Bill would let states bill Medicaid for inmates' final 30 days

What does this do?

HR 2586 creates an exception to the federal rule that bars Medicaid from paying for incarcerated people's healthcare. States could choose to use Medicaid to cover medical care for inmates during the 30 days before their release. The bill also directs a government commission to study healthcare delivery in correctional facilities and report to Congress within 18 months.

Who does it affect?

The change would most directly affect people nearing the end of a jail or prison sentence who qualify for Medicaid based on income. State governments would decide whether to participate and would need to coordinate with their existing Medicaid programs.

Why does it matter?

Enrolling people in Medicaid before release rather than after could reduce gaps in coverage during the period immediately following incarceration. Access to coverage at that point could affect whether someone is able to obtain prescriptions, see a doctor, or receive mental health or addiction treatment without delay.

What does it cost, and who pays?

• Federal-state cost sharing applies
• Total cost depends on state participation