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Modifies subsection (a) of section 1902 by adjusting punctuation in existing paragraphs (86) and (87)(D) and inserting a new paragraph (88) requiring States (the 50 States and the District of Columbia) to, beginning January 1, 2026, regularly obtain enrollee address information from reliable data sources (per 42 C.F.R. 435.919(f)(1)(iii) or successor) and act on address changes in accordance with that regulation.
Alters subsection (e)(1) by redesignating existing subparagraphs (H) through (U) as (I) through (V) and inserting a new subparagraph (H) that incorporates the requirement in section 1902(a)(88) (address information collection) into CHIP plan application of certain general provisions.
Adds a new subsection (j) to section 1932 requiring that, beginning January 1, 2026, each contract under a State plan with a managed care entity (under section 1903(m)) must require the entity to transmit to the State any enrollee address information that the entity receives directly from, or verifies directly with, the enrollee.
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.
Referred to the House Committee on Energy and Commerce.
Introduced February 5, 2025 by Mariannette Miller-Meeks · Last progress February 5, 2025
Referred to the House Committee on Energy and Commerce.
Introduced in House