[Pages S4122-S4123]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2777. Mr. KENNEDY submitted an amendment intended to be proposed 
to amendment SA 2360 proposed by Mr. Thune (for Mr. Graham) to the bill 
H.R. 1, to provide for reconciliation pursuant to title II of H. Con. 
Res. 14; which was ordered to lie on the table; as follows:

       Strike section 71103, insert the following:

     SEC. 71103. REDUCING DUPLICATE ENROLLMENT UNDER THE MEDICAID 
                   AND CHIP PROGRAMS.

       (a) Medicaid.--
       (1) In general.--Section 1902 of the Social Security Act 
     (42 U.S.C. 1396a) is amended--
       (A) in subsection (a)--
       (i) in paragraph (86), by striking ``and'' at the end;
       (ii) in paragraph (87), by striking the period and 
     inserting ``; and''; and
       (iii) by inserting after paragraph (87) the following new 
     paragraph:
       ``(88) provide--
       ``(A) beginning not later than January 1, 2027, in the case 
     of 1 of the 50 States and the District of Columbia, for a 
     process to regularly obtain address information for 
     individuals enrolled under such plan (or a waiver of such 
     plan) in accordance with subsection (vv); and
       ``(B) beginning not later than January 1, 2029--
       ``(i) for the State to submit to the system established by 
     the Secretary under subsection (uu), with respect to an 
     individual enrolled or seeking to enroll under such plan, not 
     less frequently than once each month and during each 
     determination or redetermination of the eligibility of such 
     individual for medical assistance under such plan (or waiver 
     of such plan)--

       ``(I) the social security number of such individual, if 
     such individual has a social security number and is required 
     to provide such number to enroll under such plan (or waiver); 
     and
       ``(II) such other information with respect to such 
     individual as determined necessary by the Secretary for 
     purposes of preventing individuals from simultaneously being 
     enrolled under State plans (or waivers of such plans) of 
     multiple States;

       ``(ii) for the use of such system to prevent such 
     simultaneous enrollment; and
       ``(iii) in the case that such system indicates that an 
     individual enrolled or seeking to enroll under such plan (or 
     waiver of such plan) is enrolled under a State plan (or 
     waiver of such a plan) of another State, for the taking of 
     appropriate action (as determined by the Secretary) to 
     identify whether such an individual resides in the State and 
     disenroll an individual from the State plan of such State if 
     such individual does not reside in such State (unless such 
     individual meets such an exception as the Secretary may 
     specify).''; and
       (B) by adding at the end the following new subsections:

[[Page S4123]]

       ``(uu) Prevention of Enrollment Under Multiple State 
     Plans.--
       ``(1) In general.--Not later than January 1, 2029, the 
     Secretary shall establish a system to be utilized by the 
     Secretary and States to prevent an individual from being 
     simultaneously enrolled under the State plans (or waivers of 
     such plans) of multiple States. Such system shall--
       ``(A) provide for the receipt of information submitted by a 
     State under subsection (a)(88)(B)(i); and
       ``(B) not less than once each month, transmit information 
     to a State (or allow the Secretary to transmit information to 
     a State) regarding whether an individual enrolled or seeking 
     to enroll under the State plan of such State (or waiver of 
     such plan) is enrolled under the State plan (or waiver of 
     such plan) of another State.
       ``(2) Standards.--The Secretary shall establish such 
     standards as determined necessary by the Secretary to limit 
     and protect information submitted under such system and 
     ensure the privacy of such information, consistent with 
     subsection (a)(7).
       ``(3) Implementation funding.--There are appropriated to 
     the Secretary, out of amounts in the Treasury not otherwise 
     appropriated, in addition to amounts otherwise available--
       ``(A) for fiscal year 2026, $10,000,000 for purposes of 
     establishing the system and standards required under this 
     subsection, to remain available until expended; and
       ``(B) for fiscal year 2029, $20,000,000 for purposes of 
     maintaining such system, to remain available until expended.
       ``(vv) Process to Obtain Enrollee Address Information.--
       ``(1) In general.--For purposes of subsection (a)(88)(A), a 
     process to regularly obtain address information for 
     individuals enrolled under a State plan (or a waiver of such 
     plan) shall obtain address information from reliable data 
     sources described in paragraph (2) and take such actions as 
     the Secretary shall specify with respect to any changes to 
     such address based on such information.
       ``(2) Reliable data sources described.--For purposes of 
     paragraph (1), the reliable data sources described in this 
     paragraph are the following:
       ``(A) Mail returned to the State by the United States 
     Postal Service with a forwarding address.
       ``(B) The National Change of Address Database maintained by 
     the United States Postal Service.
       ``(C) A managed care entity (as defined in section 
     1932(a)(1)(B)) or prepaid inpatient health plan or prepaid 
     ambulatory health plan (as such terms are defined in section 
     1903(m)(9)(D)) that has a contract under the State plan if 
     the address information is provided to such entity or plan 
     directly from, or verified by such entity or plan directly 
     with, such individual.
       ``(D) Other data sources as identified by the State and 
     approved by the Secretary.''.
       (2) Conforming amendments.--
       (A) PARIS.--Section 1903(r)(3) of the Social Security Act 
     (42 U.S.C. 1396b(r)(3)) is amended--
       (i) by striking ``In order'' and inserting ``(A) In 
     order'';
       (ii) by striking ``through the Public'' and inserting 
     ``through--
       ``(i) the Public'';
       (iii) by striking the period at the end and inserting ``; 
     and
       ``(ii) beginning January 1, 2029, the system established by 
     the Secretary under section 1902(uu).''; and
       (iv) by adding at the end the following new subparagraph:
       ``(B) Beginning January 1, 2029, the Secretary may 
     determine that a State is not required to have in operation 
     an eligibility determination system which provides for data 
     matching (for purposes of address verification under section 
     1902(vv)) through the system described in subparagraph (A)(i) 
     to meet the requirements of this paragraph.''.
       (B) Managed care.--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, 2027, each contract under a State plan with a 
     managed care entity (as defined in section 1932(a)(1)(B)) or 
     with a prepaid inpatient health plan or prepaid ambulatory 
     health plan (as such terms are defined in section 
     1903(m)(9)(D)), shall provide that such entity or plan shall 
     promptly transmit to the State any address information for an 
     individual enrolled with such entity or plan that is provided 
     to such entity or plan directly from, or verified by such 
     entity or plan directly with, such individual.''.
       (b) CHIP.--
       (1) In general.--Section 2107(e)(1) of the Social Security 
     Act (42 U.S.C. 1397gg(e)(1)) is amended--
       (A) by redesignating subparagraphs (H) through (U) as 
     subparagraphs (I) through (V), respectively; and
       (B) by inserting after subparagraph (G) the following new 
     subparagraph:
       ``(H) Section 1902(a)(88) (relating to address information 
     for enrollees and prevention of simultaneous enrollments).''.
       (2) Managed care.--Section 2103(f)(3) of the Social 
     Security Act (42 U.S.C. 1397cc(f)(3)) is amended by striking 
     ``and (e)'' and inserting ``(e), and (j)''.
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