Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB1082 Compare Versions

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

Old	New	Differences
1	1	II
2	2	119THCONGRESS
3	3	1
4	4	STSESSION S. 1082
5	5	To apply the Medicaid asset verification program to all applicants for, and
6	6	recipients of, medical assistance in all States and territories, and for
7	7	other purposes.
8	8	IN THE SENATE OF THE UNITED STATES
9	9	MARCH14, 2025
10	10	Mr. B
11	11	ARRASSO(for himself, Mr. KENNEDY, Mr. LANKFORD, Mr. WICKER, Ms.
12	12	L
13	13	UMMIS, Mrs. BLACKBURN, Mr. MARSHALL, Mr. SCOTTof Florida, and
14	14	Mr. D
15	15	AINES) introduced the following bill; which was read twice and re-
16	16	ferred to the Committee on Finance
17	17	A BILL
18	18	To apply the Medicaid asset verification program to all appli-
19	19	cants for, and recipients of, medical assistance in all
20	20	States and territories, and for other purposes.
21	21	Be it enacted by the Senate and House of Representa-1
22	22	tives of the United States of America in Congress assembled, 2
23	23	SECTION 1. SHORT TITLE. 3
24	24	This Act may be cited as the ‘‘Safeguarding Medicaid 4
25	25	Act’’. 5
26	26	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
27	27	kjohnson on DSK7ZCZBW3PROD with $$_JOB 2
28	28	•S 1082 IS
29	29	SEC. 2. APPLICATION OF MEDICAID ASSET TEST TO ALL AP-1
30	30	PLICANTS FOR, AND RECIPIENTS OF, MED-2
31	31	ICAL ASSISTANCE IN ALL STATES AND TERRI-3
32	32	TORIES. 4
33	33	(a) I
34	34	NGENERAL.—Section 1940 of the Social Secu-5
35	35	rity Act (42 U.S.C. 1396w) is amended— 6
36	36	(1) in subsection (a), by striking paragraph (4); 7
37	37	and 8
38	38	(2) in subsection (b)(1)(A), by striking ‘‘on the 9
39	39	basis of being aged, blind, or disabled’’. 10
40	40	(b) R
41	41	ULES.—The Secretary of Health and Human 11
42	42	Services shall promulgate such rules as are necessary to 12
43	43	implement the amendments made by subsection (a). 13
44	44	(c) E
45	45	FFECTIVEDATE.— 14
46	46	(1) I
47	47	N GENERAL.—Subject to paragraph (2), 15
48	48	the amendments made by subsection (a) shall take 16
49	49	effect on the date that is 1 year after the date of 17
50	50	enactment of this Act. 18
51	51	(2) P
52	52	HASE-IN OF IMPLEMENTATION .— 19
53	53	(A) I
54	54	N GENERAL.—During the 1-year pe-20
55	55	riod that begins on the date of enactment of 21
56	56	this Act, the Secretary of Health and Human 22
57	57	Services shall require States to submit and im-23
58	58	plement a plan for an electronic integrated 24
59	59	asset verification program that meets the re-25
60	60	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
61	61	kjohnson on DSK7ZCZBW3PROD with $$_JOB 3
62	62	•S 1082 IS
63	63	quirements of section 1940 of the Social Secu-1
64	64	rity Act (as amended by subsection (a)). 2
65	65	(B) I
66	66	MPLEMENTATION BEFORE EFFECTIVE 3
67	67	DATE.—Nothing in this subsection or section 4
68	68	1940 of the Social Security Act (42 U.S.C. 5
69	69	1396w) shall be construed as prohibiting a 6
70	70	State from implementing an asset verification 7
71	71	program that meets the requirements of such 8
72	72	section (as amended by subsection (a)) in ad-9
73	73	vance of the effective date specified under para-10
74	74	graph (1). 11
75	75	(C) D
76	76	ELAY OF EFFECTIVE DATE .—If a 12
77	77	State requests a delay of the effective date 13
78	78	specified under paragraph (1) on the basis of 14
79	79	ongoing economic hardship limitations, as de-15
80	80	termined by the chief executive officer of the 16
81	81	State, the Secretary of Health and Human 17
