Bill Details
HR.1019 - 119th Congress
Status
Latest action
2025-02-05 - Referred to the House Committee on Energy and Commerce.
Introduced Date
2025-02-05
Policy Area
Health
Committees
View committees (1)
Cosponsors
View cosponsors (1)
8
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AI Summary This summary was generated by AI from the bill text. AI can get information wrong.
This bill would require state Medicaid programs to regularly check and update the mailing addresses of people enrolled in Medicaid using reliable data sources starting January 1, 2026. It also extends the same idea to CHIP and requires Medicaid managed care plans to send the state any address information they get directly from a person or confirm directly with that person. The goal is to keep contact information accurate so states can reach enrollees and reduce problems caused by outdated addresses.
- It applies to Medicaid programs in the 50 states and the District of Columbia.
- States would have to use trusted data sources to look for address changes and act on those changes under existing federal rules.
- CHIP would also be updated so its rules point to this new Medicaid address-checking requirement.
- Managed care organizations would have to pass along any address information they receive directly from enrollees or verify directly with them.
Official Summaries
Medicaid Program Improvement Act
This bill provides statutory authority for the requirement that state Medicaid programs and the Children's Health Insurance Program (CHIP) have a process in place to obtain updated addresses for enrollees. It also requires contracted managed care plans to report addresses that have been directly verified by enrollees to states.
Current Full Text
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1019 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 1019
To amend title XIX of the Social Security Act to ensure the reliability
of address information provided under the Medicaid program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 5, 2025
Mrs. Miller-Meeks (for herself and Mrs. Dingell) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to ensure the reliability
of address information provided under the Medicaid program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicaid Program Improvement Act''.
SEC. 2. ENSURING THE RELIABILITY OF ADDRESS INFORMATION PROVIDED UNDER
THE MEDICAID PROGRAM.
(a) In General.--Section 1902(a) of the Social Security Act (42
U.S.C. 1396a(a)) is amended--
(1) in paragraph (86), by striking ``and'' at the end;
(2) in paragraph (87)(D), by striking the period at the end
and inserting ``; and''; and
(3) by inserting after paragraph (87) the following new
paragraph:
``(88) beginning January 1, 2026, provide for a process to
regularly obtain address information for individuals enrolled
under such plan (or a waiver of such plan) from reliable data
sources (as described in section 435.919(f)(1)(iii) of title
42, Code of Federal Regulations (or a successor regulation))
and act on any changes to such an address based on such
information in accordance with such section (or successor
regulation), except that this paragraph shall only apply in the
case of the 50 States and the District of Columbia.''.
(b) Application to CHIP.--Section 2107(e)(1) of the Social Security
Act (42 U.S.C. 1397gg(e)(1)) is amended--
(1) by redesignating subparagraphs (H) through (U) as
subparagraphs (I) through (V), respectively; and
(2) by inserting after subparagraph (G) the following new
subparagraph:
``(H) Section 1902(a)(88) (relating to regularly
obtaining address information for enrollees).''.
(c) Ensuring Transmission of Address Information From Managed Care
Organizations.--Section 1932 of the Social Security Act (42 U.S.C.
1396u-2) is amended by adding at the end the following new subsection:
``(j) Transmission of Address Information.--Beginning January 1,
2026, each contract under a State plan with a managed care entity under
section 1903(m) shall provide that the entity transmits to the State
any address information for an individual enrolled with the entity that
is provided to such entity directly from, or verified by such entity
directly with, such individual.''.
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