Section 1 Short title
This Act may be cited as the “Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending Act” or the “Medicaid REPORTS Act”.
Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending Act
A BILL
To amend title XIX of the Social Security Act to require States to submit an annual report on sources of funds used to finance the non-Federal share of expenditures under such title, and for other purposes.
Sec. 2 Requirement for States to submit reports on sources of funds used to finance the non-Federal share of Medicaid
In general— Section 1903(w)(6) of the Social Security Act (42 U.S.C. 1396b(w)(6)) is amended by adding at the end the following new subparagraphs:
“(C) The Secretary shall require each State to submit a report, at least once during 2019 and each subsequent year, using formats and standards established and updated as necessary by the Secretary, that identifies each source of funds specified in subparagraph (D) (and the amount of funds from each such source) used by the State to finance the non-Federal share of expenditures under this title for such year. Such report also shall—
“(i) identify each entity providing the funds used by the State to finance the non-Federal share of expenditures under this title; and
“(ii) provide such additional information as the Secretary determines is sufficient to ensure the State’s compliance with the requirements of this title applicable to financing such non-Federal share.
“(D) A source of funds specified in this subparagraph includes each of the following:
“(i) A State appropriation or transfer to the State agency administering the State plan under this title, or to any other State agency or government entity that is used to finance such non-Federal share of expenditures under this title.
“(ii) A bona fide provider-related donation (as defined in paragraph (2)(B)) and donation revenue (as described in paragraph (2)(C)).
“(iii) A broad-based health care related tax (as defined in paragraph (3)(B)).
“(iv) An intergovernmental transfer from a unit of local government within the State.
“(v) A certified public expenditure from a unit of local government within the State.
“(vi) The general revenue of the State.
“(vii) Any other source as determined necessary by the Secretary.
“(E) Not later than 12 months after the date on which a report required under subparagraph (C) is submitted, the Secretary shall make the information included in such report publicly available on the website of the Centers for Medicare & Medicaid Services.”
Conforming Amendment— Section 1903(w)(6)(A) of such Act (42 U.S.C. 1396b(w)(6)(A)) is amended by inserting before the period at the end the following: “or the transferred funds are not reported as required under subparagraph (C)”.
Clarification— Section 1903(w) is amended by striking “unit of government” each place it appears and inserting “unit of local government, State university, or State agency”.