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II
116TH CONGRESS
1ST SESSION
S. 2305
To amend title XIX of the Social Security Act to provide a consistent
standard of health care to the incarcerated, and for other purposes.
IN THE SENATE OF THE UNITED STATES
JULY 29, 2019
Mr. BOOKER introduced the following bill; which was read twice and referred
to the Committee on Finance
A BILL
To amend title XIX of the Social Security Act to provide
a consistent standard of health care to the incarcerated,
and for other purposes.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Humane Correctional
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Health Care Act’’.
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SEC. 2. REPEAL OF MEDICAID INMATE EXCLUSION.
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(a) IN GENERAL.—Section 1905(a) of the Social Se-
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curity Act (42 U.S.C. 1396d(a)) is amended, in the matter
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following paragraph (30), by striking ‘‘such term does not
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include—’’ and all that follows through ‘‘patient in an in-
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•S 2305 IS
stitution for mental diseases’’ and inserting ‘‘such term
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does not include any such payments with respect to care
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or services for any individual who is under 65 years of
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age and is a patient in an institution for mental diseases’’.
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(b) CONFORMING AMENDMENTS.—Section 1902 of
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the Social Security Act (42 U.S.C. 1396a) is amended—
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(1) in subsection (a)—
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(A) by striking paragraph (84);
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(B) by redesignating paragraphs (85) and
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(86) as paragraphs (84) and (85), respectively;
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(C) in paragraph (84), as redesignated by
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subparagraph (B), by striking ‘‘(oo)(1)’’ and in-
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serting ‘‘(nn)(1)’’; and
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(D) in paragraph (85), as redesignated by
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subparagraph (B), by striking ‘‘(pp)’’ and in-
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serting ‘‘(oo)’’;
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(2) by striking subsection (nn);
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(3) by redesignating subsections (oo) and (pp)
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as subsections (nn) and (oo), respectively;
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(4) in subsection (nn), as redesignated by para-
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graph (3), by striking ‘‘(85)’’ and inserting ‘‘(84)’’;
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and
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(5) in subsection (oo), as redesignated by para-
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graph (3), by striking ‘‘(86)’’ and inserting ‘‘(85)’’.
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•S 2305 IS
(c) EFFECTIVE DATE.—The amendments made by
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this section shall apply with respect to medical assistance
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provided on or after January 1, 2020.
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SEC. 3. REPORT BY COMPTROLLER GENERAL.
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Not later than the date that is three years after the
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date of the enactment of this Act, and annually thereafter
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for each of the following five years, the Comptroller Gen-
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eral of the United States shall submit to Congress a report
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containing the following information:
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(1) The percentage of inmates that receive med-
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ical assistance under a State plan under title XIX
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of the Social Security Act (42 U.S.C. 1396 et seq.).
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(2) The access of inmates to health care serv-
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ices, including specialty care, and health care pro-
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viders.
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(3) The quality of health care services provided
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to inmates.
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(4) Any impact of coverage under such a State
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plan on recidivism.
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(5) The percentage of inmates who, upon re-
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lease, are—
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(A) enrolled under such a State plan; and
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(B) connected to a primary care provider
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in their community.
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(6) Trends in the prevalence and incidence of
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illness and injury among inmates.
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(7) Any other information the Comptroller Gen-
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eral determines necessary regarding the health of in-
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mates.
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SEC. 4. SENSE OF CONGRESS ON INCARCERATION AND
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COMMUNITY-BASED HEALTH SERVICES.
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It is the sense of Congress that—
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(1) no individual in the United States should be
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incarcerated for the purpose of being provided with
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health care that is unavailable to the individual in
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the individual’s community;
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(2) each State and unit of local government
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should establish programs that offer community-
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based health services (including mental health and
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substance use disorder services) commensurate with
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the principle stated in paragraph (1); and
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(3) Federal reimbursement for expenditures on
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medical assistance made available through the
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amendments made by this Act should not supplant
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an investment in community-based services.
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