Legis Daily

Medicaid Third Party Liability Act

USA118th CongressHR-5584| House 
| Updated: 9/22/2023
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.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

HR 117-6622
Medicaid Third Party Liability Act
Sep 20, 2023
Introduced in House
Sep 20, 2023
Referred to the House Committee on Energy and Commerce.
Sep 22, 2023
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    HR 117-6622
    Medicaid Third Party Liability Act


  • September 20, 2023
    Introduced in House


  • September 20, 2023
    Referred to the House Committee on Energy and Commerce.


  • September 22, 2023
    Referred to the Subcommittee on Health.

Health

Child healthHealth care costs and insuranceMedicaidState and local government operations

Medicaid Third Party Liability Act

USA118th CongressHR-5584| House 
| Updated: 9/22/2023
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

Bill from Previous Congress

HR 117-6622
Medicaid Third Party Liability Act
Sep 20, 2023
Introduced in House
Sep 20, 2023
Referred to the House Committee on Energy and Commerce.
Sep 22, 2023
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    HR 117-6622
    Medicaid Third Party Liability Act


  • September 20, 2023
    Introduced in House


  • September 20, 2023
    Referred to the House Committee on Energy and Commerce.


  • September 22, 2023
    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