Sponsors (2)
The bill aims to reduce wrongful Medicaid/CHIP terminations and improve care coordination by sharing and standardizing address data, but it raises privacy risks and implementation costs and could still cause harms if data matching is imperfect.
Medicaid and CHIP enrollees will have more accurate contact records, reducing wrongful terminations and improving continuity of benefits.
States, managed care organizations, and providers will be better able to send notices and coordinate care, increasing access to preventive and managed services for Medicaid/CHIP enrollees.
Reducing administrative churn through improved address records could save state Medicaid programs and taxpayers money by lowering re-enrollment and appeals costs.
Medicaid and CHIP enrollees face increased privacy risks because collecting and sharing addresses from third-party data sources and MCOs could expose sensitive personal data if protections are inadequate.
If data-matching or verification is imperfect, beneficiaries could still be incorrectly disenrolled or receive notices at wrong addresses, harming continuity of care.
States and managed care entities will incur increased implementation costs (IT upgrades, staff time) to integrate data sources and transmit address data.
Based on analysis of 2 sections of legislative text.
Introduced February 5, 2025 by Mariannette Miller-Meeks · Last progress February 5, 2025
Requires State Medicaid programs, CHIP, and Medicaid managed care plans to regularly obtain, update, and transmit enrollee address information using defined "reliable data sources," and to act on address changes beginning January 1, 2026. Managed care organizations must send to the State any address information they receive directly from or verify with an enrolled individual. The change is administrative and sets new data and contract requirements but does not provide new funding.