Us Congress 2025-2026 Regular Session

Us Congress House Bill HB1403 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	119THCONGRESS
3	3	1
4	4	STSESSION H. R. 1403
5	5	To amend title XIX of the Social Security Act to require States to verify
6	6	certain eligibility criteria for individuals enrolled for medical assistance
7	7	quarterly, and for other purposes.
8	8	IN THE HOUSE OF REPRESENTATIVES
9	9	FEBRUARY18, 2025
10	10	Mr. B
11	11	ILIRAKIS(for himself and Ms. CRAIG) introduced the following bill;
12	12	which was referred to the Committee on Energy and Commerce
13	13	A BILL
14	14	To amend title XIX of the Social Security Act to require
15	15	States to verify certain eligibility criteria for individuals
16	16	enrolled for medical assistance quarterly, and for other
17	17	purposes.
18	18	Be it enacted by the Senate and House of Representa-1
19	19	tives of the United States of America in Congress assembled, 2
20	20	SECTION 1. SHORT TITLE. 3
21	21	This Act may be cited as the ‘‘Leveraging Integrity 4
22	22	and Verification of Eligibility for Beneficiaries Act’’ or the 5
23	23	‘‘LIVE Beneficiaries Act’’. 6
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26	26	•HR 1403 IH
27	27	SEC. 2. MODIFYING CERTAIN STATE REQUIREMENTS FOR 1
28	28	ENSURING DECEASED INDIVIDUALS DO NOT 2
29	29	REMAIN ENROLLED. 3
30	30	Section 1902 of the Social Security Act (42 U.S.C. 4
31	31	1396a) is amended— 5
32	32	(1) in subsection (a)— 6
33	33	(A) in paragraph (86), by striking ‘‘; and’’ 7
34	34	and inserting a semicolon; 8
35	35	(B) in paragraph (87)(D), by striking the 9
36	36	period at the end and inserting ‘‘; and’’; and 10
37	37	(C) by inserting after paragraph (87) the 11
38	38	following new paragraph: 12
39	39	‘‘(88) provide that the State shall comply with 13
40	40	the eligibility verification requirements under sub-14
41	41	section (uu), except that this paragraph shall apply 15
42	42	only in the case of the 50 States and the District 16
43	43	of Columbia.’’; and 17
44	44	(2) by adding at the end the following new sub-18
45	45	section: 19
46	46	‘‘(uu) V
47	47	ERIFICATION OFCERTAINELIGIBILITYCRI-20
48	48	TERIA.— 21
49	49	‘‘(1) I
50	50	N GENERAL.—For purposes of subsection 22
51	51	(a)(88), the eligibility verification requirements, be-23
52	52	ginning January 1, 2027, are as follows: 24
53	53	‘‘(A) Q
54	54	UARTERLY SCREENING TO VERIFY 25
55	55	ENROLLEE STATUS .—The State shall, not less 26
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58	58	•HR 1403 IH
59	59	frequently than quarterly, review the Death 1
60	60	Master File (as such term is defined in section 2
61	61	203(d) of the Bipartisan Budget Act of 2013) 3
62	62	to determine whether any individuals enrolled 4
63	63	for medical assistance under the State plan (or 5
64	64	waiver of such plan) are deceased. 6
65	65	‘‘(B) D
66	66	ISENROLLMENT UNDER STATE 7
67	67	PLAN.—If the State determines, based on infor-8
68	68	mation obtained from the Death Master File, 9
69	69	that an individual enrolled for medical assist-10
70	70	ance under the State plan (or waiver of such 11
71	71	plan) is deceased, the State shall— 12
72	72	‘‘(i) treat such information as factual 13
73	73	information confirming the death of a ben-14
74	74	eficiary for purposes of section 431.213(a) 15
75	75	of title 42, Code of Federal Regulations (or 16
76	76	any successor regulation); 17
77	77	‘‘(ii) disenroll such individual from the 18
78	78	State plan (or waiver of such plan); and 19
79	79	‘‘(iii) discontinue any payments for 20
80	80	medical assistance under this title made on 21
81	81	behalf of such individual (other than pay-22
82	82	ments for any items or services furnished 23
83	83	to such individual prior to the death of 24
84	84	such individual). 25
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87	87	•HR 1403 IH
88	88	‘‘(C) REINSTATEMENT OF COVERAGE IN 1
89	89	THE EVENT OF ERROR .—If a State determines 2
90	90	that an individual was misidentified as deceased 3
91	91	based on information obtained from the Death 4
92	92	Master File, and was erroneously disenrolled 5
93	93	from medical assistance under the State plan 6
94	94	(or waiver of such plan) based on such 7
95	95	misidentification, the State shall immediately 8
96	96	re-enroll such individual under the State plan 9
97	97	(or waiver of such plan), retroactive to the date 10
98	98	of such disenrollment. 11
99	99	‘‘(2) R
100	100	ULE OF CONSTRUCTION .—Nothing under 12
101	101	this subsection shall be construed to preclude the 13
102	102	ability of a State to use other electronic data sources 14
103	103	to timely identify potentially deceased beneficiaries, 15
104	104	so long as the State is also in compliance with the 16
105	105	requirements of this subsection (and all other re-17
106	106	quirements under this title relating to Medicaid eli-18
107	107	gibility determination and redetermination).’’. 19
108	108	Æ
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