Health plans must pass addresses to the state from January 1, 2027
To provide for reconciliation pursuant to title II of H. Con. Res. 14, section 71103, Sec. 71103.
Written by .
Health plans must pass addresses to the state from January 1, 2027
The document says “shall”Who acts: managed care entities and prepaid health plansHow: statuteSec. 71103 in the PDF
What the document says
“shall provide that such entity or plan shall promptly transmit to the State any address information for an individual enrolled with such entity or plan that is provided to such entity or plan directly from, or verified by such entity or plan directly with, such individual.”
The section adds a new subsection (j) to section 1932 of the Social Security Act requiring every contract from January 1, 2027 with a managed care entity or a prepaid inpatient or ambulatory health plan to require the plan to pass the State any address information it gets straight from the person or checks with them. It also amends section 2103(f)(3) so that the duty carries into the children's health program.
What the document actually says
“shall provide that such entity or plan shall promptly transmit to the State any address information for an individual enrolled with such entity or plan that is provided to such entity or plan directly from, or verified by such entity or plan directly with, such individual.”
That sentence, in plain words
The plan must pass any address on to the state. It must do so at once. The address must have come from the person or been checked with them.
What this is about
Every such contract must say so. The rule starts on January 1, 2027. It also reaches children's health plans.
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Provide for reconciliation pursuant to title II of H. Con. Res. 14, Public Law 119-21, sec. 71103, 139 Stat. 291 (2025). https://www.govinfo.gov/content/pkg/PLAW-119publ21/html/PLAW-119publ21.htm
This page
“Health plans must pass addresses to the state from January 1, 2027,” Provide for reconciliation pursuant to title II of H. Con. Res. 14, section 71103, Sec. 71103. Read the Mandate, https://readthemandate.org/pl-119-21/proposal/sec71103-managed-care/ (retrieved October 10, 2026).
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