Stabilize Medicaid and CHIP Coverage Act
- Bill Number
- H.R. 4028
- Origin Chamber
- House
- Congress
- 119th Congress, Session 1
- Policy Area
- Health
- Status
- Introduced
- Latest Action
- 2025-06-17: Referred to the House Committee on Energy and Commerce.
- Last Updated
- 2025-12-06T06:59:06Z
AI-Generated Summary
Purpose
This legislation aims to ensure stable health coverage by requiring 12-month continuous enrollment for individuals in the Medicaid program and Children's Health Insurance Program (CHIP), extending this protection beyond children to all eligible people.
Key Provisions
- Medicaid Amendment: Modifies Section 1902(e)(12) of the Social Security Act to remove the age restriction (previously limited to those under 19), allowing continuous enrollment for all individuals without interruption due to changes in income or circumstances.
- CHIP Amendment: Updates Section 2107(e)(1)(K) to apply continuous enrollment to any "individual" rather than only "targeted low-income child," and adjusts related language accordingly.
- Effective Date: Changes take effect on the first day of the first fiscal quarter beginning at least one year after the bill's enactment.
Significant Changes to Existing Law
- Builds on the Consolidated Appropriations Act, 2023, which introduced continuous enrollment for children; this bill removes the child-only limitation, broadening the policy to adults.
- Eliminates prior subparagraph distinctions that restricted eligibility continuity based on age.
Potential Impacts
- Government Agencies: States and the Centers for Medicare & Medicaid Services (CMS) may face increased administrative and funding responsibilities to maintain coverage for longer periods.
- Citizens: Eligible individuals gain greater stability in health insurance, potentially reducing gaps in coverage that could affect access to care.
- International Relations: No direct effects identified.
Main Stakeholders Affected
- Medicaid and CHIP enrollees (including adults and families).
- State governments responsible for program administration.
- Federal agencies like CMS overseeing implementation.
- Healthcare providers and insurers serving these populations.
Notable Legal, Constitutional, or Political Implications
- Represents an expansion of federal requirements on state-run programs under the Social Security Act, which could raise questions about state flexibility in eligibility determinations.
- May involve budgetary implications through extended coverage periods, potentially affecting appropriations without altering constitutional structures.
This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.
Sponsor
Cosponsors (1)
Recent Actions
- 2025-06-17: Referred to the House Committee on Energy and Commerce.
- 2025-06-17: Introduced in House
- 2025-06-17: Introduced in House
Bill Versions
- Stabilize Medicaid and CHIP Coverage Act — issued 2025-06-17 — PDF (3 pages)