82	82	Services may delay such effective date for up to 18
83	83	365 days. 19
84	84	SEC. 3. MEDICAID RESOURCES ELIGIBILITY REQUIRE-20
85	85	MENT. 21
86	86	(a) I
87	87	NGENERAL.—Section 1902(e)(14)(C) of the So-22
88	88	cial Security Act (42 U.S.C. 1396a(e)(14)(C)) is amended 23
89	89	to read as follows: 24
90	90	‘‘(C) R
91	91	ESOURCES TEST REQUIREMENT .— 25
92	92	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
93	93	kjohnson on DSK7ZCZBW3PROD with $$_JOB 4
94	94	•S 1082 IS
95	95	‘‘(i) IN GENERAL.—Except as pro-1
96	96	vided in clause (iii), notwithstanding any 2
97	97	other provision of this title, in the case of 3
98	98	an individual with respect to whom a de-4
99	99	termination of income eligibility for med-5
100	100	ical assistance under the State plan or 6
101	101	under any waiver of such plan is required, 7
102	102	the State shall also apply a resources eligi-8
103	103	bility test that meets the requirement of 9
104	104	clause (ii). 10
105	105	‘‘(ii) R
106	106	EQUIREMENT.—A State re-11
107	107	sources eligibility test meets the require-12
108	108	ment of this clause if the test precludes eli-13
109	109	gibility for any individual whose resources 14
110	110	(as determined under section 1613 for pur-15
111	111	poses of the supplemental security income 16
112	112	program) exceed the maximum amount of 17
113	113	resources that an individual may have and 18
114	114	obtain benefits under that program, or 19
115	115	such amount as the State shall establish. 20
116	116	‘‘(iii) N
117	117	O EFFECT ON CONTINUOUS 21
118	118	ELIGIBILITY REQUIREMENTS FOR PREG -22
119	119	NANT AND POSTPARTUM WOMEN OR CHIL -23
120	120	DREN.—Nothing in this subparagraph 24
121	121	shall affect the application of paragraph 25
122	122	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
123	123	kjohnson on DSK7ZCZBW3PROD with $$_JOB 5
124	124	•S 1082 IS
125	125	(6), (12), or (16) of this subsection (relat-1
126	126	ing to continuous eligibility for pregnant 2
127	127	and postpartum women and children under 3
128	128	the age of 19).’’. 4
129	129	(b) C
130	130	ONFORMINGAMENDMENT.—Section 1902(e)(6) 5
131	131	of the Social Security Act (42 U.S.C. 1396a(e)(6)) is 6
132	132	amended by inserting ‘‘or resources’’ after ‘‘income’’ each 7
133	133	place it appears. 8
134	134	(c) E
135	135	FFECTIVEDATE.—The amendments made by 9
136	136	this section shall take effect on the date that is 2 years 10
137	137	after the date of enactment of this Act. 11
138	138	SEC. 4. REQUIRING CMS TO TRACK STATE ASSET 12
139	139	VERIFICATION OF FEDERAL MEDICAID PRO-13
140	140	GRAMS. 14
141	141	(a) T
142	142	RACKINGASSETVERIFICATIONPROGRAMSAV-15
143	143	INGS.—Not later than 2 years after the date of the enact-16
144	144	ment of this Act, the Secretary of Health and Human 17
145	145	Services, acting through the Centers for Medicare & Med-18
146	146	icaid Services, shall create a Federal tracking system of 19
147	147	the savings in Federal expenditures on the Medicaid pro-20
148	148	gram under title XIX of the Social Security Act (42 21
149	149	U.S.C. 1396 et seq.) that are associated with the asset 22
150	150	verification program requirement added under section 23
151	151	2(a). 24
152	152	(b) R
153	153	EPORTS TOCONGRESS.— 25
154	154	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
155	155	kjohnson on DSK7ZCZBW3PROD with $$_JOB 6
156	156	•S 1082 IS
157	157	(1) IN GENERAL.—Beginning with the first 1
158	158	year that begins on or after the date of enactment 2
159	159	of this Act, each State shall submit to the Secretary, 3
