Medicaid Third Party Liability Act
Introduced Jan 16, 2025 by Rep. Dan Crenshaw
It's waiting on a committee vote to reach the full chamber. Most bills never leave this stage.
Medicaid Third Party Liability Act
This bill modifies requirements relating to Medicaid third-party liability.
Current law generally requires legally liable third parties (e.g., health insurers) to pay claims before Medicaid. However, Medicaid must pay first (and seek reimbursement from liable third parties) for claims for (1) preventive pediatric care, and (2) services for an individual for whom child support enforcement is being conducted by the state. The bill repeals these exceptions.
Current law also requires state Medicaid programs to take all reasonable measures to identify legally liable third parties. The bill specifically prohibits federal Medicaid payment for services to individuals for whom third-party insurance information was not obtained and verified by the state.
Summary by the Congressional Research Service.
No floor votes yet — it hasn't reached the floor of either chamber.