Military families would keep Medicaid coverage after relocations under HR 3399

What does this do?

Starting January 1, 2028, HR 3399 would require every state Medicaid program to automatically recognize relocated military family members as state residents, preventing coverage gaps. The bill also requires new states to carry over waiting list positions for home and community-based services rather than restarting the process, until the new state evaluates eligibility or the individual opts out.

Who does it affect?

The bill directly affects active-duty service members, veterans who retired within the last year, and their dependents, particularly family members with disabilities who rely on Medicaid-funded home and community-based care. State Medicaid programs nationwide would also be required to update their rules to comply.

Why does it matter?

Without this requirement, military family members with disabilities or special health needs can lose Medicaid coverage or their place on long waiting lists each time a relocation order moves them to a new state. States currently have no uniform obligation to recognize prior coverage or waiting list status from another state.

What does it cost, and who pays?

• $1 million per year, federal funds
• Covers 2026 through 2030
• For state implementation costs