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Medicaid Third Party Liability Act

USA117th CongressHR-6622| House 
| Updated: 2/8/2022
Michael C. Burgess

Michael C. Burgess

Republican Representative

Texas

Health Subcommittee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Medicaid Third Party Liability Act This bill modifies requirements relating to Medicaid third-party liability. Current law generally requires legally liable third parties (e.g., health insurers) to pay claims before Medicaid. However, Medicaid must pay first (and seek reimbursement from liable third parties) for claims for (1) preventive pediatric care, and (2) services for an individual for whom child support enforcement is being conducted by the state. The bill repeals these exceptions. Current law also requires state Medicaid programs to take all reasonable measures to identify legally liable third parties. The bill specifically prohibits federal Medicaid payment for services to individuals for whom third-party insurance information was not obtained and verified by the state.
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Timeline
Feb 7, 2022
Introduced in House
Feb 7, 2022
Referred to the House Committee on Energy and Commerce.
Feb 8, 2022
Referred to the Subcommittee on Health.
  • February 7, 2022
    Introduced in House


  • February 7, 2022
    Referred to the House Committee on Energy and Commerce.


  • February 8, 2022
    Referred to the Subcommittee on Health.

Health

Child healthHealth care costs and insuranceMedicaidState and local government operations

Medicaid Third Party Liability Act

USA117th CongressHR-6622| House 
| Updated: 2/8/2022
Medicaid Third Party Liability Act This bill modifies requirements relating to Medicaid third-party liability. Current law generally requires legally liable third parties (e.g., health insurers) to pay claims before Medicaid. However, Medicaid must pay first (and seek reimbursement from liable third parties) for claims for (1) preventive pediatric care, and (2) services for an individual for whom child support enforcement is being conducted by the state. The bill repeals these exceptions. Current law also requires state Medicaid programs to take all reasonable measures to identify legally liable third parties. The bill specifically prohibits federal Medicaid payment for services to individuals for whom third-party insurance information was not obtained and verified by the state.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Feb 7, 2022
Introduced in House
Feb 7, 2022
Referred to the House Committee on Energy and Commerce.
Feb 8, 2022
Referred to the Subcommittee on Health.
  • February 7, 2022
    Introduced in House


  • February 7, 2022
    Referred to the House Committee on Energy and Commerce.


  • February 8, 2022
    Referred to the Subcommittee on Health.
Michael C. Burgess

Michael C. Burgess

Republican Representative

Texas

Health Subcommittee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Child healthHealth care costs and insuranceMedicaidState and local government operations