S.Amdt. 2554

As an analyst looking out for the people, let's break down what our elected officials are trying to do here in plain English using only the text provided.

This amendment was submitted by Mr. Scott of Florida along with several other senators. The purpose of the amendment is to add rules regarding the grandfathering of Medicaid expansion and unifying FMAP for expansion states to the underlying bill.

Specifically, the amendment aims to change the Social Security Act by setting an end date of December 31, 2030, for certain existing Medicaid coverage provisions that began after 2014. It adds new categories starting on January 1, 2031, for expansion enrollees and grandfathered expansion enrollees.

An expansion enrollee is defined as an individual who is under 65 years of age, not pregnant, not enrolled in Medicare parts A or B, not described in specific prior subclauses, and whose income does not exceed 133 percent of the poverty line for their family size.

A grandfathered expansion enrollee is an expansion enrollee who was enrolled under a State plan or waiver as of December 31, 2030, and who does not have a break in eligibility for medical assistance for more than one month after that date.

Finally, the amendment changes the rules for States and the District of Columbia regarding newly eligible individuals, limiting the application for periods after December 31, 2030, specifically to grandfathered expansion enrollees.