160	160	as part of the triennial review required under the 4
161	161	Payment Error Rate Measurement program of the 5
162	162	Centers for Medicare & Medicaid Services, a report, 6
163	163	that the Secretary shall make publicly available, on 7
164	164	the activities of the State relating to eligibility deter-8
165	165	minations and renewals conducted during the year 9
166	166	for which the report is submitted, and which in-10
167	167	cludes, with respect to such year, the following infor-11
168	168	mation: 12
169	169	(A) The number of eligibility renewals ini-13
170	170	tiated, and asset checks conducted, beneficiaries 14
171	171	renewed on a total and ex parte basis. 15
172	172	(B) The number of asset checks conducted 16
173	173	out of the number of new applications initiated 17
174	174	and the number of applicants determined eligi-18
175	175	ble after such checks. 19
176	176	(C) Such other information related to eligi-20
177	177	bility determinations and renewals during such 21
178	178	month, as identified by the Secretary. 22
179	179	(2) A
180	180	PPLICATION TO TERRITORIES .—For pur-23
181	181	poses of applying the reporting requirements of 24
182	182	paragraph (1) to Puerto Rico, the Virgin Islands, 25
183	183	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
184	184	kjohnson on DSK7ZCZBW3PROD with $$_JOB 7
185	185	•S 1082 IS
186	186	Guam, the Northern Mariana Islands, and American 1
187	187	Samoa, the Secretary shall promulgate regulations 2
188	188	to modify such requirements so that they are similar 3
189	189	to the reporting requirements that apply under such 4
190	190	paragraph to the 50 States and the District of Co-5
191	191	lumbia but are reasonable given the circumstances of 6
192	192	each such territory. 7
193	193	(c) E
194	194	NFORCEMENT AND CORRECTIVEACTION.— 8
195	195	(1) I
196	196	N GENERAL.—The Secretary may assess a 9
197	197	State’s compliance with all Federal requirements ap-10
198	198	plicable to eligibility determinations, redetermina-11
199	199	tions, and Medicaid payment error rate measure-12
200	200	ment (PERM) reporting requirements, and, if the 13
201	201	Secretary determines that a State did not comply 14
202	202	with any such requirements during the 180-day pe-15
203	203	riod preceding the assessment, the Secretary may re-16
204	204	quire the State to submit and implement a corrective 17
205	205	action plan in accordance with paragraph (2). 18
206	206	(2) C
207	207	ORRECTIVE ACTION PLAN .—A State that 19
208	208	receives a written notice from the Secretary that the 20
209	209	Secretary has determined that the State is not in 21
210	210	compliance with a requirement described in para-22
211	211	graph (1) shall— 23
212	212	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S1082.IS S1082
213	213	kjohnson on DSK7ZCZBW3PROD with $$_JOB 8
214	214	•S 1082 IS
215	215	(A) not later than 90 days after receiving 1
216	216	such notice, submit a corrective action plan to 2
217	217	the Secretary; 3
218	218	(B) not later than 90 days after the date 4
219	219	on which such corrective action plan is sub-5
220	220	mitted to the Secretary, receive approval or dis-6
221	221	approval for the plan from the Secretary; and 7
222	222	(C) begin implementation of such correc-8
223	223	tive action plan not later than 90 days after 9
224	224	such approval. 10
225	225	Æ
226	226	VerDate Sep 11 2014 08:23 Apr 04, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6301 E:\BILLS\S1082.IS S1082
227	227	kjohnson on DSK7ZCZBW3PROD with $$_JOB