1902(a)(10)(A)(i) shall be equal to 100 percent. `(B) 2017 AND 2018- `(i) IN GENERAL- During the period that begins on January 1, 2017, and ends on December 31, 2018, notwithstanding subsection (b) and subject to subparagraph (D), the Federal medical assistance percentage determined for a State that is one of the 50 States or the District of Columbia for each fiscal year occurring during that period with respect to amounts expended for medical assistance for newly eligible individuals described in subclause (VIII) of section 1902(a)(10)(A)(i), shall be increased by the applicable percentage point increase specified in clause (ii) for the quarter and the State. `(ii) APPLICABLE PERCENTAGE POINT INCREASE- `(I) IN GENERAL- For purposes of clause (i), the applicable percentage point increase for a quarter is the following: