H.R. 1019House119th Congress (2025-2027)In Committee

Medicaid Program Improvement Act

AI-Generated Summary

Updated November 24, 2025 at 2:59 AM UTC

The Medicaid Program Improvement Act changes the Medicaid law to make sure the address information for people enrolled in Medicaid is accurate and up‑to‑date. Starting January 1, 2026, states must regularly obtain address data from reliable sources and update their records when changes are found. The rule also extends to the Children’s Health Insurance Program (CHIP) and requires managed‑care organizations to send any updated address information to the state.

Key Provisions

Adds a new requirement (paragraph 88) that, beginning Jan. 1, 2026, each state must regularly get address information for Medicaid enrollees from reliable data sources and update records accordingly, applying to the 50 states and DC.
Amends the CHIP statute to reference the new Medicaid address‑information requirement, ensuring CHIP enrollees are covered by the same address‑verification process.
Requires contracts with managed‑care entities to include a clause that the entity must transmit any address information it receives or verifies directly from an enrollee to the state, effective Jan. 1, 2026.

Legislative Activity

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HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

February 5, 2025

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HouseIntro Referral

Introduced in House

February 5, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

February 5, 2025

Bill Text

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Introduced in HouseIssued February 5, 2025

119th CONGRESS

1st Session

H. R. 1019

IN THE HOUSE OF REPRESENTATIVES

February 5, 2025

Mrs. Miller-Meeks (for herself and Mrs. Dingell) 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 ensure the reliability of address information provided under the Medicaid program.

Short title

This Act may be cited as the Medicaid Program Improvement Act.

Ensuring the reliability of address information provided under the Medicaid program

(a)

In general

Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—

(1)

in paragraph (86), by striking and at the end;

(2)

in paragraph (87)(D), by striking the period at the end and inserting ; and; and

(3)

by inserting after paragraph (87) the following new paragraph:

(88)

beginning January 1, 2026, provide for a process to regularly obtain address information for individuals enrolled under such plan (or a waiver of such plan) from reliable data sources (as described in section 435.919(f)(1)(iii) of title 42, Code of Federal Regulations (or a successor regulation)) and act on any changes to such an address based on such information in accordance with such section (or successor regulation), except that this paragraph shall only apply in the case of the 50 States and the District of Columbia.

(b)

Application to CHIP

Section 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is amended—

(1)

by redesignating subparagraphs (H) through (U) as subparagraphs (I) through (V), respectively; and

(2)

by inserting after subparagraph (G) the following new subparagraph:

(H)

Section 1902(a)(88) (relating to regularly obtaining address information for enrollees).

(c)

Ensuring transmission of address information from managed care organizations

Section 1932 of the Social Security Act (42 U.S.C. 1396u–2) is amended by adding at the end the following new subsection:

(j)

Transmission of address information

Beginning January 1, 2026, each contract under a State plan with a managed care entity under section 1903(m) shall provide that the entity transmits to the State any address information for an individual enrolled with the entity that is provided to such entity directly from, or verified by such entity directly with, such individual.