This bill aims to amend a section of the Social Security Act to prioritize the most vulnerable Medicaid patients. It proposes that Medicaid demonstration projects should focus on improving medical care and health outcomes for individuals who are uninsured, eligible for Medicaid, or have low household income. The bill also requires states to provide data on health outcomes, ensure projects are not duplicative of other federal programs, and analyze how they may impact efforts by private and charitable sector entities. The amendment would apply to applications or renewals submitted after January 1, 2018.