No project may be approved without an actuary certification
What the document says“the Secretary may not approve an application for (or renewal or amendment of) an experimental, pilot, or demonstration project undertaken under subsection (a) to promote the objectives of title XIX in a State”
The section adds a new subsection (g) to section 1115 of the Social Security Act (42 U.S.C. 1315) barring the Secretary, from January 1, 2027, from approving an application, renewal or amendment for a Medicaid demonstration project unless the Chief Actuary for the Centers for Medicare & Medicaid Services certifies that it is not expected to raise federal spending above what it would otherwise be. Spending for people and services the State could have covered under its plan or other authority counts as spending in the absence of the project, including where the service would be given at a different site.
What the document actually says“the Secretary may not approve an application for (or renewal or amendment of) an experimental, pilot, or demonstration project undertaken under subsection (a) to promote the objectives of title XIX in a State”
The Secretary may not approve such a project. That covers a new one, a renewal and a change.
From January 1, 2027 a certificate is needed first. The chief actuary must give it. It must say federal spending will not rise.
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.