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HR 1403
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LIVE Beneficiaries Act

To amend title XIX of the Social Security Act to require States to verify certain eligibility criteria for individuals enrolled for medical assistance quarterly, and for other purposes.

Introduced Feb 18, 2025

Latest action (Feb 18, 2025) Referred to the House Committee on Energy and Commerce.

Summary

  • Requires states to review the Death Master File at least quarterly to identify individuals enrolled in Medicaid who have died.
  • Requires states to disenroll deceased individuals from Medicaid and discontinue payments for medical assistance on their behalf.
  • Requires states to immediately re-enroll beneficiaries who were wrongly identified as deceased, retroactive to the date of disenrollment.
  • Applies to all 50 states and the District of Columbia beginning January 1, 2027.
  • Allows states to use other electronic data sources in addition to the Death Master File to identify deceased beneficiaries.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Money behind the sponsor

Top reported contributors to Gus M. Bilirakis’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • NULL $24,400
  • LINCARE $11,000
  • HOLLAND & KNIGHT $7,600
  • MCI $6,600
  • S&S $6,600

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Gus M. Bilirakis → · Outside spending →

Actions (2)

  1. Feb 18, 2025 Referred to the House Committee on Energy and Commerce. · house
  2. Feb 18, 2025 Introduced in House

More bills on these subjects (8)

Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Text versions (1)

  • Introduced in House · Feb 18, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

February 18, 2025

Mr. Bilirakis (for himself and Ms. Craig) 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 require States to verify certain eligibility criteria for individuals enrolled for medical assistance quarterly, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Leveraging Integrity and Verification of Eligibility for Beneficiaries Act” or the “LIVE Beneficiaries Act”.

SEC. 2. MODIFYING CERTAIN STATE REQUIREMENTS FOR ENSURING DECEASED INDIVIDUALS DO NOT REMAIN ENROLLED.

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

(1) in subsection (a)—

(A) in paragraph (86), by striking “; and” and inserting a semicolon;

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

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

“(88) provide that the State shall comply with the eligibility verification requirements under subsection (uu), except that this paragraph shall apply only in the case of the 50 States and the District of Columbia.”; and

(2) by adding at the end the following new subsection: “(uu) Verification of Certain Eligibility Criteria.—

“(1) In general.—For purposes of subsection (a)(88), the eligibility verification requirements, beginning January 1, 2027, are as follows:

“(A) Quarterly screening to verify enrollee status.—The State shall, not less frequently than quarterly, review the Death Master File (as such term is defined in section 203(d) of the Bipartisan Budget Act of 2013) to determine whether any individuals enrolled for medical assistance under the State plan (or waiver of such plan) are deceased.

“(B) Disenrollment under state plan.—If the State determines, based on information obtained from the Death Master File, that an individual enrolled for medical assistance under the State plan (or waiver of such plan) is deceased, the State shall—

“(i) treat such information as factual information confirming the death of a beneficiary for purposes of section 431.213(a) of title 42, Code of Federal Regulations (or any successor regulation);

“(ii) disenroll such individual from the State plan (or waiver of such plan); and

“(iii) discontinue any payments for medical assistance under this title made on behalf of such individual (other than payments for any items or services furnished to such individual prior to the death of such individual).

“(C) Reinstatement of coverage in the event of error.—If a State determines that an individual was misidentified as deceased based on information obtained from the Death Master File, and was erroneously disenrolled from medical assistance under the State plan (or waiver of such plan) based on such misidentification, the State shall immediately re- enroll such individual under the State plan (or waiver of such plan), retroactive to the date of such disenrollment.

“(2) Rule of construction.—Nothing under this subsection shall be construed to preclude the ability of a State to use other electronic data sources to timely identify potentially deceased beneficiaries, so long as the State is also in compliance with the requirements of this subsection (and all other requirements under this title relating to Medicaid eligibility determination and redetermination).”. <all>

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