Home/All Topics/OBBBA TextTitle XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section: “SEC. 1899C. Limiting Medicare coverage of certain individuals. “(a) In general.—Subject to subsection (b), an individual may be entitled to, or enrolled for, benefits under this title only if the…

Home/All Topics/OBBBA TextSUBCHAPTER A—REDUCING FRAUD AND IMPROVING ENROLLMENT PROCESSES SEC. 71101. Moratorium on implementation of rule relating to eligibility and enrollment in Medicare Savings Programs. (a) In general.—The Secretary of Health and Human Services shall not, during the period beginning on the date of the enactment of this section and ending September 30, 2034, implement,…

Home/All Topics/OBBBA TextSEC. 71121. Making certain adjustments to coverage of home or community-based services under Medicaid. (a) Expanding HCBS coverage under section 1915(c) waivers.—Section 1915(c) of the Social Security Act (42 U.S.C. 1396n(c)) is amended— (1) in paragraph (3), by inserting “paragraph (11) or” before “subsection (h)(2)”; and (2) by adding at the end the…

Home/All Topics/OBBBA Text(a) Expanding HCBS coverage under section 1915(c) waivers.—Section 1915(c) of the Social Security Act (42 U.S.C. 1396n(c)) is amended— (1) in paragraph (3), by inserting “paragraph (11) or” before “subsection (h)(2)”; and (2) by adding at the end the following new paragraph: “(11) Expanding coverage for home or community-based services.— “(A) IN GENERAL.—Beginning…

Home/All Topics/OBBBA TextSEC. 71119. Requirement for States to establish Medicaid community engagement requirements for certain individuals. (a) In general.—Section 1902 of the Social Security Act (42 U.S.C. 1396a), as amended by sections 71103 and 71104, is further amended by adding at the end the following new subsection: “(xx) Community engagement requirement for applicable individuals.— “(1)…

Home/All Topics/OBBBA Text(a) In general.—Section 1916 of the Social Security Act (42 U.S.C. 1396o) is amended— (1) in subsection (a), in the matter preceding paragraph (1), by inserting “(other than, beginning October 1, 2028, specified individuals (as defined in subsection (k)(3)))” after “individuals”; and (2) by adding at the end the following new subsection: “(k)…

Home/All Topics/OBBBA Text(a) In general.—Section 1902 of the Social Security Act (42 U.S.C. 1396a), as amended by sections 71103 and 71104, is further amended by adding at the end the following new subsection: “(xx) Community engagement requirement for applicable individuals.— “(1) IN GENERAL.—Except as provided in paragraph (11), beginning not later than the first day…

Home/All Topics/OBBBA TextSEC. 71114. Sunsetting increased FMAP incentive. Section 1905(ii)(3) of the Social Security Act (42 U.S.C. 1396d(ii)(3)) is amended— (1) by striking “which has not” and inserting the following: “which— “(A) has not”; (2) in subparagraph (A), as so inserted, by striking the period at the end and inserting “; and”; and (3) by…

Home/All Topics/OBBBA Text(a) In general.—Section 1115 of the Social Security Act (42 U.S.C. 1315) is amended by adding at the end the following new subsection: “(g) Requirement of budget neutrality for Medicaid demonstration projects.— “(1) IN GENERAL.—Beginning January 1 2027, the Secretary may not approve an application for (or renewal or amendment of) an experimental,…

Home/All Topics/OBBBA Text(a) In general.—Section 1903(w) of the Social Security Act (42 U.S.C. 1396b(w)) is amended— (1) in paragraph (3)(E), by inserting after clause (ii)(II) the following new clause: “(iii) For purposes of clause (ii)(I), a tax is not considered to be generally redistributive if any of the following conditions apply: “(I) Within a permissible…

Home/All Topics/OBBBA Text(a) In general.—Subject to subsection (b), the Secretary of Health and Human Services (in this section referred to as the Secretary) shall revise section 438.6(c)(2)(iii) of title 42, Code of Federal Regulations (or a successor regulation) such that, with respect to a payment described in such section made for a service furnished during…

Home/All Topics/OBBBA Text(a) Change in threshold for hold harmless provision of broad-based health care related taxes.—Section 1903(w)(4) of the Social Security Act (42 U.S.C. 1396b(w)(4)) is amended— (1) in subparagraph (C)(ii), by inserting “, and for fiscal years beginning on or after October 1, 2026, the applicable percent determined under subparagraph (D) shall be substituted…