Bipartisan Health Care Act
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Updated 2 hours ago
Last progress March 6, 2025 (11 months ago)
Bipartisan Health Care Act
Updated 2 hours ago
Last progress March 6, 2025 (11 months ago)
Lower Costs for Everyday Americans Act
Updated 2 hours ago
Last progress March 3, 2025 (11 months ago)
Requires State Medicaid programs to regularly obtain, verify, and act on updated address information for enrolled individuals using reliable data sources beginning January 1, 2026, and applies the same requirement to CHIP by cross-reference. Requires managed care contracts to ensure managed care entities forward any address information they receive or verify to the State; the rule applies to the 50 States and the District of Columbia.
In Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)), strike the word "and" at the end of paragraph (86).
In Section 1902(a)(87)(D) of the Social Security Act, strike the period at the end of paragraph (87)(D) and insert "; and" to permit adding a new paragraph.
Insert new paragraph (88) into Section 1902(a) requiring, beginning January 1, 2026, that the State plan (or waiver) provide for a process to regularly obtain address information for individuals enrolled under the plan from reliable data sources as described in 42 C.F.R. 435.919(f)(1)(iii) (or successor regulation), and to act on any address changes in accordance with that regulation. This paragraph applies only to the 50 States and the District of Columbia.
Amend Section 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) by redesignating subparagraphs (H) through (U) as subparagraphs (I) through (V), respectively.
Insert a new subparagraph (H) into Section 2107(e)(1) to incorporate Section 1902(a)(88) (the address-information requirement) into the list of provisions that apply to CHIP.
Primary affected parties: State Medicaid and CHIP agencies, Medicaid/CHIP enrollees, and managed care organizations. States must set up or expand processes to obtain, verify, and act on updated addresses from reliable sources and change contracts and IT systems; this creates administrative and likely IT costs and workload. Managed care entities must implement procedures to capture and transmit address updates to the State, which may require contract, workflow, and technical changes. Medicaid and CHIP beneficiaries should see improved delivery of notices and communications, reducing missed mailings and administrative errors; improved address data may also support care coordination. Federal oversight agencies (e.g., CMS) will monitor compliance but the provision does not provide implementation funding, so states bear costs unless separate appropriations are provided. Privacy and data-security safeguards will be important because programs will handle and exchange personally identifiable information more frequently. The rule is limited to states and DC, so territories are unaffected.
Referred to the House Committee on Energy and Commerce.
Last progress February 5, 2025 (1 year ago)
Introduced on February 5, 2025 by Mariannette Miller-Meeks