Energy and Commerce Committee
- Referred To
Introduced: Jan 16, 2025
Latest action date: Jan 16, 2025
Latest development
Referred to the House Committee on Energy and Commerce.
Status detail: The most advanced recorded stage is committee consideration.
Plain-language overview
Medicaid Third Party Liability Act
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.
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Official CRS policy area
Health
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Checked against Congress.gov Sep 13, 2026.
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Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Recorded House and Senate votes connected to this bill. Your representatives appear first when available.
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