H.R. 1151House115th Congress (2017-2019)In Committee

Encouraging the Prioritization of the Most Vulnerable Act

Introduced February 16, 2017

AI-Generated Summary

Updated April 15, 2026 at 12:55 PM UTC

The Encouraging the Prioritization of the Most Vulnerable Act would amend the Medicaid provisions of the Social Security Act to require more transparency and data collection for Medicaid demonstration projects. It directs the Centers for Medicare & Medicaid Services (CMS) to publicly share how these projects focus on the most vulnerable populations—such as the uninsured, Medicaid‑eligible individuals, and those with household incomes at or below 150 % of the poverty line—and to assess whether they duplicate other federal programs or displace private and charitable efforts. The changes apply to project applications submitted on or after January 1, 2021.

Key Provisions

  • Adds a new subsection to Section 1115 of the Social Security Act requiring the Secretary to post on the CMS website how Medicaid demonstration projects prioritize vulnerable groups.
  • Mandates CMS to collect, when practicable, data from states on the quality of care and health outcomes for individuals served by these projects.
  • Requires CMS to post information showing whether a Medicaid demonstration project duplicates existing federal programs or funding opportunities.
  • Calls for collection of an analysis, when practicable, on whether the project displaces private‑sector or charitable efforts aimed at improving care for the same vulnerable populations.

Legislative Activity

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2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

February 17, 2017

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HouseIntro Referral

Introduced in House

February 16, 2017

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

February 16, 2017

HouseCommittee

Referred to the Subcommittee on Health.

February 17, 2017

Floor Debate

5 members

What members said about H.R. 1151 on the floor

4 Republicans1 Democrat
Edward R. Royce
Rep. Edward R. RoyceR-CA-39 · Jan 9, 2018

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 3320) to direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization,…

Ted S. Yoho
Rep. Ted S. YohoR-FL-3 · Jan 9, 2018

Mr. Speaker, I thank the chairman, Mr. Royce, for offering this bill, or the opportunity to offer this bill. I would also like to say I, too, support H.R. 535, the Taiwan Travel Act. Mr. Speaker, I…

Brad Sherman
Rep. Brad ShermanD-CA-30 · Jan 9, 2018

Mr. Speaker, I yield myself such time as I may consume. I rise in support of H.R. 3320. Clearly, Taiwan should be a full member of the World Health Organization. All nations should be full members of…

Christopher H. Smith
Rep. Christopher H. SmithR-NJ-4 · Jan 9, 2018

Mr. Speaker, I rise today in support of two critical pieces of legislation, H.R. 535 and H.R. 3320. These bills are important to U.S. national security because the spread of pandemics do not respect…

Ileana Ros-Lehtinen
Rep. Ileana Ros-LehtinenR-FL-27 · Jan 9, 2018

Mr. Speaker, I thank our esteemed chairman for this time, and I want to thank my Florida colleague, Ted Yoho, the chairman of the Subcommittee on Asia and the Pacific, for offering this important…

Bill Text

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Introduced in HouseIssued February 16, 2017

I

115th CONGRESS

1st Session

H. R. 1151

IN THE HOUSE OF REPRESENTATIVES

February 16, 2017

Mr. Hudson introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to encourage the prioritization of the most vulnerable individuals under the Medicaid program.

1.

Short title

This Act may be cited as the Encouraging the Prioritization of the Most Vulnerable Act.

2.

Encouraging Medicaid demonstration projects to Focus on the most vulnerable patients

(a)

In general

Section 1115 of the Social Security Act (42 U.S.C. 1315) is amended by adding at the end the following new subsection:

(g)

In making a determination using the authority under paragraph (2)(A) of subsection (a) (relating to treating costs that would not otherwise be included as expenditures under section 1903 and which are not included as part of the costs of projects under section 1110 as expenditures under the State plan or plans approved under title XIX) to approve an application or renewal of any experimental, pilot, or demonstration project undertaken under such subsection to promote the objectives of title XIX (referred to in this subsection as a Medicaid demonstration project), the Secretary shall—

(1)

post on the website of the Centers for Medicare & Medicaid Services information regarding how any such approval prioritizes projects or programs have proven to be effective in improving the care or health outcomes of individuals who are uninsured, individuals eligible to receive medical assistance under a State plan under title XIX, or individuals whose household income does not exceed 150 percent of the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved;

(2)

collect from the State submitting such application or renewal, to the extent practicable, available data regarding the quality of care or health outcomes for the individuals served by such Medicaid demonstration project;

(3)

post on the website of the Centers for Medicare & Medicaid Services information regarding how such Medicaid demonstration project does not duplicate other Federal programs or Federal funding opportunities; and

(4)

collect from the State submitting such application or renewal, to the extent practicable, an analysis of the degree to which such Medicaid demonstration project, if at all, displaces efforts undertaken by private sector and charitable sector entities in such State to improve care and health outcomes for the individuals described in paragraph (1).

.

(b)

Effective date

The amendment made by subsection (a) shall apply with respect to applications or renewals submitted on or after January 1, 2021.