States would face quarterly death checks for Medicaid enrollees starting 2027
In committeeH.R. 1403Latest action
Sponsor: Gus M. Bilirakis · Representative · FL
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Official title: LIVE Beneficiaries Act
119th Congress
Topics: Health care
Introduced:
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Starting January 1, 2027, states must check a federal death database every three months to remove deceased people from Medicaid.
40-second read · 4 questions answered below
What does this do?
HR 1403 requires every state and DC to check the Social Security Administration's Death Master File at least quarterly starting January 1, 2027, to identify deceased Medicaid enrollees. States must remove confirmed-deceased people from Medicaid and stop payments on their behalf, except for care received before death. If a state wrongly removes someone, it must immediately reinstate coverage retroactively so there's no benefits gap.
Who does it affect?
State Medicaid agencies must update systems and procedures to run these checks; Medicaid beneficiaries are affected, especially anyone mistakenly flagged as deceased.
Why does it matter?
The change could cause temporary, mistaken loss of coverage for some beneficiaries due to matching errors, even though reinstatement is required. It aims to stop Medicaid payments continuing for people who have died.
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Where does it stand?
- IntroducedFeb 18, 2025
- House committeeYou are here · Feb 18, 2025
- House vote
- Senate
- The president's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.
Latest action: — Referred to the House Committee on Energy and Commerce.