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Medicaid Improvement and State Flexibility Act of 2025

3/5/2025, 5:08 AM

Summary of Bill HR 936

Bill 119 HR 936, also known as the "Medicaid Waiver Approval and Implementation Act," aims to make changes to title XI of the Social Security Act in order to allow states to have more control over the approval and implementation of waivers under the Medicaid program.

The bill seeks to streamline the process for states to request and receive approval for waivers that would allow them to make changes to their Medicaid programs. This would give states more flexibility in how they administer Medicaid, potentially leading to more efficient and effective healthcare services for Medicaid beneficiaries.

The bill emphasizes the importance of state input and approval in the waiver process, recognizing that states are in the best position to understand the needs of their Medicaid populations and tailor their programs accordingly. By allowing states to have more control over waivers, the bill aims to promote innovation and experimentation in Medicaid programs, ultimately improving the quality of care for Medicaid beneficiaries. Overall, Bill 119 HR 936 seeks to empower states to better meet the healthcare needs of their Medicaid populations by giving them more authority over the approval and implementation of waivers under the Medicaid program.

Congressional Summary of HR 936

Medicaid Improvement and State Flexibility Act of 2025

This bill authorizes states to approve their own experimental, pilot, or demonstration project under Medicaid if the project provides certain benefits involving electronic benefits transfer (EBT) cards. (Currently, the Centers for Medicare & Medicaid Services approves Medicaid demonstration projects; such projects are also known as Section 1115 Demonstrations.)

Specifically, the project must provide enrollees who elect to participate with an EBT card to purchase primary care services; enrollees must receive any remaining balance at the end of the year in the form of a cash payment and must also obtain catastrophic health insurance.

Current Status of Bill HR 936

Bill HR 936 is currently in the status of Bill Introduced since February 4, 2025. Bill HR 936 was introduced during Congress 119 and was introduced to the House on February 4, 2025.  Bill HR 936's most recent activity was Referred to the House Committee on Energy and Commerce. as of February 4, 2025

Bipartisan Support of Bill HR 936

Total Number of Sponsors
2
Democrat Sponsors
0
Republican Sponsors
2
Unaffiliated Sponsors
0
Total Number of Cosponsors
1
Democrat Cosponsors
0
Republican Cosponsors
1
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 936

Primary Policy Focus

Alternate Title(s) of Bill HR 936

To amend title XI of the Social Security Act to provide for State approval and implementation of specified waivers under the Medicaid program.
To amend title XI of the Social Security Act to provide for State approval and implementation of specified waivers under the Medicaid program.

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