Amend the bill, as and if amended, by striking all after the title and inserting the following:
/SECTION 1.
(A) The Department of Health and Human Services 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 among accounts 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.
SECTION 2. This act takes effect upon approval by the Governor. /
Renumber sections to conform.
Amend title to conform.