“such assistance will be made available to the individual for care and services included under the plan and furnished in or after the month before the month in which the individual made application”
The section rewrites section 1902(a)(34) of the Social Security Act (42 U.S.C. 1396a(a)(34)) so that for a person enrolled under the expansion group in paragraph (10)(A)(i)(VIII) cover reaches care given in or after the month before the month of application, and for everyone else in or after the second month before that month, in each case where the person was or would have been eligible when the care was given. A deceased person's application may be made on their behalf.
What the document actually says
“such assistance will be made available to the individual for care and services included under the plan and furnished in or after the month before the month in which the individual made application”
That sentence, in plain words
Cover reaches care given from the month before. That is the month before the claim went in.
What this is about
That shorter reach is for the expansion group. Everyone else gets two months. The person must have qualified when the care was given.
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.
Provide for reconciliation pursuant to title II of H. Con. Res. 14, Public Law 119-21, sec. 71112, 139 Stat. 298 (2025). https://www.govinfo.gov/content/pkg/PLAW-119publ21/html/PLAW-119publ21.htm
This page
“Cover reaches back one month for the expansion group and two for others,” Provide for reconciliation pursuant to title II of H. Con. Res. 14, section 71112, Sec. 71112. Read the Mandate, https://readthemandate.org/pl-119-21/proposal/sec71112-lookback/ (retrieved October 10, 2026).
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