Reject adding Medicaid waiver budget-neutrality guidance to law
The Pettersen amendment would have given legal force to federal guidance on budget neutrality for Medicaid demonstration projects under Section 1115 of the Social Security Act. The House rejected the amendment in a tied 213–213 vote, so this change was not added. This was an amendment vote, not a vote on final passage of the underlying bill.
Context: The amendment text identifies the guidance as State Medicaid Director letter #24-003, published August 22, 2024; this describes the amendment, not the underlying bill.