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I
118TH CONGRESS
1ST SESSION H. R. 2400
To amend title XIX of the Social Security Act to allow States to make
medical assistance available to inmates during the 30-day period pre-
ceding their release.
IN THE HOUSE OF REPRESENTATIVES
MARCH 30, 2023
Mr. TONKO (for himself, Mr. TURNER, Mr. TRONE, Mr. RUTHERFORD, Ms.
UNDERWOOD, Mr. FITZPATRICK, Ms. BLUNT ROCHESTER, Mr. BACON,
Ms. SCHAKOWSKY, Mr. JOYCE of Ohio, Ms. KUSTER, Mr. CURTIS, Mr.
VEASEY, and Mr. ARMSTRONG) 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 allow
States to make medical assistance available to inmates
during the 30-day period preceding their release.
Be it enacted by the Senate and House of Representa-
1
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 ‘‘Reentry Act of 2023’’.
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•HR 2400 IH
SEC. 2. ALLOWING FOR MEDICAL ASSISTANCE UNDER MED-
1
ICAID FOR INMATES DURING 30-DAY PERIOD
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PRECEDING RELEASE.
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(a) IN GENERAL.—The subdivision (A) following the
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last numbered paragraph of section 1905(a) of the Social
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Security Act (42 U.S.C. 1396d(a)) is amended by insert-
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ing ‘‘or in the case of any individual during the 30-day
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period preceding the date of release of such individual
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from such public institution’’ before ‘‘);’’.
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(b) REPORT.—Not later than 18 months after the
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date of enactment of this Act, the Medicaid and CHIP
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Payment and Access Commission shall submit a report to
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Congress on the Medicaid inmate exclusion under the sub-
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division (A) following the last numbered paragraph of sec-
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tion 1905(a) of the Social Security Act (42 U.S.C.
15
1396d(a)). Such report shall, to the extent practicable, in-
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clude the following information:
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(1) PROVISION
OF
CARE
IN
CORRECTIONAL
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SETTINGS.—An analysis and description of stand-
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ards for health and safety for individuals who are in-
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mates of correctional facilities, the health care pro-
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vided to such individuals, and the physical environ-
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ment in which health care is provided to such indi-
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viduals, which may include the following:
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(A) An assessment of access to health care
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for incarcerated individuals, including a descrip-
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•HR 2400 IH
tion of medical and behavioral health services
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generally available to incarcerated individuals.
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(B) An assessment of Medicare and Med-
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icaid conditions of participation for hospitals,
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psychiatric
facilities,
psychiatric
residential
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treatment facilities, nursing facilities, and other
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relevant provider types, if any, and their poten-
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tial application to health care services furnished
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to individuals who are inmates of correctional
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facilities.
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(C) An assessment of State licensing and
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certification standards, processes, and enforce-
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ment mechanisms for correctional facilities, and
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the potential application of such standards,
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processes, and enforcement mechanisms to the
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provision of health care to individuals who are
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inmates of correctional facilities.
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(D) An assessment of accrediting bodies
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for correctional facilities, the respective accred-
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iting standards of such bodies, and the accred-
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iting practices relevant to health care services
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provided by correctional facilities to individuals
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who are inmates of such facilities, in compari-
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son to major community health care facility ac-
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crediting bodies.
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•HR 2400 IH
(2) IMPACT
OF
THE
REENTRY
ACT; REC-
1
OMMENDATIONS FOR ADDITIONAL ACTION.—
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(A) The number of incarcerated individuals
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who would otherwise be eligible to enroll for
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medical assistance under a State plan approved
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under title XIX of the Social Security Act (42
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U.S.C. 1396 et seq.) (or a waiver of such a
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plan).
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(B) An analysis of the preliminary impact
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of the amendment made by subsection (a) on
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health care coverage and the transition back
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into the community for individuals who are
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newly released from correctional facilities.
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(C) A description of current practices re-
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lated to the discharge of incarcerated individ-
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uals, including how correctional facilities inter-
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act with State Medicaid agencies to ensure that
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such individuals who are eligible to enroll for
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medical assistance under a State plan or waiver
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described in subparagraph (A) are so enrolled.
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(D) If determined appropriate by the Com-
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mission, recommendations for Congress, the
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Department of Health and Human Services, or
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States on further legislative or administrative
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actions to—
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•HR 2400 IH
(i) ensure access to comprehensive
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health coverage for incarcerated and newly
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released individuals, including an assess-
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ment of the impact of the Medicaid inmate
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exclusion; and
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(ii) better facilitate an effective transi-
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tion to community services and addiction
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treatment for newly released individuals.
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(E) Any other information that the Com-
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mission determines would be useful to Con-
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gress.
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Æ
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