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HR 6254119th CongressIn Committee
Medicaid Staffing Flexibility and Protection Act of 2025
Introduced: Nov 21, 2025
Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-Georgia)
Standard Summary
Comprehensive overview in 1-2 paragraphs
Amends Title XIX of the Social Security Act to give states the option to use contractors for eligibility determinations, redeterminations, and fair hearings, while prohibiting conflicts of interest with Medicaid managed‑care organizations.
Key Points
- 1States may contract with other states, local agencies, or contractors for eligibility and fair hearings.
- 2Contracts cannot incentivize delays or denial of eligibility.
- 3Contractors must have no financial relationship with Medicaid managed‑care organizations.
- 4Amendments apply to both eligibility determinations and fair hearings.
Impact Areas
State Medicaid agenciesContractors and third‑party service providersMedicaid beneficiariesManaged‑care organizations
Generated by openai/gpt-oss-20b:free on Dec 6, 2025