I
119THCONGRESS
1
STSESSION H. R. 1403
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
FEBRUARY18, 2025
Mr. B
ILIRAKIS(for himself and Ms. CRAIG) 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 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 Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Leveraging Integrity 4
and Verification of Eligibility for Beneficiaries Act’’ or the 5
‘‘LIVE Beneficiaries Act’’. 6
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SEC. 2. MODIFYING CERTAIN STATE REQUIREMENTS FOR 1
ENSURING DECEASED INDIVIDUALS DO NOT 2
REMAIN ENROLLED. 3
Section 1902 of the Social Security Act (42 U.S.C. 4
1396a) is amended— 5
(1) in subsection (a)— 6
(A) in paragraph (86), by striking ‘‘; and’’ 7
and inserting a semicolon; 8
(B) in paragraph (87)(D), by striking the 9
period at the end and inserting ‘‘; and’’; and 10
(C) by inserting after paragraph (87) the 11
following new paragraph: 12
‘‘(88) provide that the State shall comply with 13
the eligibility verification requirements under sub-14
section (uu), except that this paragraph shall apply 15
only in the case of the 50 States and the District 16
of Columbia.’’; and 17
(2) by adding at the end the following new sub-18
section: 19
‘‘(uu) V
ERIFICATION OFCERTAINELIGIBILITYCRI-20
TERIA.— 21
‘‘(1) I
N GENERAL.—For purposes of subsection 22
(a)(88), the eligibility verification requirements, be-23
ginning January 1, 2027, are as follows: 24
‘‘(A) Q
UARTERLY SCREENING TO VERIFY 25
ENROLLEE STATUS .—The State shall, not less 26
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frequently than quarterly, review the Death 1
Master File (as such term is defined in section 2
203(d) of the Bipartisan Budget Act of 2013) 3
to determine whether any individuals enrolled 4
for medical assistance under the State plan (or 5
waiver of such plan) are deceased. 6
‘‘(B) D
ISENROLLMENT UNDER STATE 7
PLAN.—If the State determines, based on infor-8
mation obtained from the Death Master File, 9
that an individual enrolled for medical assist-10
ance under the State plan (or waiver of such 11
plan) is deceased, the State shall— 12
‘‘(i) treat such information as factual 13
information confirming the death of a ben-14
eficiary for purposes of section 431.213(a) 15
of title 42, Code of Federal Regulations (or 16
any successor regulation); 17
‘‘(ii) disenroll such individual from the 18
State plan (or waiver of such plan); and 19
‘‘(iii) discontinue any payments for 20
medical assistance under this title made on 21
behalf of such individual (other than pay-22
ments for any items or services furnished 23
to such individual prior to the death of 24
such individual). 25
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‘‘(C) REINSTATEMENT OF COVERAGE IN 1
THE EVENT OF ERROR .—If a State determines 2
that an individual was misidentified as deceased 3
based on information obtained from the Death 4
Master File, and was erroneously disenrolled 5
from medical assistance under the State plan 6
(or waiver of such plan) based on such 7
misidentification, the State shall immediately 8
re-enroll such individual under the State plan 9
(or waiver of such plan), retroactive to the date 10
of such disenrollment. 11
‘‘(2) R
ULE OF CONSTRUCTION .—Nothing under 12
this subsection shall be construed to preclude the 13
ability of a State to use other electronic data sources 14
to timely identify potentially deceased beneficiaries, 15
so long as the State is also in compliance with the 16
requirements of this subsection (and all other re-17
quirements under this title relating to Medicaid eli-18
gibility determination and redetermination).’’. 19
Æ
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