The percent turns on whether the state expanded Medicaid
To provide for reconciliation pursuant to title II of H. Con. Res. 14, section 71115, Sec. 71115.
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The percent turns on whether the state expanded Medicaid
The document says “means”Who acts: Congress, Secretary of Health and Human ServicesHow: statuteSec. 71115 in the PDF
What the document says
“in the case of a non-expansion State or unit of local government in such State and a class of health care items or services described in section 433.56(a) of title 42, Code of Federal Regulations”
The section adds a new subparagraph (D) to section 1903(w)(4) of the Social Security Act. For a non-expansion State the applicable percent is the percent of net patient revenue already found to be within the hold harmless threshold at enactment where such a tax exists, and zero where none does. For an expansion State it is the lower of that already determined percent and the declining schedule, and zero where no such tax exists. An expansion State is one that from January 1, 2014 or later chose to cover everyone described in section 1902(a)(10)(A)(i)(VIII).
What the document actually says
“in the case of a non-expansion State or unit of local government in such State and a class of health care items or services described in section 433.56(a) of title 42, Code of Federal Regulations”
That sentence, in plain words
One rule covers a state that did not expand Medicaid. It turns on a class of care named in the rules.
What this is about
A state already taxing that class keeps its current figure. A state with no such tax is held at zero. Expansion states are treated apart.
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Provide for reconciliation pursuant to title II of H. Con. Res. 14, Public Law 119-21, sec. 71115, 139 Stat. 301 (2025). https://www.govinfo.gov/content/pkg/PLAW-119publ21/html/PLAW-119publ21.htm
This page
“The percent turns on whether the state expanded Medicaid,” Provide for reconciliation pursuant to title II of H. Con. Res. 14, section 71115, Sec. 71115. Read the Mandate, https://readthemandate.org/pl-119-21/proposal/sec71115-percent/ (retrieved August 26, 2026).
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