[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5717 Introduced in House (IH)]
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114th CONGRESS
2d Session
H. R. 5717
To amend title XIX of the Social Security Act to improve collection of
Medicaid data and to expand coverage of tobacco cessation services to
mothers of newborns.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 11, 2016
Mr. Lance introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to improve collection of
Medicaid data and to expand coverage of tobacco cessation services to
mothers of newborns.
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 Data and Benefit
Improvement Act of 2016''.
SEC. 2. IMPROVING MEDICAID DATA.
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:
``(7)(A) 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.
``(B) 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).
``(C) In specifying eligibility categories for purposes of
subparagraph (A), the Secretary shall include as a separate eligibility
category each of the following:
``(i) Pregnant women.
``(ii) With respect to individuals described in section
1902(a)(10)(A)(i)(VIII), each of the following categories of
such individuals:
``(I) 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).
``(II) Individuals described in subparagraph (A) of
section 1905(z)(2) for whom the Federal medical
assistance percentage is specified under such section.
``(III) Individuals who are not described in
subclause (I) or (II).
``(iii) Each of the populations, not otherwise described in
clause (i) or (ii), by which a report under section
1902(a)(75)(A) is disaggregated.''.
SEC. 3. MEDICAID COVERAGE OF TOBACCO CESSATION SERVICES FOR MOTHERS OF
NEWBORNS.
(a) In General.--Section 1905(bb) of the Social Security Act (42
U.S.C. 1396d(bb)) is amended by adding at the end the following new
paragraph:
``(4) A woman shall continue to be treated as described in this
subsection as a pregnant woman through the end of the 1-year period
beginning on the date of the birth of a child of the woman.''.
(b) Conforming Amendments.--
(1) Subsections (a)(2)(B) and (b)(2)(B) of section 1916 of
the Social Security Act (42 U.S.C. 1396o) are each amended by
inserting ``(and women described in section 1905(bb) as
pregnant women pursuant to paragraph (4) of such section)''
after ``tobacco cessation by pregnant women''.
(2) Section 1927(d)(2)(F) of the Social Security Act (42
U.S.C. 1396r-8(d)(2)(F)) is amended by inserting ``(and women
described in section 1905(bb) as pregnant women pursuant to
paragraph (4) of such section)'' after ``pregnant women''.
(c) Effective Date.--
(1) In general.--Subject to paragraph (2), the amendments
made by this section shall apply with respect to items and
services furnished on or after the date that is one year after
the date of the enactment of this Act.
(2) Exception for state legislation.--In the case of a
State plan under title XIX of the Social Security Act, which
the Secretary of Health and Human Services determines requires
State legislation in order for the plan to meet any requirement
imposed by amendments made by this section, the plan shall not
be regarded as failing to comply with the requirements of such
title solely on the basis of its failure to meet such an
additional requirement before the first day of the first
calendar quarter beginning after the close of the first regular
session of the State legislature that begins after the
effective date specified in paragraph (1). For purposes of the
previous sentence, in the case of a State that has a 2-year
legislative session, each year of the session shall be
considered to be a separate regular session of the State
legislature.
(d) Report.--Not later than two years after the date of the
enactment of this Act, the Inspector General of the Department of
Health and Human Services shall submit to Congress a report that
assesses the use of the tobacco cessation service benefit under the
Medicaid program, including under the amendments made by this section.
Such report shall include an assessment of--
(1) the extent that States are encouraging the use of such
benefit, such as through promotion of beneficiary and provider
awareness of such benefit; and
(2) gaps in the delivery of such benefit.
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