To use historical averages to calculate the Federal Medical Assistance Percentage for disaster affected States for purposes of the Medicaid Program.
Referred to the Subcommittee on Health.
Congressional Research Service
Official summary
Version 00 · Introduced in House · Nov 6, 2009
Directs the Secretary of Health and Human Services (HHS), with respect to a state in the calculation for it of the Federal Medical Assistance Percentage (FMAP), to substitute the state's average historical per capita income for a year in any instance for which the Secretary would use the state's per capita income for such year if: (1) in such year the state's per capita income exceeds the average historical per capita income by at least 8%; and (2) during such year or any of the two previous years a major disaster was declared in the state by the President under the Robert T. Stafford Disaster Relief and Emergency Assistance Act.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Jan 2, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Explore the bill from different angles
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Neutral evidence review
Objective
Analyze H.R.4047 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
View full prompt & sources
Fairness and public impact
Progressive lens
Examine H.R.4047 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
View full prompt & sources
Institutions and government scope
Conservative lens
Examine H.R.4047 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
View full prompt & sources
Individual rights and government power
Liberty lens
Examine H.R.4047 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.