To amend title XIX of the Social Security Act to ensure the reliability of address information provided under the Medicaid program.
Sponsors
Legislative Progress
IntroducedMrs. Miller-Meeks (for herself and Mrs. Dingell) introduced the following …
Summary
What This Bill Does
This bill requires state Medicaid programs to regularly check and update the addresses of people enrolled in Medicaid using reliable data sources like the U.S. Postal Service change-of-address database and state DMV records. The requirement takes effect on January 1, 2026, and applies to the 50 states and Washington, D.C. (but not U.S. territories). The bill also requires Medicaid managed care organizations to share address information with state agencies when they get updates directly from enrollees.
Who Benefits and How
Data verification companies like Experian, LexisNexis, and ID Analytics benefit because states will need to purchase their address verification services to comply with the new requirement. Health IT vendors and Medicaid system providers (such as Conduent, Maximus, and Deloitte) benefit from contracts to upgrade state computer systems to handle automated address checking. The U.S. Postal Service will see increased revenue from licensing its National Change of Address database. State Medicaid agencies may eventually benefit from reduced administrative costs due to fewer returned mail notices, though they face significant upfront implementation costs.
Who Bears the Burden and How
State Medicaid agencies must implement new address verification systems by January 2026, requiring them to spend money on IT infrastructure upgrades, staff training, and ongoing operational costs. Medicaid managed care organizations must modify their systems and create new processes to report address changes to states. Medicaid enrollees who experience homelessness or housing instability face the risk of losing their health coverage if their addresses cannot be verified through standard databases, potentially leaving vulnerable populations without healthcare access.
Key Provisions
- States must regularly obtain address information from reliable data sources as defined in federal regulations (42 CFR 435.919), which include USPS National Change of Address, state motor vehicle departments, and other verified government databases
- States must act on any address changes identified through these data sources according to existing federal regulations
- Medicaid managed care organizations must transmit to states any address information they receive directly from enrollees or verify directly with enrollees
- The requirement applies only to the 50 states and District of Columbia, explicitly excluding U.S. territories like Puerto Rico and Guam
- Implementation deadline is January 1, 2026
Evidence Chain:
This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.
Primary Purpose
Requires state Medicaid programs to regularly verify and update enrollee addresses using reliable data sources, effective January 1, 2026
Policy Domains
Legislative Strategy
"Reduce Medicaid enrollment errors and improper payments by ensuring accurate address records through automated data verification"
Likely Beneficiaries
- State Medicaid agencies (reduced administrative burden from returned mail)
- Data verification service providers (Experian, LexisNexis, etc.)
- Software vendors providing Medicaid eligibility systems
Likely Burden Bearers
- State Medicaid programs (must implement new verification systems by Jan 2026)
- Managed care organizations (must transmit address updates to states)
- Some Medicaid enrollees (may face disenrollment if addresses cannot be verified)
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "state_agencies"
- → State Medicaid agencies in the 50 States and District of Columbia
- "federal_regulators"
- → Centers for Medicare & Medicaid Services (CMS)
- "managed_care_entities"
- → Managed care organizations contracting with state Medicaid programs under section 1903(m)
Key Definitions
Terms defined in this bill
Explicitly excludes U.S. territories from the requirement
Data sources as described in 42 CFR 435.919(f)(1)(iii), which include USPS National Change of Address database, state DMV records, and other verified government databases
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology