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Politiparty

119th Congress Health

H.R. 497: Medicaid Third Party Liability Act

Introduced

  1. Introduced (completed)Jan 16, 2025
  2. Passed House (not reached)
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in House, Jan 16, 2025

This bill modifies requirements relating to Medicaid third-party liability.

Current law generally requires legally liable third parties (e.g., health insurers) to pay claims before Medicaid. However, Medicaid must pay first (and seek reimbursement from liable third parties) for claims for (1) preventive pediatric care, and (2) services for an individual for whom child support enforcement is being conducted by the state. The bill repeals these exceptions.

Current law also requires state Medicaid programs to take all reasonable measures to identify legally liable third parties. The bill specifically prohibits federal Medicaid payment for services to individuals for whom third-party insurance information was not obtained and verified by the state.

Written by the Congressional Research Service, Library of Congress.

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Amendments

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Other bills by Dan Crenshaw

History

  1. Jan 16, 2025Introduced in the House by Dan Crenshaw.
Show the full action history (2 actions)
  1. Jan 16, 2025Introduced in House
  2. Jan 16, 2025Referred to the House Committee on Energy and Commerce.