[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8084 Reported in House (RH)]
<DOC>
Union Calendar No. 507
118th CONGRESS
2d Session
H. R. 8084
[Report No. 118-609]
To amend title XIX of the Social Security Act to require States to
verify certain eligibility criteria for individuals enrolled for
medical assistance quarterly, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 19, 2024
Mr. Bilirakis (for himself and Ms. Craig) introduced the following
bill; which was referred to the Committee on Energy and Commerce
July 23, 2024
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on April
19, 2024]
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to require States to
verify certain eligibility criteria for individuals enrolled for
medical assistance quarterly, and for other purposes.
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 ``Leveraging Integrity and
Verification of Eligibility for Beneficiaries Act'' or the ``LIVE
Beneficiaries Act''.
SEC. 2. VERIFICATION OF CERTAIN ELIGIBILITY CRITERIA FOR INDIVIDUALS
ENROLLED FOR MEDICAL ASSISTANCE.
Section 1902 of the Social Security Act (42 U.S.C. 1396a) is
amended--
(1) in subsection (a)--
(A) in paragraph (86), by striking ``; and'' and
inserting a semicolon;
(B) in paragraph (87)(D), by striking the period at
the end and inserting ``; and''; and
(C) by inserting after paragraph (87)(D) the
following new paragraph:
``(88) provide that the State shall comply with the
eligibility verification requirements under subsection (uu),
except that this paragraph shall apply only in the case of the
50 States and the District of Columbia.''; and
(2) by adding at the end the following new subsection:
``(uu) Verification of Certain Eligibility Criteria.--
``(1) In general.--For purposes of subsection (a)(88), the
eligibility verification requirements, beginning January 1,
2026, are as follows:
``(A) Quarterly screening to verify enrollee
status.--The State shall, not less frequently than
quarterly, review the Death Master File (as such term
is defined in section 203(d) of the Bipartisan Budget
Act of 2013) to determine whether any individuals
enrolled for medical assistance under the State plan
(or waiver of such plan) are deceased.
``(B) Disenrollment under state plan.--If the State
determines, based on information obtained from the
Death Master File, that an individual enrolled for
medical assistance under the State plan (or waiver of
such plan) is deceased, the State shall--
``(i) treat such information as factual
information confirming the death of a
beneficiary for purposes of section 431.213(a)
of title 42, Code of Federal Regulations (or
any successor regulation);
``(ii) disenroll such individual from the
State plan (or waiver of such plan); and
``(iii) discontinue any payments for
medical assistance under this title made on
behalf of such individual (other than payments
for any items or services furnished to such
individual prior to the death of such
individual).
``(C) Reinstatement of coverage in the event of
error.--If a State determines that an individual was
misidentified as deceased based on information obtained
from the Death Master File, and was erroneously
disenrolled from medical assistance under the State
plan (or waiver of such plan) based on such
misidentification, the State shall immediately reenroll
such individual under the State plan (or waiver of such
plan), retroactive to the date of such disenrollment.
``(2) Rule of construction.--Nothing under this subsection
shall be construed to preclude the ability of a State to use
other electronic data sources to timely identify potentially
deceased beneficiaries, so long as the State is also in
compliance with the requirements of this subsection (and all
other requirements under this title relating to Medicaid
eligibility determination and redetermination).''.
Union Calendar No. 507
118th CONGRESS
2d Session
H. R. 8084
[Report No. 118-609]
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to require States to
verify certain eligibility criteria for individuals enrolled for
medical assistance quarterly, and for other purposes.
_______________________________________________________________________
July 23, 2024
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed