Better Care, Better Cost Act

This bill changes federal Medicaid law on how states assign people to managed care plans when those people do not choose a plan themselves (called default enrollment). Each state would have to set up a system to score the performance of its Medicaid managed care plans, using cost, health outcome, and member satisfaction measures the state picks. States would then use these performance scores when making default plan assignments. States would also publish a yearly report comparing assignments made using the scores to those that would have been made without them, and estimating any savings. The changes would apply to enrollments on or after January 1, 2028.

Full text and official record on Congress.gov

Sponsors

• Craig A. Goldman Republican sponsor
• 1 cosponsors