This bill focuses on people convicted of serious sexual violence who are legally labeled “sexually dangerous.” It would make states send the U.S. Attorney General a yearly list of these individuals and require the Attorney General to review the list to see if federal charges should be brought. It also adds a new reporting item to the sex offender registry: information about any related court case.

The bill would cut off federal Medicaid and Medicare for people in this category, with one narrow exception: coverage remains if the person is an inpatient in a hospital or skilled nursing facility and is receiving involuntary treatment there.

• Who is affected: States; and people convicted of a sexually violent offense who have been determined to be sexually dangerous.
• What changes:
  • States must send an annual list to the Attorney General for possible federal prosecution review.
  • Sex offender registries must include info about any relevant court case.
  • Medicaid and Medicare coverage is generally denied to these individuals, except for inpatient involuntary treatment in a hospital or skilled nursing facility.
• When: The reporting is annual; other changes would take effect as laid out in the bill once enacted.