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  • Sec. 71114. Sunsetting increased FMAP incentive

    Home/All Topics/OBBBA TextSection 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 adding at the end the following…

  • SUBCHAPTER B—PREVENTING WASTEFUL SPENDING

    Home/All Topics/OBBBA TextSEC. 71111. Moratorium on implementation of rule relating to staffing standards for long-term care facilities under the Medicare and Medicaid programs. 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, administer, or enforce the…

  • Sec. 71113. Federal payments to prohibited entities

    Home/All Topics/OBBBA Text(a) In general.—No Federal funds that are considered direct spending and provided to carry out a State plan under title XIX of the Social Security Act or a waiver of such a plan shall be used to make payments to a prohibited entity for items and services furnished during the 1-year period beginning…

  • Sec. 71112. Reducing State Medicaid costs

    Home/All Topics/OBBBA Text(a) In general.—Section 1902(a)(34) of the Social Security Act (42 U.S.C. 1396a(a)(34)) is amended to read as follows: “(34) provide that in the case of any individual who has been determined to be eligible for medical assistance under the plan and— “(A) is enrolled under paragraph (10)(A)(i)(VIII), such assistance will be made available…

  • Sec. 71111. Moratorium on implementation of rule relating to staffing standards for long-term care facilities under the Medicare and Medicaid programs

    Home/All Topics/OBBBA TextThe 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, administer, or enforce the amendments made by the provisions of the final rule published by the Centers for Medicare & Medicaid Services on May 10,…

  • SUBCHAPTER A—REDUCING FRAUD AND IMPROVING ENROLLMENT PROCESSES

    Home/All Topics/OBBBA TextSEC. 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, administer, or enforce the amendments made by…

  • Sec. 71110. Expansion FMAP for emergency Medicaid

    Home/All Topics/OBBBA Text(a) In general.—Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by adding at the end the following new subsection: “(kk) FMAP for treatment of an emergency Medical condition.—Notwithstanding subsection (y) and (z), beginning on October 1, 2026, the Federal medical assistance percentage for payments for care and services described…

  • Sec. 71109. Alien Medicaid eligibility

    Home/All Topics/OBBBA Text(a) Medicaid.—Section 1903(v) of the Social Security Act (42 U.S.C. 1396b(v)) is amended— (1) in paragraph (1), by striking “and (4)”and inserting “, (4), and (5)”; and (2) by adding at the end the following new paragraph: “(5) Notwithstanding the preceding paragraphs of this subsection, beginning on October 1, 2026, except as provided…

  • Sec. 71108. Revising home equity limit for determining eligibility for long-term care services under the Medicaid program

    Home/All Topics/OBBBA Text(a) Revising home equity limit.—Section 1917(f)(1) of the Social Security Act (42 U.S.C. 1396p(f)(1)) is amended— (1) in subparagraph (B)— (A) by striking “A State” and inserting “(i) A State”; (B) in clause (i), as inserted by subparagraph (A)— (i) by striking “ ‘$500,000’” and inserting “the amount specified in subparagraph (A)”; and…

  • Sec. 71107. Eligibility redeterminations

    Home/All Topics/OBBBA Text(a) In general.—Section 1902(e)(14) of the Social Security Act (42 U.S.C. 1396a(e)(14)) is amended by adding at the end the following new subparagraph: “(L) FREQUENCY OF ELIGIBILITY REDETERMINATIONS FOR CERTAIN INDIVIDUALS.— “(i) IN GENERAL.—Subject to clause (ii), with respect to redeterminations of eligibility for medical assistance under a State plan (or waiver of…

  • Sec. 71106. Payment reduction related to certain erroneous excess payments under Medicaid

    Home/All Topics/OBBBA Text(a) In general.—Section 1903(u)(1) of the Social Security Act (42 U.S.C. 1396b(u)(1)) is amended— (1) in subparagraph (A)— (A) by inserting “for audits conducted by the Secretary, or, at the option of the Secretary, audits conducted by the State” after “exceeds 0.03”; and (B) by inserting “, to the extent practicable” before the…

  • Sec. 71105. Ensuring deceased providers do not remain enrolled

    Home/All Topics/OBBBA TextSection 1902(kk)(1) of the Social Security Act (42 U.S.C. 1396a(kk)(1)) is amended— (1) by striking “The State” and inserting: “(A) IN GENERAL.—The State”; and (2) by adding at the end the following new subparagraph: “(B) PROVIDER SCREENING AGAINST DEATH MASTER FILE.—Beginning January 1, 2028, as part of the enrollment (or reenrollment or revalidation…