The bill would change how states set certain Medicaid payments to health plans and providers. Starting with rating periods in 2030, these payments would generally be capped at 200% of the Medicare payment rate, or the state average commercial rate if no Medicare rate is available. Some existing payments would be reduced by 10% each year until they meet the cap. Starting in 2028, states could tie payments to service use and pay or hold back payment amounts separately. Beginning in 2027, states would have to report detailed payment and service data. The bill would also repeal two provisions about provider taxes and rescind funds appropriated under one of them.
The bill concerns Medicaid payment rules and reporting. It does not describe changes to who qualifies for Medicaid or the services covered. Any direct effect on people who receive care would depend on how states and health plans apply the payment rules.
The bill does not state a total cost or savings amount. It rescinds funds previously appropriated under one of the repealed provisions, but does not specify the amount in this text.
No publicly available information.
No publicly available information.