Sponsors (2)
The bill strengthens reporting and prosecution tools and preserves coverage for involuntary inpatients, but it also removes federal health benefits for certain designated people—shifting costs to states and providers and raising administrative, privacy, and due-process concerns.
State governments and law enforcement gain annual lists of convicted sexually dangerous individuals and expanded court-case reporting, improving ability to identify and potentially prosecute federal offenders.
People receiving involuntary inpatient treatment keep Medicaid/Medicare coverage during confinement, preserving continuity of hospital and skilled nursing facility care.
People designated as 'specified' are made ineligible for Medicaid payments to states and for Medicare Parts A and B, reducing their access to federal health coverage and essential care.
Shifting ineligibility for federal healthcare benefits will likely push costs onto state systems, hospitals, and uncompensated care, increasing expenses for taxpayers and providers.
States and reporting authorities face additional administrative burdens and compliance costs from annual listing and expanded SORNA court-case reporting requirements.
Based on analysis of 2 sections of legislative text.
Introduced January 28, 2025 by Darrell Issa · Last progress January 28, 2025
Requires States to send annual lists to the Attorney General of people convicted of sexually violent offenses and expands federal review of those lists for possible prosecution. It also bars federal Medicaid and Medicare payments and benefits for individuals who are both convicted of a sexually violent offense and formally determined to be "sexually dangerous persons," while preserving coverage for inpatient treatment, and expands sex-offender reporting requirements to include relevant court-case information. The bill changes parts of the Adam Walsh Child Protection and Safety Act and cross-references federal Medicaid and Medicare authorities, creating new reporting duties for States, new review duties for the Attorney General, and new limits on federal health-care payments and beneficiary eligibility for a defined class of individuals.