Skip to main content
S 868 112th Congress Senate Health Child health Health care costs and insurance Health care coverage and access Medicaid

State Flexibility Act

Introduced: May 3, 2011 See on congress.gov
Sign in to write a letter Sign in to watch
This bill died when the 112th Congress ended
It never became law before the 112th Congress (2011–2012) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 3, 2011
Read twice and referred to the Committee on Finance.
May 3, 2011
Introduced in Senate
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Plain-English summary Congressional Research Service

State Flexibility Act - Amends the Patient Protection and Affordable Care Act (PPACA) and the American Recovery and Reinvestment Act of 2009 (ARRA) to repeal certain state Medicaid and State Children's Health Insurance Program (CHIP) maintenance of effort requirements under titles XIX and XXI of the Social Security Act.

(Under "maintenance of efforts" a state is prohibited from having eligibility standards, methodologies, or procedures under its state Medicaid or CHIP plan that are more restrictive than those in effect on on July 1, 2008, under ARRA or on March 23, 2010, under PPACA.)

What's happening now May 3, 2011

Read twice and referred to the Committee on Finance.

 Related & companion bills 3
  • HR 1683 Identical bill State Flexibility Act
  • HR 5652 Related bill Sequester Replacement Reconciliation Act of 2012
  • HR 6688 Related bill Averting the Fiscal Cliff Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Cosponsors 10
All 10 Republican 10
R
Boozman, John
Arkansas · Jun 7, 2011
 R
Hoeven, John
North Dakota · May 10, 2011
 R
Grassley, Chuck
Iowa · May 4, 2011
 R
Johnson, Ron
Wisconsin · May 4, 2011
 R
Lee, Mike
Utah · May 4, 2011
 R
Paul, Rand
Kentucky · May 4, 2011
 R
Risch, James E.
Idaho · May 4, 2011
 R
Thune, John
South Dakota · May 4, 2011
 R
Barrasso, John
Wyoming · May 3, 2011
 R
Cornyn, John
Texas · May 3, 2011
Cite this page click to expand
APA
U.S. Congress. (2026). S. 868: State Flexibility Act. 112th Congress. Open America. https://openamerica.io/bill/112-S-868/
MLA
"S. 868: State Flexibility Act." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-S-868/.
Bluebook (legal)
S. 868, 112th Cong. (2026), https://openamerica.io/bill/112-S-868/.
Markdown link
[S. 868: State Flexibility Act](https://openamerica.io/bill/112-S-868/)
Report a problem