H. R IN THE HOUSE OF REPRESENTATIVES

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1 I TH CONGRESS D SESSION H. R. To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program, and for other purposes. IN THE HOUSE OF REPRESENTATIVES JANUARY, 0 Mr. PITTS (for himself and Mr. GUTHRIE) 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 clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION. TREATMENT OF LOTTERY WINNINGS AND OTHER LUMP-SUM INCOME FOR PURPOSES OF INCOME ELIGIBILITY UNDER MEDICAID. (a) IN GENERAL. Section of the Social Secu- SSpencer on DSKSPTVNPROD with BILLS rity Act ( U.S.C. a) is amended VerDate Sep 0 0:0 Jan, 0 Jkt 000 PO Frm 0000 Fmt Sfmt 0 E:\BILLS\H.IH H

2 SSpencer on DSKSPTVNPROD with BILLS () in subsection (a)(), by striking (e)(), (e)() and inserting (e)(), (e)() ; and () in subsection (e) (A) in paragraph () (relating to modified adjusted gross income), by adding at the end the following new subparagraph: 0 (J) TREATMENT OF CERTAIN LOTTERY WINNINGS AND INCOME RECEIVED AS A LUMP SUM. (i) IN GENERAL. In the case of an individual who is the recipient of qualified lottery winnings (pursuant to lotteries occurring on or after January, 0) or qualified lump sum income (received on or after such date) and whose eligibility for medical assistance is determined based on the application of modified adjusted gross income under subparagraph (A), a State shall, in determining such eligibility, include such winnings or income (as applicable) as income received (I) in the month in which such winnings or income (as applicable) is received if the amount of such HR IH VerDate Sep 0 0:0 Jan, 0 Jkt 000 PO Frm 0000 Fmt Sfmt 0 E:\BILLS\H.IH H

3 SSpencer on DSKSPTVNPROD with BILLS winnings or income is less than $0,000; (II) over a period of two months if the amount of such winnings or in- come (as applicable) is greater than or equal to $0,000 but less than $0,000; (III) over a period of three months if the amount of such winnings or income (as applicable) is greater than or equal to $0,000 but less than $0,000; and (IV) over an additional one- month period for each increment of $,000 of such winnings or income (as applicable) received, not to exceed months (for winnings or income of $,0,000 or more), if the amount of such winnings or income is greater 0 than or equal to $0,000. (ii) COUNTING IN EQUAL INSTALL- MENTS. For purposes of clause (i), winnings or income to which such clause applies shall be counted in equal monthly HR IH VerDate Sep 0 0:0 Jan, 0 Jkt 000 PO Frm 0000 Fmt Sfmt 0 E:\BILLS\H.IH H

4 SSpencer on DSKSPTVNPROD with BILLS installments over the applicable period of months specified in such clause. 0 (iii) QUALIFIED LOTTERY WINNINGS DEFINED. In this subparagraph, the term qualified lottery winnings means winnings from a sweepstakes, lottery, or pool described in paragraph () of section 0 of the Internal Revenue Code of or a lottery operated by a multistate or multijurisdictional lottery association, including amounts awarded as a lump sum payment. (iv) QUALIFIED LUMP SUM INCOME DEFINED. In this subparagraph, the term qualified lump sum income means income that is received as a lump sum from one of the following sources: (I) Monetary winnings from gambling (as defined by the Secretary and including gambling activities described in section (b)() of title, United States Code). (II) Damages received, whether by suit or agreement and whether as lump sums or as periodic payments (other than monthly payments), on HR IH VerDate Sep 0 0:0 Jan, 0 Jkt 000 PO Frm 0000 Fmt Sfmt 0 E:\BILLS\H.IH H

5 account of causes of action other than causes of action arising from personal physical injuries or physical sickness. (III) Income received as liquid assets from the estate (as defined in section (b)()) of a deceased individual. ; and (B) by striking () EXCLUSION and inserting () EXCLUSION. (b) RULE OF CONSTRUCTION. Nothing in the amendment made by subsection (a)()(a) shall be construed as preventing a State from intercepting the State lottery winnings awarded to an individual in the State to recover amounts paid by the State under the State Medicaid plan under title XIX of the Social Security Act for medical assistance furnished to the individual. Æ SSpencer on DSKSPTVNPROD with BILLS HR IH VerDate Sep 0 0:0 Jan, 0 Jkt 000 PO Frm 0000 Fmt Sfmt 0 E:\BILLS\H.IH H

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