Increasing frequency of eligibility redeterminations for certain individuals
Title IV — Energy and Commerce › Subtitle D — Health › Part 1 — Medicaid › Subpart A — Reducing fraud and improving enrollment processes
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The wording changed from Committee version to Passed the House. Removed words are struck through; added words are underlined.
How the text changed
Section 1902(e)(14) of the Social Security Act (42 U.S.C. 1396a(e)(14)) is amended by adding at the end the following new subparagraph: (L) Frequency of eligibility redeterminations for certain individuals Beginning on October 1, 2027, in the case With respect to redeterminations of an individual enrolled under subsection (a)(10)(A)(i)(VIII), a State shall redetermine the eligibility of such individual for medical assistance under the a State plan (or waiver of such plan) scheduled on or after December 31, 2026, a State (or shall make such a redetermination once every 6 months for the following individuals: (i) Individuals enrolled under subsection (a)(10)(A)(i)(VIII). (ii) Individuals described in such subsection who are otherwise enrolled under a waiver of such plan) once every 6 months..plan that provides coverage that is equivalent to minimum essential coverage (as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and determined in accordance with standards prescribed by the Secretary in regulations) to all individuals described in subsection (a)(10)(A)(i)(VIII)..
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