II 118th CONGRESS 1st Session S. 2432 IN THE SENATE OF THE UNITED STATES July 20, 2023 Mr. Markey (for himself, Ms. Warren , Mr. Fetterman , Mr. Booker , Mr. Wyden , and Mr. Welch ) introduced the following bill; which was read twice and referred to the Committee on Agriculture, Nutrition, and Forestry A BILL To amend the Food and Nutrition Act of 2008 to expand the medical expense deduction, and for other purposes.

1. Short title This Act may be cited as the Bridging the SNAP Gap Act of 2023 . 2. Age for exclusions from income Section 5(d)(7) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2014(d)(7) ) is amended by striking 17 and inserting 21 . 3. Standard medical expense deduction Section 5(e)(5) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2014(e)(5) ) is amended— (1) in the paragraph heading, by striking Excess and inserting Standard ; (2) in subparagraph (A)— (A) by striking containing an elderly or disabled member ; (B) by striking excess and inserting standard ; and (C) by striking incurred by the elderly or disabled member, ; (3) in subparagraph (B)— (A) in clause (i), by striking excess and inserting standard ; and (B) in clause (ii)(I), by striking eligible elderly or disabled ; and (4) by adding at the end the following: (D) Standard medical expense deduction amount (i) In general Except as provided in clause (ii), the standard medical expense deduction under subparagraph (A) shall be, with respect to a fiscal year, equal to the monthly premium rate determined under section 1839(a)(3) of the Social Security Act ( 42 U.S.C. 1395r(a)(3) ) that is applicable on October 1 of that fiscal year. (ii) Exception For any fiscal year, a State agency may establish a greater standard medical expense deduction than described in clause (i) if the greater deduction satisfies cost neutrality standards established by the Secretary for that fiscal year. .