Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act

Bill 117 HR 7997, also known as the Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act, aims to address disparities in healthcare coverage for individuals who are eligible for both Medicare and Medicaid, known as dual eligible beneficiaries. These individuals often face challenges in accessing and coordinating their healthcare services due to the separate nature of the two programs.

The bill seeks to improve the coordination of care for dual eligible beneficiaries by requiring the Centers for Medicare & Medicaid Services (CMS) to establish a process for states to align their Medicare and Medicaid programs. This would include streamlining enrollment processes, improving data sharing between the two programs, and ensuring that beneficiaries receive the full range of services they are entitled to under both programs.

Additionally, the bill aims to address disparities in coverage and access to care for dual eligible beneficiaries by requiring CMS to develop and implement strategies to reduce barriers to care, such as prior authorization requirements and network restrictions. The goal is to ensure that dual eligible beneficiaries have equal access to high-quality healthcare services regardless of whether they are receiving care through Medicare or Medicaid. Overall, the Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act seeks to improve the quality of care and outcomes for individuals who are eligible for both Medicare and Medicaid by addressing the systemic barriers that currently exist in the healthcare system. By promoting greater coordination and alignment between the two programs, the bill aims to achieve greater equity in the treatment of dual eligible beneficiaries.