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<bill bill-stage="Introduced-in-House" dms-id="HB416E0182BE647E09B979E2DBBAC1ED4" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 HR 8391 IH: To amend titles XVIII and XIX of the Social Security Act to require coverage of certain food and nutrition services under the Medicare and Medicaid programs.</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2026-04-20</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 8391</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20260420">April 20, 2026</action-date><action-desc><sponsor name-id="R000599">Mr. Ruiz</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committee on <committee-name committee-id="HWM00">Ways and Means</committee-name>, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend titles XVIII and XIX of the Social Security Act to require coverage of certain food and nutrition services under the Medicare and Medicaid programs.</official-title></form><legis-body id="H3680E66A727F44B8885FBC121EBF94C1" style="OLC"> 
<section id="H4E24089E00CB4119A8C54E5AFEF7C1D3" section-type="section-one"><enum>1.</enum><header>Requiring coverage of certain food and nutrition services under Medicare and Medicaid</header>
<subsection id="H52507C81017041758C49F36A91AB69E6"><enum>(a)</enum><header>Coverage under Medicare</header>
<paragraph id="HEC570F580EEE44EE87AC71D1042642FC"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1861(s)(2) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(s)(2)</external-xref>) is amended—</text> <subparagraph id="H3B2BFB02A7E44DE2AF80114AFCBD89E4"><enum>(A)</enum><text>in subparagraph (JJ), by striking <quote>and</quote> at the end;</text></subparagraph>
<subparagraph id="H5E0B2A654EE643C2A8CC5339600F3F4E"><enum>(B)</enum><text>in subparagraph (KK), by adding <quote>and</quote> at the end; and</text></subparagraph> <subparagraph id="H9FCE482AA58A4130978C344C5EFA33C6"><enum>(C)</enum><text>by adding at the end the following new subparagraph:</text>
<quoted-block style="OLC" id="H44C00533F5C644A89E118D22429E651F" display-inline="no-display-inline">
<subparagraph id="H727380B84B594A97A50119FA91D7BCF1"><enum>(LL)</enum><text display-inline="yes-display-inline">food and nutrition services meeting such requirements as the Secretary shall specify;</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="H05AFD46BCC0E4654964F649A41E1DE79"><enum>(2)</enum><header>Payment</header><text>Section 1833(a)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395l">42 U.S.C. 1395l(a)(1)</external-xref>) is amended—</text>
<subparagraph id="H85505025F51A4952AA84DBB2EDAF05FF"><enum>(A)</enum><text>by striking <quote>and</quote> before <quote>(HH)</quote>; and</text></subparagraph> <subparagraph id="H7326DD27390C4C5F86354F0C93261565"><enum>(B)</enum><text>by inserting before the semicolon at the end the following: <quote>, and (II) with respect to specified food and nutrition services under section 1861(s)(2)(LL), the amounts paid shall be equal to 80 percent of the actual charge for the services</quote>.</text></subparagraph></paragraph>
<paragraph id="H281E08F4603C464DA5C9C939AF7858C9"><enum>(3)</enum><header>Effective date</header><text>The amendments made by this subsection shall apply to items and services furnished on or after the date that is 180 days after the date of the enactment of this section.</text></paragraph></subsection> <subsection id="H1DE4E14D22EA4B6CABC7458A287B29AC"><enum>(b)</enum><header>Coverage under Medicaid</header> <paragraph id="H4BC21898946F421692AB7AB40E7A60DD"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1905(a) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d(a)</external-xref>) is amended—</text>
<subparagraph id="HC884956AAE50483B9842B0B511B4A595"><enum>(A)</enum><text>in paragraph (31), by striking <quote>and</quote> at the end;</text></subparagraph> <subparagraph id="H24D37A9D30FE44B5BFB8F4C9680A3EAD"><enum>(B)</enum><text>by redesignating paragraph (32) as paragraph (33); and</text></subparagraph>
<subparagraph id="H57CC1EF62818494AB18DE37EEBC8C748"><enum>(C)</enum><text>by inserting after paragraph (31) the following new paragraph:</text> <quoted-block style="OLC" id="HA5C73E9E7B9440328DD69471B45AF609" display-inline="no-display-inline"> <paragraph id="H74630DE91B61420AB88E5D58B267F08F"><enum>(32)</enum><text display-inline="yes-display-inline">food and nutrition services meeting such requirements as the Secretary shall specify; and</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="H579ACD505AC449D3944BB07845D34476"><enum>(2)</enum><header>Mandatory benefit</header><text>Section 1902(a)(10)(A) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(a)(10)(A)</external-xref>) is amended, in the matter preceding clause (i), by striking <quote>and (30)</quote> and inserting <quote>(30), and (32)</quote>.</text></paragraph> <paragraph id="H45DFB2BA299C4D35B060FC513A043964"><enum>(3)</enum><header>Effective date</header><text display-inline="yes-display-inline">The amendments made by this subsection shall apply to items and services furnished on or after the date that is 180 days after the date of the enactment of this section.</text></paragraph></subsection></section> 
</legis-body></bill>

