Medicaid Staffing Flexibility and Protection Act of 2025

This bill would change federal Medicaid law to let states use contractors, or other state or local agencies, to decide who is eligible for Medicaid and to recheck eligibility. It would also let states use contractors or other agencies to run fair hearings for people who challenge Medicaid decisions. These contracts could not give the contractor incentives to delay decisions or hearings or to deny coverage to people who qualify. A state could not use this option unless the contractor making eligibility decisions has no direct or indirect financial relationship with any Medicaid managed care organization, including its network providers, that serves Medicaid enrollees under a contract with that state.

Full text and official record on Congress.gov

Sponsors

• Earl L. "Buddy" Carter Republican sponsor
• 4 cosponsors