Sponsors (11)
The bill strengthens and standardizes asset verification to reduce improper Medicaid payments and increase federal oversight, but it raises the risk of added paperwork, administrative costs, and eligibility losses for low-income beneficiaries unless states carefully implement safeguards and/or raise resource limits.
Medicaid beneficiaries and taxpayers: establishing uniform electronic asset verification reduces improper payments and makes eligibility determinations more consistent across States.
Pregnant and postpartum women and children under 19: preserves continuous eligibility so coverage remains stable during and after pregnancy and for children.
Medicaid applicants who meet SSI resource limits: clearer, uniform resource rules help ensure people who qualify under SSI-related standards continue to be eligible for Medicaid.
Medicaid beneficiaries and low-income people: new asset checks, documentation requirements, and data matches could cause additional paperwork, verification hurdles, delays in access to care, or wrongful loss of coverage.
State governments and territories: building, integrating, and operating electronic asset-verification systems and reporting metrics will impose substantial administrative and IT costs.
Medicaid beneficiaries: people with resources above the SSI limit could lose Medicaid eligibility unless their State raises its resource threshold.
Based on analysis of 4 sections of legislative text.
Requires electronic asset verification for all Medicaid applicants and recipients, aligns resource tests with SSI rules, and mandates federal tracking and state reporting of savings and metrics.
Requires all Medicaid applicants and recipients to be subject to an asset (resources) test verified through an electronic integrated asset verification system and directs States to build and report on those systems. Sets deadlines for implementation, creates a federal tracking and reporting system to measure savings from asset verification, preserves certain continuous eligibility protections for pregnant/postpartum women and children, and gives the HHS Secretary authority to enforce state compliance and require corrective action.
Introduced March 14, 2025 by John A. Barrasso · Last progress March 14, 2025