Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill amends the Social Security Act to prevent group health plans from recouping payments made for services under specific circumstances. The legislation targets situations where an individual is entitled to Medicare benefits, particularly when Medicare Part A coverage is applied retroactively . Specifically, if a group health plan initially pays for an item or service without considering the individual's Medicare entitlement, it is prohibited from later recouping that payment solely because the individual was retroactively covered by Medicare. This protection applies only if the service was furnished during the period of retroactive Medicare Part A coverage and the individual was not delinquent on their employee contributions to the group health plan at the time of service.
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Timeline
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Health
No Medicare Clawbacks Act of 2026
USA119th CongressHR-9532| House
| Updated: 6/29/2026
This bill amends the Social Security Act to prevent group health plans from recouping payments made for services under specific circumstances. The legislation targets situations where an individual is entitled to Medicare benefits, particularly when Medicare Part A coverage is applied retroactively . Specifically, if a group health plan initially pays for an item or service without considering the individual's Medicare entitlement, it is prohibited from later recouping that payment solely because the individual was retroactively covered by Medicare. This protection applies only if the service was furnished during the period of retroactive Medicare Part A coverage and the individual was not delinquent on their employee contributions to the group health plan at the time of service.
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Timeline
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.