Amend the bill, as and if amended, Part IB, Section 33, DEPARTMENT OF HEALTH & HUMAN SERVICES, page 405, after line 17, by adding an appropriately numbered new proviso to read:
/ 33._____ (DHHS: Medicaid: Healthcare Expansion) (A) The department must expand Medicaid coverage as authorized by federal law to individuals under sixty-five years of age with incomes at or below one hundred thirty-eight percent of the federal poverty level, based on modified adjusted gross income. The department must submit a State Medicaid Plan Amendment, reflecting the expanded coverage, to the Centers for Medicare and Medicaid Services.
(B) If South Carolina's federal medical assistance percentage (FMAP) is reduced below levels prescribed under the federal legislation for beneficiaries who became eligible under subsection (A), the beneficiaries shall be removed from receiving Medicaid no later than the end of the third month following the month in which the reduction in FMAP takes effect. The department shall inform Medicaid beneficiaries who become eligible for benefits under subsection (A) that benefits may be reduced or eliminated if federal participation decreases or is eliminated.
(C) The department is authorized to transfer funds between appropriated line items or use excess operating revenue and reserves to offset administrative expenses associated with Medicaid expansion.
(D) The department shall engage stakeholders and providers to study the delivery of health care within the state's Medicaid program in an effort to improve health outcomes and increase cost savings and quality of care. The department shall report its findings and recommendations to the governor and the General Assembly by February 1, 2014.
Amend the bill further, as and if amended, Part IB, Section 117, GENERAL PROVISIONS, page 525, paragraph 117.98, line 21, by striking paragraph 117.98 in its entirety.
Renumber sections to conform.
Amend sections, totals and title to conform.