To amend title XIX of the Social Security Act to provide for a demonstration project under the Medicaid program for political subdivisions of States to provide medical assistance for the expansion population under such program, and for other purposes.

Cover Outstanding Vulnerable Expansion-eligible Residents Now Act or the COVER Now Act

This bill establishes a demonstration program to allow local governments to provide health benefits to the Medicaid expansion population in states that have not expanded Medicaid.

Under the program, local governments may provide coverage for individuals who are newly eligible for Medicaid under the Patient Protection and Affordable Care Act (i.e., the Medicaid expansion population) for a maximum of 10 years, or until their respective states expand Medicaid. The bill provides a 100% federal matching rate for the first three years of program participation.

The bill prohibits states from taking certain actions against participating localities, such as withholding funding, increasing taxes, or restricting provider participation. States that violate these requirements are subject to certain funding penalties.

Bill 119 hr 608, also known as the Medicaid Expansion for Political Subdivisions Act, aims to amend title XIX of the Social Security Act to allow political subdivisions of states to participate in a demonstration project under the Medicaid program. This project would provide medical assistance for the expansion population, which includes individuals who are currently not eligible for Medicaid but would be covered under the expansion.

The bill seeks to give political subdivisions, such as counties or cities, the opportunity to expand Medicaid coverage to more individuals within their jurisdictions. This would allow for greater access to healthcare services for low-income individuals who may not currently qualify for Medicaid but would benefit from the program.

In addition to expanding coverage, the bill also includes provisions for other purposes related to the Medicaid program. These may include guidelines for participation in the demonstration project, funding allocations, and reporting requirements to ensure the program is being implemented effectively. Overall, Bill 119 hr 608 aims to provide a pathway for political subdivisions to expand Medicaid coverage to more individuals in their communities, ultimately improving access to healthcare services for those in need.