Medicaid State Plan Requirement for Determining Residency and Coverage for Military Families
Section 6103 · Sec. 6103 ·
What this chapter is about
This part adds a rule for military families who move because of orders. Starting January 1, 2030, the new state must count them as living there. They keep their spot on a waiting list for care at home. The law also gives money to put the rule in place.
The document says “requires”Who acts: State Medicaid agenciesHow: statuteSec. 6103 in the PDF
What the document says
“that, for purposes of determining eligibility for medical assistance under the State plan (or waiver of such plan), such active duty relocated individual is treated as a resident of the State unless such individual voluntarily elects not to be so treated for such purposes;”
Section 6103 adds a new paragraph (90) to section 1902(a) of the Social Security Act. Beginning January 1, 2030, a state plan must treat an active duty relocated individual as a resident of the State when deciding eligibility for medical assistance, unless the individual chooses otherwise.
What the document actually says
“that, for purposes of determining eligibility for medical assistance under the State plan (or waiver of such plan), such active duty relocated individual is treated as a resident of the State unless such individual voluntarily elects not to be so treated for such purposes;”
That sentence, in plain words
The new state must count the person as living there when it checks who can get care. The person may say no to that.
What this is about
A state health plan covers people who live in that state. A move can break that link. This part keeps it whole.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “requires”Who acts: State Medicaid agenciesHow: statuteSec. 6103 in the PDF
What the document says
“that if, at the time of relocation (as described in subsection (yy)(1)), such active duty relocated individual is on a home and community-based services waiting list (as defined in subsection (yy)(2)), such individual remains on such list until--”
The new paragraph requires that a person who was on a home and community-based services waiting list when relocated stays on that list, until the State completes an assessment and decides on eligibility when a slot opens and, if denied, the person has exhausted the opportunity for a fair hearing, or until the person elects to be removed.
What the document actually says
“that if, at the time of relocation (as described in subsection (yy)(1)), such active duty relocated individual is on a home and community-based services waiting list (as defined in subsection (yy)(2)), such individual remains on such list until--”
That sentence, in plain words
Say the person was on a wait list for care at home when the move came. That person stays on the list.
What this is about
Care at home is help with daily life so a person need not live in a nursing home. States cap how many can get it. So there are wait lists, and they can be long.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “requires”Who acts: State Medicaid agenciesHow: statuteSec. 6103 in the PDF
What the document says
“payment for medical assistance furnished under the State plan (or a waiver of the plan) on behalf of such active duty relocated individual in the military service relocation State (as referred to in subsection (yy)(1)(B)(i)), to the extent that such assistance is available in such military service relocation State”
The new paragraph also requires payment for medical assistance furnished on behalf of the relocated individual in the State the member moved to, so far as that assistance is available there, in accordance with such guidance as the Secretary of Health and Human Services may issue to ensure access.
What the document actually says
“payment for medical assistance furnished under the State plan (or a waiver of the plan) on behalf of such active duty relocated individual in the military service relocation State (as referred to in subsection (yy)(1)(B)(i)), to the extent that such assistance is available in such military service relocation State”
That sentence, in plain words
The plan pays for care given in the new state. It pays so far as that care can be had there.
What this is about
A family that moves can find its old plan will not pay in the new place. This part says the plan pays. The health chief may write guidance on how.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
“is a member of the Armed Forces engaged in active duty service and is relocated to another State (in this subsection referred to as the `military service relocation State') by reason of such service;”
New subsection (yy) of section 1902 defines active duty relocated individual. It covers an enrollee who is an active duty member of the Armed Forces relocated to another State by reason of that service, a member whose last day of active duty service was no more than 12 months ago, and a dependent as defined by the Secretary who relocates with such a member. The person must also have been receiving home and community-based services at the time of the move, or have been on the State's waiting list for them.
What the document actually says
“is a member of the Armed Forces engaged in active duty service and is relocated to another State (in this subsection referred to as the `military service relocation State') by reason of such service;”
That sentence, in plain words
This covers a member of the Armed Forces on active duty. The member is moved to another state because of that service.
What this is about
The rule also reaches a member who left active duty in the past year. It reaches family members who move with them.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “shall”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 6103 in the PDF
What the document says
“There are appropriated, out of any funds in the Treasury not otherwise obligated, $1,000,000 for each of fiscal years 2026 through 2030, to remain available until expended, to the Secretary of Health and Human Services for purposes of implementing the amendments made by subsection (a).”
Subsection (b) of section 6103 appropriates $1,000,000 for each of fiscal years 2026 through 2030, to remain available until expended, to the Secretary of Health and Human Services to implement the amendments made by subsection (a).
What the document actually says
“There are appropriated, out of any funds in the Treasury not otherwise obligated, $1,000,000 for each of fiscal years 2026 through 2030, to remain available until expended, to the Secretary of Health and Human Services for purposes of implementing the amendments made by subsection (a).”
That sentence, in plain words
One million dollars goes to the health chief for each year from 2026 through 2030. It may be held until it is spent.
What this is about
A new rule takes work to set up. This money pays for that work. Funds that stay available do not lapse at year end.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The main things the section does: add paragraph (90) to section 1902(a) of the Social Security Act with its three requirements, add subsection (yy) defining the two terms it uses, and appropriate implementation funding.
The definitions clause by clause, and the mechanical amendments moving the word and and a period between paragraphs.
The section amends the Social Security Act and points at the American Rescue Plan Act of 2021 for one definition. Neither is indexed here, so what those provisions otherwise say is not recorded on this site.
