LIVE Beneficiaries Act
Sponsored By: Representative Bilirakis
Introduced
Summary
Quarterly verification of Medicaid beneficiaries' death status is the bill's core change. The bill would require States to check the federal Death Master File at least quarterly, disenroll enrollees listed as deceased and stop payments after death while allowing immediate retroactive reenrollment for misidentification, and it would take effect January 1, 2027 for all 50 States and the District of Columbia.
Show full summary
- Families and enrollees: If the Death Master File shows someone is deceased, States would disenroll that person from the State plan or waiver and stop Medicaid payments for care after death. If the death match was an error, the State must immediately reenroll the person retroactive to the date of disenrollment.
- State Medicaid agencies: States would be required to run at least quarterly screenings of the Death Master File and treat matches as factual information under existing federal rules. States may use other electronic data sources to identify potentially deceased beneficiaries as long as they remain in compliance with these requirements and other Medicaid eligibility rules.
- Payments and program records: The bill would require discontinuing payments made on behalf of individuals after death except for items or services furnished before death, and it applies to enrollment under both State plans and waivers nationwide.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
Quarterly death checks for Medicaid enrollees
If enacted, states would check a federal death records file at least every three months for all Medicaid enrollees. If the file shows someone as deceased, the state would treat that as verified, disenroll them, and stop payments for care after death. Bills for care given before death could still be paid. If later proven wrong, the state would re-enroll the person right away and make coverage retroactive to the date it ended. These rules would start January 1, 2027, in all 50 states and D.C., and states could also use other electronic data to spot matches.
Sponsors & CoSponsors
Sponsor
Bilirakis
FL • R
Cosponsors
Craig
MN • D
Sponsored 2/18/2025
Calvert
CA • R
Sponsored 3/5/2025
Davids (KS)
KS • D
Sponsored 3/10/2025
Roll Call Votes
No roll call votes available for this bill.
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