Us Congress 2025-2026 Regular Session

Us Congress House Bill HB5178

Introduced
9/8/25  

Caption

Sickle Cell Disease Comprehensive Care Act

Impact

This bill is poised to significantly impact state Medicaid provisions, particularly by instituting health home services that focus specifically on sickle cell disease. It sets a framework for states to develop and submit specific plans for implementing these health homes, including required services that align with best practices. Additionally, the bill mandates the inclusion of dental and vision services for those enrolled in these health homes, regardless of existing service requirements within the Medicaid framework. The bill's passage signifies an effort to enhance accessibility to comprehensive medical and supportive services for affected individuals.

Summary

HB5178, known as the Sickle Cell Disease Comprehensive Care Act, seeks to amend Title XIX of the Social Security Act to enable state Medicaid programs to offer comprehensive and coordinated care through designated health homes for individuals diagnosed with sickle cell disease. The legislation aims to provide structured care tailored to the unique needs of this patient population, thus improving health outcomes and quality of life for individuals affected by this hereditary blood disorder. It is expected to take effect starting January 1, 2026, providing a timeline for states to implement necessary changes to their Medicaid programs.

Contention

While the bill appears to focus on improving care for a specific and vulnerable population, points of contention may arise regarding the adequacy of funding and resource allocation in states to support these new measures. Critics might express concerns about the potential burden on state budgets amidst existing Medicaid challenges, including reimbursement rates and the adequacy of services provided. Furthermore, stakeholders may question whether the implementation timeline provides sufficient opportunity for States to adapt their systems to meet the new requirements without disrupting care for other Medicaid beneficiaries.

Companion Bills

No companion bills found.

Previously Filed As

US HB7432

Sickle Cell Disease Comprehensive Care Act

US SB5097

Sickle Cell Disease Comprehensive Care Act

US HB1672

Sickle Cell Disease Comprehensive Care Act

US SB996

Sickle Cell Disease Comprehensive Care Act

US SB904

Sickle Cell Disease Comprehensive Care Act

US HB9872

Sickle Cell Disease Treatment Centers Act of 2024

US HR1495

Expressing support for the designation of September 2024 as "Sickle Cell Disease Awareness Month" in order to educate communities across the United States about sickle cell disease and the need for research, early detection methods, effective treatments, and preventative care programs with respect to complications from sickle cell disease and conditions related to sickle cell disease.

US SB5226

Sickle Cell Disease Treatment Centers Act of 2024

US SR861

A resolution expressing support for the designation of September 2024 as "Sickle Cell Disease Awareness Month" in order to educate communities across the United States about sickle cell disease and the need for research, early detection methods, effective treatments, and preventative care programs with respect to complications from sickle cell disease and conditions related to sickle cell disease.

US HR692

Expressing support for the designation of September 2023 as "Sickle Cell Disease Awareness Month" in order to educate communities across the United States about sickle cell disease and the need for research, early detection methods, effective treatments, and preventative care programs with respect to complications from sickle cell disease and conditions related to sickle cell disease.

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