119-hr1403

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1403 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 1403

 To amend title XIX of the Social Security Act to require States to 
 verify certain eligibility criteria for individuals enrolled for 
 medical assistance quarterly, and for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 February 18, 2025

 Mr. Bilirakis (for himself and Ms. Craig) introduced the following 
 bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

 A BILL

 To amend title XIX of the Social Security Act to require States to 
 verify certain eligibility criteria for individuals enrolled for 
 medical assistance quarterly, and for other purposes.

 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 ``Leveraging Integrity and 
Verification of Eligibility for Beneficiaries Act'' or the ``LIVE 
Beneficiaries Act''.

SEC. 2. MODIFYING CERTAIN STATE REQUIREMENTS FOR ENSURING DECEASED 
 INDIVIDUALS DO NOT REMAIN ENROLLED.

 

Section 1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended--

    (1) in subsection

    (a) --
        (A) in paragraph

    (86) , by striking ``; and'' and 
 inserting a semicolon;
        (B) in paragraph

    (87)
            (D) , by striking the period at 
 the end and inserting ``; and''; and
            (C) by inserting after paragraph

    (87) the following 
 new paragraph:
 ``

    (88) provide that the State shall comply with the 
 eligibility verification requirements under subsection

    (uu) , 
 except that this paragraph shall apply only in the case of the 
 50 States and the District of Columbia.''; and

    (2) by adding at the end the following new subsection:
 ``

    (uu) Verification of Certain Eligibility Criteria.--
 ``

    (1) In general.--For purposes of subsection

    (a)

    (88) , the 
 eligibility verification requirements, beginning January 1, 
 2027, are as follows:
 ``
        (A) Quarterly screening to verify enrollee 
 status.--The State shall, not less frequently than 
 quarterly, review the Death Master File (as such term 
 is defined in 

section 203
            (d) of the Bipartisan Budget 
 Act of 2013) to determine whether any individuals 
 enrolled for medical assistance under the State plan 
 (or waiver of such plan) are deceased.
 ``
        (B) Disenrollment under state plan.--If the State 
 determines, based on information obtained from the 
 Death Master File, that an individual enrolled for 
 medical assistance under the State plan (or waiver of 
 such plan) is deceased, the State shall--
 ``
            (i) treat such information as factual 
 information confirming the death of a 
 beneficiary for purposes of 

section 431.213

    (a) of title 42, Code of Federal Regulations (or 
 any successor regulation);
 ``
            (ii) disenroll such individual from the 
 State plan (or waiver of such plan); and
 ``
            (iii) discontinue any payments for 
 medical assistance under this title made on 
 behalf of such individual (other than payments 
 for any items or services furnished to such 
 individual prior to the death of such 
 individual).
 ``
            (C) Reinstatement of coverage in the event of 
 error.--If a State determines that an individual was 
 misidentified as deceased based on information obtained 
 from the Death Master File, and was erroneously 
 disenrolled from medical assistance under the State 
 plan (or waiver of such plan) based on such 
 misidentification, the State shall immediately re-
 enroll such individual under the State plan (or waiver 
 of such plan), retroactive to the date of such 
 disenrollment.
 ``

    (2) Rule of construction.--Nothing under this subsection 
 shall be construed to preclude the ability of a State to use 
 other electronic data sources to timely identify potentially 
 deceased beneficiaries, so long as the State is also in 
 compliance with the requirements of this subsection (and all 
 other requirements under this title relating to Medicaid 
 eligibility determination and redetermination).''.
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