I 115th CONGRESS 1st Session H. R. 1323 IN THE HOUSE OF REPRESENTATIVES March 2, 2017 Mr. Collins of New York (for himself and Mr. Flores ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to reduce unnecessary emergency room visits under the Medicaid program.

1. Short title This Act may be cited as the Reducing Unnecessary Emergency Room Visits under Medicaid Act . 2. State option to impose higher cost sharing for nonemergency use of emergency room services (a) In general Section 1916 of the Social Security Act ( 42 U.S.C. 1396o ) is amended— (1) in subsection (a)(3), by striking up to twice the nominal amount and inserting up to $25 ; and (2) in subsection (b)(3), by striking up to twice the nominal amount and inserting up to $25 . (b) State option for alternative premiums and cost sharing Section 1916A(e)(2) of the Social Security Act ( 42 U.S.C. 1396o–1(e)(2) ) is amended— (1) in subparagraph (A), by striking twice the amount determined to be nominal under section 1916 and inserting the amount specified in paragraph (3) of subsection (a) or (b) (as applicable) of section 1916 with respect to non-emergency services ; and (2) in subparagraph (B), by striking a nominal amount (as otherwise determined under section 1916) and inserting the amount specified in paragraph (3) of subsection (a) or (b) (as applicable) of section 1916 with respect to non-emergency services . (c) Effective date The amendments made by this section shall apply with respect to items and services furnished on or after October 1, 2017.