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Ensuring Medicaid Continuity for Children in Foster Care Act of 2026
To amend title XIX of the Social Security Act to ensure that children in foster care who are placed in a qualified residential treatment program are eligible for Medicaid.
Summary
- Amends Medicaid law to exempt children in foster care placed in qualified residential treatment programs from the Medicaid exclusion for Institutions for Mental Diseases.
- Makes children in foster care placed in qualified residential treatment programs eligible for Medicaid coverage.
- Applies to children in foster care under state responsibility, regardless of whether payments are made under other foster care provisions.
- Takes effect October 1, 2026, and applies to items and services furnished in calendar quarters beginning on or after that date.
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)
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![Rep. Bilirakis, Gus M. [R-FL-12]](https://media.civicgate.org/people/d/politicians/B001257.thumb.jpg)
Rep. Bilirakis, Gus M. (R-FL) [#12]
1 cosponsor
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![Rep. Brownley, Julia [D-CA-26]](https://media.civicgate.org/people/d/politicians/B001285.thumb.jpg)
Rep. Brownley, Julia (D-CA) [#26]
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.
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)
- Mar 26, 2026 Referred to the House Committee on Energy and Commerce. · house
- Mar 26, 2026 Introduced in House
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.
Full text
IN THE HOUSE OF REPRESENTATIVES
March 26, 2026
Mr. Bilirakis (for himself and Ms. Brownley) 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 that children in foster care who are placed in a qualified residential treatment program are eligible for Medicaid.
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 “Ensuring Medicaid Continuity for Children in Foster Care Act of 2026”.
SEC. 2. EXEMPTION OF CHILDREN IN FOSTER CARE WHO ARE PLACED IN A QUALIFIED RESIDENTIAL TREATMENT PROGRAM FROM THE MEDICAID IMD EXCLUSION.
(a) In General.—Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended. in the matter designated as subdivision
(B) following the last numbered paragraph of such section, by inserting “and services provided to any individual who is a child in foster care under the responsibility of a State who has been placed in a child care institution that is a qualified residential treatment program (as defined in section 472(k)(4)), without regard to whether payments are made on behalf of such child under section 472” after “section 1915(l)”.
(b) Effective Date.—The amendment made by subsection (a) shall apply with respect to items and services furnished in calendar quarters beginning on or after October 1, 2026. <all>
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