What is the official ID of this bill?
The official print number for this legislation is HR 497.
Medicaid Changes: Insurer Responsibility and Insurance Verification.
This act modifies Medicaid rules to streamline the recovery of medical costs from other insurers who should be primarily responsible. It mandates verification of other health insurance coverage for Medicaid recipients. The goal is to improve public fund management and ensure the correct insurer pays for medical services.
Key points
Health insurers (including group plans, managed care) can assume the state's right to recover medical costs from other responsible parties.
States must verify if individuals seeking Medicaid assistance already have other health insurance coverage.
If a state fails to verify insurance status, it may lose federal funding for medical assistance for those individuals after January 1, 2026.
Status:
Introduced
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