United States 115th Congress Status: In Committee 1 D cosponsors

HR 1925 — At-Risk Youth Medicaid Protection Act of 2018

Last action — Placed on the Union Calendar, Calendar No. 572.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 115th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

At-Risk Youth Medicaid Protection Act of 2018 This bill prohibits a state Medicaid program from terminating a juvenile's medical assistance eligibility because the juvenile is incarcerated. A state may suspend coverage while the juvenile is an inmate, but must reevaluate the juvenile's eligibility prior to the juvenile's release (without requiring a new application) and, if appropriate, restore coverage upon release. A state must also process an application submitted by, or on behalf of, an incarcerated juvenile in a manner that ensures the juvenile's eligibility is determined upon release. A "juvenile" is an individual who: (1) is under 21 years of age; or (2) has aged out of the state's foster care system, was enrolled in the state plan while in foster care, and is under 26 years of age.

Bill Text

What changed in the latest version

53 added · 27 removed

Plain-language change summary

The amendments to H.R. 1925 modify how medical assistance is handled for eligible juveniles who are inmates of public institutions. The updated text includes a requirement for states to conduct a redetermination of eligibility before the juvenile's release from such institutions, while previous language mandated restoration of coverage upon release without requiring a new application. This change means that juveniles may face a review process that could impact their access to medical assistance immediately after leaving an institution.

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1925 Introduced in House (IH)] <DOC> 115th CONGRESS 1st Session H.
1925 Reported in House (RH)] <DOC> Union Calendar No.
572 115th CONGRESS 2d Session H.
1925 To amend title XIX of the Social Security Act to protect at-risk youth against termination of Medicaid eligibility while an inmate of a public institution.
1925 [Report No.
115-738] To amend title XIX of the Social Security Act to protect at-risk youth against termination of Medicaid eligibility while an inmate of a public institution.
which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to protect at-risk youth against termination of Medicaid eligibility while an inmate of a public institution.
which was referred to the Committee on Energy and Commerce June 12, 2018 Additional sponsor:
Mr.
Walden June 12, 2018 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed [Strike out all after the enacting clause and insert the part printed in italic] [For text of introduced bill, see copy of bill as introduced on April 5, 2017] _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to protect at-risk youth against termination of Medicaid eligibility while an inmate of a public institution.
This Act may be cited as the ``At-Risk Youth Medicaid Protection Act of 2017''.
This Act may be cited as the ``At-Risk Youth Medicaid Protection Act of 2018''.
``(84) provide that-- ``(A) the State shall not terminate eligibility for medical assistance under a State plan for an individual who is an eligible juvenile (as defined in subsection (nn)(2)) because the juvenile is an inmate of a public institution (as defined in subsection (nn)(3)), but may suspend coverage during the period the juvenile is such an inmate;
``(84) provide that-- ``(A) the State shall not terminate eligibility for medical assistance under the State plan for an individual who is an eligible juvenile (as defined in subsection (nn)(2)) because the juvenile is an inmate of a public institution (as defined in subsection (nn)(3)), but may suspend coverage during the period the juvenile is such an inmate;
``(B) the State shall restore coverage for such medical assistance to such an individual upon the individual's release from any such public institution, without requiring a new application from the individual, unless (and until such date as) there is a determination that the individual no longer meets the eligibility requirements for such medical assistance;
``(B) in the case of an individual who is an eligible juvenile described in paragraph (2)(A) of subsection (nn), the State shall, prior to the individual's release from such a public institution, conduct a redetermination of eligibility for such individual with respect to such medical assistance (without requiring a new application from the individual) and, if the State determines pursuant to such redetermination that the individual continues to meet the eligibility requirements for such medical assistance, the State shall restore coverage for such medical assistance to such an individual upon the individual's release from such public institution;
and ``(C) the State shall process any application for medical assistance submitted by, or on behalf of, a juvenile who is an inmate of a public institution notwithstanding that the juvenile is such an inmate.'';
and ``(C) in the case of an individual who is an eligible juvenile described in paragraph (2)(B) of subsection (nn), the State shall process any application for medical assistance submitted by, or on behalf of, such individual such that the State makes a determination of eligibility for such individual with respect to such medical assistance upon release of such individual from such public institution.'';
or ``(B) is described in subsection (a)(10)(A)(i)(IX).
or ``(B) described in subsection (a)(10)(A)(i)(IX).
``(2) Eligible juvenile.--The term `eligible juvenile' means a juvenile who is an inmate of a public institution and was eligible for medical assistance under the State plan immediately before becoming an inmate of such a public institution or who becomes eligible for such medical assistance while an inmate of a public institution.
``(2) Eligible juvenile.--The term `eligible juvenile' means a juvenile who is an inmate of a public institution and who-- ``(A) was determined eligible for medical assistance under the State plan immediately before becoming an inmate of such a public institution;
or ``(B) is determined eligible for such medical assistance while an inmate of a public institution.
<all>
Union Calendar No.
572 115th CONGRESS 2d Session H.
R.
1925 [Report No.
115-738] _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to protect at-risk youth against termination of Medicaid eligibility while an inmate of a public institution.
_______________________________________________________________________ June 12, 2018 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed
View plain text versions (2)

