Sec. 71107. Eligibility redeterminations
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/bill/119/hr/1/eas/section-71107A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
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: Subject to clause (ii), with respect to redeterminations of eligibility for medical assistance under a State plan (or waiver of such plan) scheduled on or after the first day of the first quarter that begins after December 31, 2026, a State shall make such a redetermination once every 6 months for the following individuals: Individuals enrolled under subsection (a)(10)(A)(i)(VIII).
Individuals described in such subsection who are otherwise enrolled under a waiver of such plan that provides coverage that is equivalent to minimum essential coverage (as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and determined in accordance with standards prescribed by the Secretary in regulations) to all individuals described in subsection (a)(10)(A)(i)(VIII). The requirements described in clause
(i)shall not apply to any individual described in subsection (xx)(9)(A)(ii)(II). For purposes of this subparagraph, the term State means 1 of the 50 States or the District of Columbia. . Not later than 180 days after the date of enactment of this section, the Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, shall issue guidance relating to the implementation of the amendments made by this section. For the purposes of carrying out the provisions of, and the amendments made by, this section, there are appropriated, out of any monies in the Treasury not otherwise appropriated, to the Administrator of the Centers for Medicare & Medicaid Services, $75,000,000 for fiscal year 2026, to remain available until expended.
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Sec. 71107
Eligibility redeterminations
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