This part makes states recheck some Medicaid cases every six months. It covers people in the expansion group. It starts with rechecks due after 2026. The agency gets $75 million to carry it out.
“a State shall make such a redetermination once every 6 months for the following individuals:”
The section adds a new subparagraph (L) to section 1902(e)(14) of the Social Security Act (42 U.S.C. 1396a(e)(14)) requiring a State, for redeterminations scheduled on or after the first day of the first quarter beginning after December 31, 2026, to redetermine eligibility every six months for individuals enrolled under section 1902(a)(10)(A)(i)(VIII) and for individuals described there who are enrolled under a waiver giving coverage equivalent to minimum essential coverage. The requirement does not apply to an individual described in subsection (xx)(9)(A)(ii)(II), and State means one of the 50 States or the District of Columbia.
What the document actually says
“a State shall make such a redetermination once every 6 months for the following individuals:”
That sentence, in plain words
The state must recheck a case every six months. The list that follows says whose.
What this is about
It covers people in the Medicaid expansion group. It also covers some people under a waiver. One group is left out by name.
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 Services, Administrator of the Centers for Medicare & Medicaid ServicesHow: statuteSec. 71107 in the PDF
What the document says
“shall issue guidance relating to the implementation of the amendments made by this section.”
The section requires the Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, to issue implementation guidance within 180 days of enactment, and appropriates $75,000,000 for fiscal year 2026 to that Administrator, to remain available until expended, to carry the section out.
What the document actually says
“shall issue guidance relating to the implementation of the amendments made by this section.”
That sentence, in plain words
The agency must issue guidance. It must cover how the changes are put in place.
What this is about
That is due within 180 days of this law. The agency also gets $75 million for fiscal year 2026. The money stays there until spent.
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.
Each distinct thing the section does: require six month redeterminations for the named groups, set the exemption and define State for the subparagraph, require guidance within 180 days, and appropriate implementation funding.
Nothing in the section is left out. It has three subsections and each is recorded.
The section works by amending section 1902(e)(14) of the Social Security Act and points to section 5000A(f)(1)(A) of the Internal Revenue Code of 1986, neither of which is indexed here.
