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H.R. 4005 - Medicaid Reentry Act

Sponsor: Paul Tonko (D)
Introduced: 2018-06-20
Bill Status: Received in the Senate and Read twice and referred to the Committee on Finance.
 

Medicaid Reentry Act

This bill requires the Centers for Medicare & Medicaid Services (CMS) to convene a stakeholder workgroup in order to develop best practices for states to: (1) ease the health care transition of inmates released from public institutions (such as by ensuring continuity of health insurance or Medicaid coverage), and (2) implement transitional measures within 30 days of an inmate's release. The CMS must also issue a letter to states outlining opportunities for Medicaid demonstration waivers based on identified best practices.

Full Text


115th CONGRESS
2d Session
H. R. 4005


IN THE SENATE OF THE UNITED STATES

June 20, 2018

    Received; read twice and referred to the Committee on Finance


AN ACT

    To promote State innovations to ease transitions to the community for individuals who are inmates of a public institution and eligible for medical assistance under the Medicaid program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Medicaid Reentry Act”.

SEC. 2. Promoting State innovations to ease transitions integration to the community for certain individuals.

(a) Stakeholder group development of best practices; Medicaid Innovation Accelerator Program.—

(1) STAKEHOLDER GROUP BEST PRACTICES.—Not later than 6 months after the date of the enactment of this Act, the Secretary of Health and Human Services shall convene a stakeholder group of representatives of managed care organizations, Medicaid beneficiaries, health care providers, the National Association of Medicaid Directors, and other relevant representatives from local, State, and Federal jail and prison systems to develop best practices (and submit to the Secretary and Congress a report on such best practices) for States—

(A) to ease the health care-related transition of an individual who is an inmate of a public institution from the public institution to the community, including best practices for ensuring continuity of health insurance coverage or coverage under the State Medicaid plan under title XIX of the Social Security Act, as applicable, and relevant social services; and

(B) to carry out, with respect to such an individual, such health care-related transition not later than 30 days after such individual is released from the public institution.

(2) STATE MEDICAID PROGRAM INNOVATION.—The Secretary of Health and Human Services shall work with States on innovative strategies to help individuals who are inmates of public institutions and otherwise eligible for medical assistance under the Medicaid program under title XIX of the Social Security Act transition, with respect to enrollment for medical assistance under such program, seamlessly to the community.

(b) Guidance on innovative service delivery systems demonstration project opportunities.—Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services, through the Administrator of the Centers for Medicare & Medicaid Services, shall issue a State Medicaid Director letter, based on best practices developed under subsection (a)(1), regarding opportunities to design demonstration projects under section 1115 of the Social Security Act (42 U.S.C. 1315) to improve care transitions for certain individuals who are soon-to-be former inmates of a public institution and who are otherwise eligible to receive medical assistance under title XIX of such Act, including systems for, with respect to a period (not to exceed 30 days) immediately prior to the day on which such individuals are expected to be released from such institution—

(1) providing assistance and education for enrollment under a State plan under the Medicaid program under title XIX of such Act for such individuals during such period; and

(2) providing health care services for such individuals during such period.

(c) Rule of construction.—Nothing under title XIX of the Social Security Act or any other provision of law precludes a State from reclassifying or suspending (rather than terminating) eligibility of an individual for medical assistance under title XIX of the Social Security Act while such individual is an inmate of a public institution.

Passed the House of Representatives June 19, 2018.

    Attest:karen l. haas,   
    Clerk.

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