HR 9336 Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
To amend title XIX of the Social Security Act to require States to take into account performance when assigning individuals to managed care entities under the Medicaid program.
Summary
- Requires states to establish a system to evaluate performance of managed care entities and use performance scores when assigning individuals to Medicaid managed care plans.
- States must base performance scores on cost and outcome measures including medical assistance expenditures, avoidable hospital readmissions, emergency department visits, and hospital admissions.
- Performance scores must also include individual satisfaction measures and the rate at which individuals choose to leave a managed care entity.
- Requires states to annually publish reports comparing enrollments with and without performance scores and quantifying any resulting cost savings.
- The requirement takes effect January 1, 2028.
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)
3 cosponsors
Money behind the sponsor
Top reported contributors to Craig A. Goldman’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- LOCKHEED MARTIN $33,821
- LMBILP $26,400
- KELLY HART $26,100
- DOUBLE EAGLE ENERGY $23,600
- STUDENT $20,800
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Craig A. Goldman → · Outside spending →
Actions (2)
- Jun 18, 2026 Referred to the House Committee on Energy and Commerce. · house
- Jun 18, 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
June 18, 2026
Mr. Goldman of Texas (for himself and Mr. Pfluger) 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 take into account performance when assigning individuals to managed care entities under the Medicaid program.
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 “Better Care, Better Cost Act”.
SEC. 2. REQUIRING STATES TO TAKE INTO ACCOUNT PERFORMANCE WHEN ASSIGNING INDIVIDUALS TO MANAGED CARE ENTITIES UNDER THE MEDICAID PROGRAM.
(a) In General.—Section 1932(a)(4) of the Social Security Act (42 U.S.C. 1396u-2(a)(4)) is amended—-
(1) in subparagraph (D)(ii)(II), by striking “the equitable” and all that follows through the period and inserting “the performance score of such entities, as determined under the system established by the State under subparagraph (E).”; and
(2) by adding at the end the following new subparagraph:
“(E) Performance.—
“(i) In general.—A State shall—
“(I) establish a system to evaluate the performance of managed care entities participating under the State plan (or wavier of such plan) of such State; and
“(II) on an annual basis, publish a report— “(aa) evaluating the differences in default enrollments made taking into account the performance scores of managed care entities under this subparagraph compared to such enrollments that would have been made had such scores not been taken into account; and “(bb) quantifying any estimated reduction in expenditures under such plan (or waiver) attributable to taking into account such scores in default enrollments.
“(ii) Score.—Under the system established by a State under clause (i), the State shall assign a performance score for each managed care entity described in such clause based on such cost and outcome measures and such individual satisfaction measures as determined appropriate by the State. Measures used under such system may include, with respect to individuals enrolled under such entity, measures of the performance of such entity (compared to the risk-adjusted expected performance of such entity) with respect to the following:
“(I) Expenditures for medical assistance.
“(II) Potentially avoidable hospital readmissions.
“(III) Potentially avoidable emergency department visits.
“(IV) Potentially avoidable hospital admissions.
“(V) Satisfaction scores from such individuals and the rate at which such individuals elect to terminate enrollment with such entity.”.
(b) Effective Date.—The amendments made by this section shall apply with respect to the enrollment of individuals in managed care entities under a State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or under a waiver of such plan, on or after January 1, 2028. <all>
Comments