No Medicare Clawbacks Act of 2026

This bill changes Medicare law about people age 65 or older who have both Medicare and an employer group health plan. If the group health plan first pays for a medical item or service, it could not later take that payment back because the person was entitled to Medicare. This rule applies when the service was provided during a period of retroactive Medicare Part A coverage and the person was not behind on their premium contributions to the plan. The bill also lets people sue under existing Medicare law when a group health plan takes back payment in violation of this rule.

Full text and official record on Congress.gov

Sponsors

• Ritchie Torres Democrat sponsor
• 1 cosponsors