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S.1787: Medicaid Managed Care Responsibility and Equity Act

About this Bill

This bill was introduced in the 113th Congress
This bill is primarily about health
You can read the bill
Sponsor John D. Rockefeller IV, D-W.Va.
Total Cosponsors 0
Introduced Dec. 10, 2013
Latest Major Action Dec. 10, 2013
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Bill Progress

  • Bill introduced in the Senate   
  • Bill passed in the Senate   
  • Bill passed in the House   
  • Bill signed into law

Bill Summary

Medicaid Managed Care Responsibility and Equity Act - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) with respect to managed care requirements.

Requires a minimum medical loss ratio of at least 85% for Medicaid and CHIP managed care plans under contracts between a state and a managed medical care entity (health maintenance organization), but a minimum ratio of only 80% for an entity in which at least 10% of the enrollees are optional targeted low-income children.

Prescribes administrative penalties for failure to maintain such ratios.

Applies the same minimum medical loss ratios to a state child health (CHIP) plan, except for a medical loss ratio of at least 80% for managed care organizations.

(Source: Congressional Research Service)

Bill Actions

Date Description
Dec. 10, 2013 Read twice and referred to the Committee on Finance.