[Congressional Record Volume 171, Number 113 (Monday, June 30, 2025)]
[Senate]
[Pages S4122-S4123]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 2777. Mr. KENNEDY submitted an amendment intended to be proposed
to amendment SA 2360 proposed by Mr. Thune (for Mr. Graham) to the bill
H.R. 1, to provide for reconciliation pursuant to title II of H. Con.
Res. 14; which was ordered to lie on the table; as follows:
Strike section 71103, insert the following:
SEC. 71103. REDUCING DUPLICATE ENROLLMENT UNDER THE MEDICAID
AND CHIP PROGRAMS.
(a) Medicaid.--
(1) In general.--Section 1902 of the Social Security Act
(42 U.S.C. 1396a) is amended--
(A) in subsection (a)--
(i) in paragraph (86), by striking ``and'' at the end;
(ii) in paragraph (87), by striking the period and
inserting ``; and''; and
(iii) by inserting after paragraph (87) the following new
paragraph:
``(88) provide--
``(A) beginning not later than January 1, 2027, in the case
of 1 of the 50 States and the District of Columbia, for a
process to regularly obtain address information for
individuals enrolled under such plan (or a waiver of such
plan) in accordance with subsection (vv); and
``(B) beginning not later than January 1, 2029--
``(i) for the State to submit to the system established by
the Secretary under subsection (uu), with respect to an
individual enrolled or seeking to enroll under such plan, not
less frequently than once each month and during each
determination or redetermination of the eligibility of such
individual for medical assistance under such plan (or waiver
of such plan)--
``(I) the social security number of such individual, if
such individual has a social security number and is required
to provide such number to enroll under such plan (or waiver);
and
``(II) such other information with respect to such
individual as determined necessary by the Secretary for
purposes of preventing individuals from simultaneously being
enrolled under State plans (or waivers of such plans) of
multiple States;
``(ii) for the use of such system to prevent such
simultaneous enrollment; and
``(iii) in the case that such system indicates that an
individual enrolled or seeking to enroll under such plan (or
waiver of such plan) is enrolled under a State plan (or
waiver of such a plan) of another State, for the taking of
appropriate action (as determined by the Secretary) to
identify whether such an individual resides in the State and
disenroll an individual from the State plan of such State if
such individual does not reside in such State (unless such
individual meets such an exception as the Secretary may
specify).''; and
(B) by adding at the end the following new subsections:
[[Page S4123]]
``(uu) Prevention of Enrollment Under Multiple State
Plans.--
``(1) In general.--Not later than January 1, 2029, the
Secretary shall establish a system to be utilized by the
Secretary and States to prevent an individual from being
simultaneously enrolled under the State plans (or waivers of
such plans) of multiple States. Such system shall--
``(A) provide for the receipt of information submitted by a
State under subsection (a)(88)(B)(i); and
``(B) not less than once each month, transmit information
to a State (or allow the Secretary to transmit information to
a State) regarding whether an individual enrolled or seeking
to enroll under the State plan of such State (or waiver of
such plan) is enrolled under the State plan (or waiver of
such plan) of another State.
``(2) Standards.--The Secretary shall establish such
standards as determined necessary by the Secretary to limit
and protect information submitted under such system and
ensure the privacy of such information, consistent with
subsection (a)(7).
``(3) Implementation funding.--There are appropriated to
the Secretary, out of amounts in the Treasury not otherwise
appropriated, in addition to amounts otherwise available--
``(A) for fiscal year 2026, $10,000,000 for purposes of
establishing the system and standards required under this
subsection, to remain available until expended; and
``(B) for fiscal year 2029, $20,000,000 for purposes of
maintaining such system, to remain available until expended.
``(vv) Process to Obtain Enrollee Address Information.--
``(1) In general.--For purposes of subsection (a)(88)(A), a
process to regularly obtain address information for
individuals enrolled under a State plan (or a waiver of such
plan) shall obtain address information from reliable data
sources described in paragraph (2) and take such actions as
the Secretary shall specify with respect to any changes to
such address based on such information.
``(2) Reliable data sources described.--For purposes of
paragraph (1), the reliable data sources described in this
paragraph are the following:
``(A) Mail returned to the State by the United States
Postal Service with a forwarding address.
``(B) The National Change of Address Database maintained by
the United States Postal Service.
``(C) A managed care entity (as defined in section
1932(a)(1)(B)) or prepaid inpatient health plan or prepaid
ambulatory health plan (as such terms are defined in section
1903(m)(9)(D)) that has a contract under the State plan if
the address information is provided to such entity or plan
directly from, or verified by such entity or plan directly
with, such individual.
``(D) Other data sources as identified by the State and
approved by the Secretary.''.
(2) Conforming amendments.--
(A) PARIS.--Section 1903(r)(3) of the Social Security Act
(42 U.S.C. 1396b(r)(3)) is amended--
(i) by striking ``In order'' and inserting ``(A) In
order'';
(ii) by striking ``through the Public'' and inserting
``through--
``(i) the Public'';
(iii) by striking the period at the end and inserting ``;
and
``(ii) beginning January 1, 2029, the system established by
the Secretary under section 1902(uu).''; and
(iv) by adding at the end the following new subparagraph:
``(B) Beginning January 1, 2029, the Secretary may
determine that a State is not required to have in operation
an eligibility determination system which provides for data
matching (for purposes of address verification under section
1902(vv)) through the system described in subparagraph (A)(i)
to meet the requirements of this paragraph.''.
(B) Managed care.--Section 1932 of the Social Security Act
(42 U.S.C. 1396u-2) is amended by adding at the end the
following new subsection:
``(j) Transmission of Address Information.--Beginning
January 1, 2027, each contract under a State plan with a
managed care entity (as defined in section 1932(a)(1)(B)) or
with a prepaid inpatient health plan or prepaid ambulatory
health plan (as such terms are defined in section
1903(m)(9)(D)), shall provide that such entity or plan shall
promptly transmit to the State any address information for an
individual enrolled with such entity or plan that is provided
to such entity or plan directly from, or verified by such
entity or plan directly with, such individual.''.
(b) CHIP.--
(1) In general.--Section 2107(e)(1) of the Social Security
Act (42 U.S.C. 1397gg(e)(1)) is amended--
(A) by redesignating subparagraphs (H) through (U) as
subparagraphs (I) through (V), respectively; and
(B) by inserting after subparagraph (G) the following new
subparagraph:
``(H) Section 1902(a)(88) (relating to address information
for enrollees and prevention of simultaneous enrollments).''.
(2) Managed care.--Section 2103(f)(3) of the Social
Security Act (42 U.S.C. 1397cc(f)(3)) is amended by striking
``and (e)'' and inserting ``(e), and (j)''.
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