How this bill changes current law

2 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill adds provisions to prevent the termination of Medicaid eligibility for at-risk youth while they are inmates of public institutions.

  • 42 U.S.C. 1396a

    provide that-- (A) the State shall not terminate eligibility for medical assistance under the State plan for an individual who is an eligible juvenile (as defined in subsection (nn)(2)) because the juvenile is an inmate of a public institution (as defined in subsection (nn)(3)), but may suspend coverage during the period the juvenile is such an inmate; (B) in the case of an individual who is an eligible juvenile described in paragraph (2)(A) of subsection (nn), the State shall, prior to the individual's release from such a public institution, conduct a redetermination of eligibility for such individual with respect to such medical assistance (without requiring a new application from the individual) and, if the State determines pursuant to such redetermination that the individual continues to meet the eligibility requirements for such medical assistance, the State shall restore coverage for such medical assistance to such an individual upon the individual's release from such public institution; and (C) in the case of an individual who is an eligible juvenile described in paragraph (2)(B) of subsection (nn), the State shall process any application for medical assistance submitted by, or on behalf of, such individual such that the State makes a determination of eligibility for such individual with respect to such medical assistance upon release of such individual from such public institution.

    This change ensures that at-risk youth do not lose Medicaid coverage due to their status as inmates, while allowing the state to suspend coverage temporarily.

  • 42 U.S.C. 1396a

    For purposes of subsection (a)(84) and this subsection: (1) Juvenile.--The term 'juvenile' means an individual who is-- (A) under 21 years of age; or (B) described in subsection (a)(10)(A)(i)(IX). (2) Eligible juvenile.--The term 'eligible juvenile' means a juvenile who is an inmate of a public institution and who-- (A) was determined eligible for medical assistance under the State plan immediately before becoming an inmate of such a public institution; or (B) is determined eligible for such medical assistance while an inmate of a public institution. (3) Inmate of a public institution.--The term 'inmate of a public institution' has the meaning given such term for purposes of applying the subdivision (A) following paragraph (29) of section 1905(a), taking into account the exception in such subdivision for a patient of a medical institution.

    This addition defines key terms related to the eligibility of youth inmates regarding their Medicaid coverage.

Action History

  1. Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-738.

  2. Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-738.

  3. Placed on the Union Calendar, Calendar No. 572.

  4. Committee Consideration and Mark-up Session Held.

  5. Ordered to be Reported by Voice Vote.

  6. Subcommittee Consideration and Mark-up Session Held.

  7. Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

  8. Referred to the Subcommittee on Health.

  9. Introduced in House

  10. Introduced in House

  11. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 546 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (546)

546 members have not signed on to this bill.

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Frequently asked questions

What does HR 1925 do?
At-Risk Youth Medicaid Protection Act of 2018 This bill prohibits a state Medicaid program from terminating a juvenile's medical assistance eligibility because the juvenile is incarcerated. A state may suspend coverage while the juvenile is an inmate, but must reevaluate the juvenile's eligibility prior to the juvenile's release (without requiring a new application) and, if appropriate, restore coverage upon release. A state must also process an application submitted by, or on behalf of, an incarcerated juvenile in a manner that ensures the juvenile's eligibility is determined upon release. A "juvenile" is an individual who: (1) is under 21 years of age; or (2) has aged out of the state's foster care system, was enrolled in the state plan while in foster care, and is under 26 years of age.
Who sponsors HR 1925?
HR 1925 is sponsored by Cárdenas, Tony (Democratic).
What is the current status of HR 1925?
This bill died with 115th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HR 1925?
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