SAME Act of 2021

3/8/2023, 8:12 PM

States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021

This bill provides an enhanced federal matching rate to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place.

Under current law, the enhanced Federal Medical Assistance Percentage (FMAP) is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates.

The bill applies retroactively.

Congress
117

Number
S - 245

Introduced on
2021-02-04

# Amendments
0

Sponsors
+5

Cosponsors
+5

Variations and Revisions

2/4/2021

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021

This bill provides an enhanced federal matching rate to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place.

Under current law, the enhanced Federal Medical Assistance Percentage (FMAP) is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates.

The bill applies retroactively.

Alternative Names
Official Title as IntroducedA bill to amend title XIX of the Social Security Act to provide the same level of Federal matching assistance for every State that chooses to expand Medicaid coverage to newly eligible individuals, regardless of when such expansion takes place, and for other purposes.

Policy Areas
Health

Potential Impact
Medicaid
State and local finance

Comments

Recent Activity

Latest Summary3/15/2021

States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021

This bill provides an enhanced federal matching rate to every state that expands Medicaid coverage for individuals who are newly eligible under the Pati...


Latest Action2/4/2021
Read twice and referred to the Committee on Finance.