Medicaid PNA Modernization Act
Sponsored By: Representative Subramanyam
Introduced
Summary
Raises the Medicaid personal needs allowance and ties future increases to Social Security Title II benefit increases. This bill would update the monthly minimum personal needs allowance for people living in Medicaid institutions and create an automatic indexing rule linked to Social Security Title II cost‑of‑living changes.
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- Institutionalized individuals and couples: People in nursing homes and similar Medicaid institutions would see the monthly minimum PNA rise to $60 for individuals and $120 for couples starting January 1, 2026.
- Future adjustments: After November 2026, those dollar minimums would automatically increase by the same percentage as any Social Security Title II benefit increase for months after that date.
- State Medicaid programs: States would apply the new PNA minimums under Title XIX of the Social Security Act as part of Medicaid rules.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Higher personal needs allowance for Medicaid recipients
If enacted, the bill would raise the monthly personal needs allowance (PNA) for people in Medicaid nursing homes and tie future increases to Social Security. Starting January 1, 2026, the individual PNA minimum would increase from $30 to $60 per month and the couple PNA minimum would increase from $60 to $120 per month. For any month after November 2026 when Social Security Title II benefits are increased under section 215(i), each PNA dollar amount in effect the month before would be increased by the same percentage. The change would apply to the PNA minimums state Medicaid programs use for institutionalized beneficiaries.
Sponsors & CoSponsors
Sponsor
Subramanyam
VA • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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